Help with interpreting various blood results

[Gnatsville]

Hi,

I recently had a blood test for various things. (I have Psoriatic Arthritis, Fibromyalgia, Sjörgren's Syndrome, Hashimoto's Thyroiditis and some of the tests are because of the meds I take). I was hoping someone could interpret my results, i.e. if there's anything I should be concerned about. I'm due to see my endocrinologist on Thursday. I'm annoyed they didn't do my T3 levels, I did ask at the time. Anyway, the TSH says it's under the correct level and the T4 over... not sure how impactful this is, but I haven't felt very good recently and was convinced my levels would be worse than they are. I've also been trying to lose a few pounds in weight to no avail.

Thank you in anticipation. (I am on a daily amount of 175 mcg of Levothyroxine.)

Pathology Investigations

Full blood count on thyroxine

Total white blood count 9.4 10*9/L [3.9 - 10.2]

Red blood cell count 4.50 10*12/L [3.9 - 5.2]

Haemoglobin concentration 137 g/L [120.0 - 156.0]

Haematocrit 0.417 L/L [0.355 - 0.455]

Mean cell volume 92.5 fL [80.0 - 99.0]

Mean cell haemoglobin level 30.5 pg [27.0 - 33.5]

Red blood cell distribution width 14.3 % [11.0 - 16.0]

Platelet count - observation 362 10*9/L [150.0 - 370.0]

Mean platelet volume 9.8 fL

Platelet distribution width 51 %

Neutrophil count 5.59 10*9/L [1.5 - 7.7]

Lymphocyte count 2.68 10*9/L [1.1 - 4.5]

Monocyte count - observation 0.45 10*9/L [0.1 - 0.9]

Eosinophil count - observation 0.48 10*9/L [0.02 - 0.5]

Basophil count 0.06 10*9/L [0.0 - 0.2]

Plateletcrit 0.350

ESR on thyroxine

Erythrocyte sedimentation rate 6 mm [1.0 - 12.0]

FASTING GLUCOSE (PLASMA) on thyroxine

The Request indicates that this sample was taken

following a fast (8-14 hrs)

A fasting glucose of less than 6.1 mmol/L

makes the diagnosis of Diabetes Mellitus unlikely.

A value of 6.1 to 6.9 mmol/L is classified as

"impaired fasting glucose" (IFG)

Concentrations greater than 6.9 mmol/L indicate

probable diabetes. In the absence of symptoms a

diagnosis of diabetes should only be made if a

Fasting Plasma Glucose is 7 mmol/L or greater on

more than one occasion.

Plasma fasting glucose level 4.3 mmol/L [3.5 - 6.0]

CRP on thyroxine

Serum C reactive protein level < 4 mg/L [0.0 - 6.0]

Serum lipid levels on thyroxine

Please see NICE CG181: Lipid Modification Guidelines.

Serum cholesterol level 6.4 mmol/L

Serum triglyceride levels 2.40 mmol/L [0.3 - 1.8]

Above high reference limit

Serum HDL cholesterol level 1.07 mmol/L

Serum LDL cholesterol level 4.23 mmol/L

Serum cholesterol/HDL ratio 6.0

Serum non high density lipoprotein cholesterol level 5.33 mmol/L

Liver function tests on thyroxine

Serum albumin level 40 g/L [35.0 - 50.0]

Serum total bilirubin level 6 umol/L [0.0 - 20.0]

Serum alkaline phosphatase level 62 U/L [30.0 - 130.0]

Serum alanine aminotransferase level 29 U/L [7.0 - 40.0]

Thyroid function test on thyroxine

Serum TSH level 0.27 mU/L [0.35 - 5.5]

Below low reference limit

Serum free T4 level 22.2 pmol/L [10.0 - 19.8]

Above high reference limit

Urea and electrolytes on thyroxine

Serum sodium level 136 mmol/L [133.0 - 146.0]

Serum potassium level 4.7 mmol/L [3.5 - 5.3]

Serum creatinine level 61 umol/L [44.0 - 97.0]

eGFR using creatinine (CKD-EPI) per 1.73 square metres ≥ 90 mL/min/1.73m*2

Please note change in eGFR equation to CKD-EPI.

eGFR calculation assumes Caucasian origin.

[helvella Administrator Thyroid UK]

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