My daughter has suffered from severe IBS for 2 years ( she is 24 ) despite many visits to GP's etc she is still no closer to a diagnosis. She even had her appendix removed last year only for a doctor this year to say her appendix results were perfectly normal !
We firmly believe in a holistic approach to both symptoms and diagnosis so any help on looking at these results would be great ..I have attached a photo
smallzoo,
Your daughter is B12 deficient. Symptoms are b12deficiency.info/signs-an... Her GP should initiate b12 injections and test for pernicious anaemia. Folate is low in range so it wouldn't hurt to supplement 400mcg folic acid or methylfolate for a couple of months but she mustn't take it until 48 hours after B12 injections are initiated. healthunlocked.com/pasoc are the experts on PA, B12 deficiency and folate if you want more advice.
"Low urea levels are not common and are not usually a cause for concern. They can be seen in severe liver disease or malnutrition but are not used to diagnose or monitor these conditions. Low urea levels are also seen in normal pregnancy."
labtestsonline.org.uk/under...
Your daughter's ALT is mildly below range. Other liver results are normal and don't indicate liver disease.
labtestsonline.org.uk/under...
livestrong.com/article/3035...
Low Gamma Glutamyl Transferase pretty much rules out liver disease.
Has your daughter had a blood test to check her thyroid hormones? If not I'd request the following and blood should be drawn at the very earliest, fasting (she can drink water):
Request TSH, T4, T3, Free T4, Free T3 and thyroid antibodies. Usually NHS will only check TSH and T4 but that isn't sufficient. Some doctors/labs might do all of them but we have two private labs which will do all of them if you so wish.
Others will respond re her other blood tests but her B12 should be nearer the top rather than at the bottom as hers is at present. Pop over the the Pernicious Anaemia Society and someone will also respond. She should not take any B12 supplements until doctor checks the intrinsic factor to confirm or not she has pernicious anaemia. Usually we can get more than one autoimmune disease.
Get a print-out of her thyroid results with the ranges and put on a new post.
Pernicious Anaemia needs B12 injections. The norm is every three months but many who have it feel they need it more often.
If she has hypothyroidims/Hashimotos - the latter is confirmed if thyroid antibodies are present.
Both P.A. and hypo are fatal if untreaated so, on this forum, we've had to read, learn and ask questions in order to recover our health to an optimum.
I am not medically qualified but had undiagnosed hypothyroidism and many doctors/specialists gave me other diagnosis and no-one every took a simple blood test.
thyroiduk.org.uk/tuk/about_...
Always get a print-out of results with the ranges. Labs differ in their ranges so are important for members to comment.
The only thing that really made a difference with my IBS was / is Visbiome, a super powerful probiotic designed specifically for IBS sufferers. I got it from this site crohns.net/blog/introducing...
These are a couple of links which may be helpful:
How did she end up having her appendix removed?! Maybe a complaint should be brought against whoever sanctioned it?
Your daughter might try going gluten free as well as having thyroid checks. I found cutting out gluten really helped my IBS.
Karen
Results Interpretation
Daughters blood results 
Help with interpreting daughter's blood results
Help wanted interpreting Blood Results
18 yr old Daughter blood test results
