Laboratory Report
Patient Name: One of a Kind Sex: F Age: 57 Exam Date: 10-10-09
Note- official labs are color coded and in columns for easy viewing
RBC: 3.9-4.5 x10E6/uL 4.1-5.6 x10E6/Ul 3.78
Hemoglobin (Female): 13.5-14.5 g/dL 11.5-15.0 g/dL 12.3
Hematocrit (Female): 37-44% 34-44% 36.5
MCV: 85-92 fL 80-98 fL 97
MCH: 27.0-32.0 pg 27.0-34.0 pg 32.5
MCHC: 32.0-35.0 g/dL 32.0-36.0 g/dL 33.7
RDW: < 13 % 11.7-15.0 % 13.2
Platelets: 140-415 x10E3/uL 140-415 x10E3/uL 170
WBC: 5.0-8.0 x10E3/uL 4.0-10.5 x10E3/uL 3.8
Neutrophils: 40-60 % 40-74 % 52
Neutrophils (Absolute): 2.0-4.8 x10E3/uL 1.8-7.8 x10E3/uL 2
Lymphocytes: 25-40 % 14-46 % 32
Lymphocytes (Absolute): 1.3-3.2 x10E3/uL 0.7-4.5 x10E3/uL 1.3
Monocytes: < 7 % 4-13 % 9
Monocytes (Absolute): 0.1-0.6 x10E3/uL 0.1-1.0 x10E3/uL .3
Eosinophils: < 3 % 0-7 % 5
Eosinophils (Absolute): 0.0-0.2 x10E3/uL 0.0-0.4 x10E3/uL .2
Basophils: 0-1 % 0-3 % 1
Basophils (Absolute): 0.0-0.1 x10E3/uL 0.0-0.2 x10E3/uL 0
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TSH: 1.8-3.0 uIU/mL 0.35-5.5 uIU/mL 3.6
Thyroxine (T4): 6.0-12.0 ug/dL 4.5-12.0 ug/dL 7.1
Free T4: 1.1-1.7 ng/dL 0.7-1.53 ng/dL NP
Free T3: 2.3-4.2 pg/mL 2.3-4.2 pg/mL NP
T3 Uptake: 28-38 % 24-39 % 34
FTI/T7: 1.7-4.6 1.2-4.9 2.4
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Total Cholesterol: 150-200 mg/dL 100-199 mg/d 135
HDL Cholesterol: > 55 mg/dL > 40 mg/dL 53
LDL Cholesterol: < 120 mg/dL < 100 mg/dL 65 110
Triglycerides: 30-100 mg/dL 0-149 mg/dL 86
TC/HDL Ratio: < 3.0 < 4.9 2.2
Trig./HDL Ratio: < 2.0 < 3.6 1.0
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Hemoglobin A1C: 3.8-5.0 % 3.3-5.5 % 5.2
Average Glucose: 75-100 mg/dL 66-110 mg/dL 98
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Albumin: 4.0-5.0 g/dL 3.5-5.5 g/dL 4.2
Albumin/Globulin Ratio: 1.5-2.0 1.1-2.3 1.6
ALP: 70-90 mg/dL 25-150 mg/dL 46
ALT/SGPT: 10-26 U/L 0-55 U/L 38
AST/SGOT: 10-26 U/L 0-60 U/L 32
Bilirubin (Total): 0.2-1.2 mg/dL 0.1-1.2 mg/dL 0.4
Bilirubin (Direct): 0.0-0.4 mg/dL 0.0-0.4 mg/dL np
Bilirubin (Indirect) : 0.2-0.8 mg/dL 0.1-0.8 mg/dL np
BUN: 13-18 mg/dL 5-26 mg/dL 19
BUN/Creatinine Ratio: 12-26 8-27 25
Calcium: 9.2-10.1 mg/dL 8.5-10.6 mg/dL 9.5
Calcium/Albumin Ratio: < 2.6 < 2.7 2.2
Calcium/Phosphorus Index: 30-40 20-40 30
Chloride: 100-106 mmol/L 96-109 mmol/L 102
CO2/Bicarbonate: 25-30 mmol/L 20-32 mmol/L 23
Creatinine: 0.7-1.1 mg/dL 0.5-1.5 mg/dL .76
CRP (Cardiac) : < 1 mg/L < 3 mg/L .8
ESR: 0-7 mm/hr 0-15 mm/hr 2
Ferritin (Female): 33-263 ng/mL 10-291 ng/mL 104
GGT: 10-26 U/L 0-65 U/L 24
Globulin: 2.4-2.8 g/dL 2.0-4.5 g/dL 2.6
Glucose: 75-100 mg/dL 66-110 mg/dL 48
Homocysteine: 0.0-6.0 umol/L 4.3-11.4 umol/L NP
Iron: 85-130 ug/dL 40-155 ug/dL 58
Iron Binding Cap. (TIBC): 250-350 ug/dL 250-450 ug/dL NP
Iron, Unsaturated (UIBC): 150-375 ug/dL 150-375 ug/dL NP
Iron Saturation (Transferrin): 24-52 % 15-55 % NP
Iron, Total Body: 0.3-2.1 g 0.2-2.6 g NP
Ketones: 0.0-3.0 mg/dL 0.0-3.0 mg/dL NP
LDH: 140-180 U/L 100-250 U/L 171
Magnesium: 2.0-2.5 mg/dL 1.6-2.6 mg/dL 2
Phosphorus: 3.5-4.0 mg/dL 2.5-5.6 mg/dL 3.6
Potassium: 4.0-4.5 mmol/L 3.5-5.5 mmol/L 4.3
Protein: 6.9-7.4 g/dL 6.0-8.5 g/dL 6.8
Sodium: 135-140 mmol/L 135-148 mmol/L 138
Uric Acid: 3.5-5.9 mg/dL 2.4-8.2 mg/dL 3.9
CA 15-3 0-12 0-25 10.7
CA 27-29 0-18 0-38 9.9
AMAS: 0-99 ug/mL 0-99 ug/mL NP
7 OMINOUS SIGNS
- Not present
- Not present
3. Albumin/Globulin < 1 Not present
4. Calcium/Albumin > 2.7 Not present
5. Lymphocytes < 20% Not present
6. Absolute Lymphocytes < 1.5 Not present
7. Platelets < 150 Not present
Urinalysis Report
Pregnancy: DNP
Color: Yellow
Clarity: Clear
Specific Gravity: 1.032 (dehydration)
pH: 5.6
Leukocytes: none
Nitrite: none
Protein: none
Glucose: none
Ketones: none
Urobilinogen: 0.2
Bilirubin: none
Blood: none
INTREPRETATIONS:
While it’s important to know why a lab value could be out of reference range it’s also important to take into account your case, the relative labs and other viable tests to make an appropriate recommendations
With abdominal pain it’s good to rule out any abdominal bleeding. Because the Red blood cells, hemoglobin and hematocrit are below range one needs to look at other possibilities to rule our bleeding. Because the MCV is normal and the RDW is only slightly elevated it does not appear to be a bleeding issue rather a protein synthesis issue because the protein is low, the ALT/AST (liver enzymes) are higher that can lead to a decrease in protein or red blood cell synthesis.
You most likely have a leaky gut creating a toxic condition whereas the liver enzymes are elevated, the cholesterol is decreased with TSH and Iron because of the lack of transport proteins. The HGB/A1C is elevated as well and suggests this condition has been ongoing and has created a sensitivity to sugar and sugar handling.
WBC Low White Blood Cells are the immune system of the body. A lower amount could mean one of two items, a lower immunity or a suppressed immunity, often the latter due to long periods of stress or discomfort.
Neutrophils Low Neutrophils are responsible for attacking and killing bacteria. Lower amounts could mean higher susceptibility to bacterial infections.
Lymphocytes Low Lymphocytes are responsible for humoral immunity, i.e. the ability to make, maintain and control functioning antibodies.
Total Cholesterol High Can be increased though a Poor diet, sedentary lifestyle, hypothyroidism, DM, Obstructive liver disease, malignancy, leukemia, muscular sclerosis, Nephrosis, Pregnancy, Hormone replacement therapy (HRT), T3, T4 depressed from thyroid etiology. We can rule out HRT, thyroid, pregnancy, nephrosis (kidney failure) MS, leukemia, malignancy. Most likely because the AST, BUN, LDH and Globulin are high there is liver toxicity or congestion. Cardiovascular exercise will help with this balance.
AST High Can be increased by Cirrhosis, excessive exercise, MI, Pulmonary infarction, skeletal muscle damage, jaundice, pancreatitis. We can rule out all by liver inflammation.
BUN High Can be increased in Amyloidosis, malignant hypertension, starvation, bleeding gastric ulcer, peritonitis, stomach cancer, CHF, nephrotoxic Px or metals, Collagen disease, obstructive prostate, addison’s disease, renal dysfunction, arteriosclerosis, MVA, low thyroid. We can rule out all but liver issues and possible kidney due to dehydration unless you are also not eating although this would be over months not a few weeks due to a change in diet.
Globulin High Can be increased in Hepatitis, MM, Malignancies, Lymphogranuloma, Typhoid fever, thyroid disorders. We can rule out all but liver inflammation.
LDH High Can be increased by High-Carcinomas, megaloblastic anemia, hepatitis, renal infarction
Moderate-MD, leukemias, mono, pulmonary infarction, Slight-Liver disease, hypothyroidism, nephritic syndrome. We can rule out all by slight liver disease.
Sodium High Can be from Nephritis, hypercorticoadrenalism, pyloric obstruction, water softners and stress. We can rule out from these tests all but hypercorticoadrenalism (stress).
IMPRESSIONS
Although tests are within the medical reference range it is suggestive that there is some form of liver congestion. This can slow the ability to get rid of toxins, metabolic processes, hormones and decrease the immune system, as seen in the lower white blood cell count (WBC) and the lower level of lyphocytes, the cells responsible for creating antibodies. It is recommended a liver support (Liver Cleanse from Thorne) to be tested for efficacy as well as adding increased water and cardiovascular exercise to help the removal of those toxins through the skin and kidneys. Electro-Acupuncture combined with kinesiology have been instrumental in balancing liver imbalances. A liver profile and Complete Blood count follow up is recommended by the end of the year.
RECOMMENDATIONS:
Master Cleanse diet for 5 days followed with a carbohydrate challenge to discover how long the cleanse needs to continue. Following the first 5 days supplementation with probiotics and liver support are important followed up after the diet with any sugar or thyroid support if needed. Often the diet and gastrointestinal support reduce or eliminate the need for further support.