Latest Blood results

[Ljdaly74]

Hi all, do these results look ok?

Serum vitamin B12 level 355 ng/L [120.0 - 900.0]

Adequate B12 stores.If the patient is on IM B12

therapy, it is not necessary to monitor B12 levels

Serum folate level > 20 ug/L [2.5 - 9999.0]

Liver function tests

Serum total protein level 64 g/L [60.0 - 80.0]

Serum albumin level 42 g/L [35.0 - 50.0]

Serum globulin level 22 g/L [20.0 - 35.0]

Serum alkaline phosphatase level 80 u/L [30.0 - 130.0]

Serum total bilirubin level 11 umol/L [0.0 - 21.0]

Serum alanine aminotransferase level 31 u/L [0.0 - 35.0]

Plasma fasting glucose level 5.3 mmol/L [3.5 - 6.0]

Thyroid function test

Serum TSH level 0.05 mu/L [0.3 - 5.0]

Below low reference limit

Serum free T4 level 11.3 pmol/L [7.9 - 16.0]

Bone profile

Serum calcium level 2.34 mmol/L [2.2 - 2.6]

Calcium adjusted level 2.35 mmol/L [2.2 - 2.6]

Serum ferritin level 66 ng/mL [15.0 - 300.0]

Ferritin >15 and <100ng/mL. With low Hb and MCV,

a normal ferritin in the presence of inflammatory

changes does not exclude iron deficiency.

Haemoglobin A1c level - IFCC standardised

Haemoglobin A1c level - IFCC standardised 36 mmol/mol [20.0 - 42.0]

HbA1c below 42 mmol/mol indicates excellent

glycaemic control in patients known to have

diabetes.

Check patient is not having unrecognised

Hypoglycaemia.

Diagnostic: normal (low risk of diabetes mellitus)

Serum progesterone level 0.6 nmol/L

Mid luteal (Day 21) Progesterone levels:-

ovulation unlikely: <16 nmol/L

ovulation possible: 16 - 30 nmol/L

ovulation probable: >30 nmol/L

Results on samples collected at other days of

cycle cannot be interpreted.

Urea and electrolytes

Serum sodium level 142 mmol/L [133.0 - 146.0]

Serum potassium level 4.1 mmol/L [3.5 - 5.3]

Serum urea level 3.6 mmol/L [2.5 - 7.8]

Serum creatinine level 58 umol/L [45.0 - 89.0]

Full blood count

Haemoglobin concentration 140 g/L [115.0 - 165.0]

Total white blood count 7.8 10*9/L [4.0 - 11.0]

Platelet count - observation 272 10*9/L [150.0 - 400.0]

Haematocrit 0.41 L [0.37 - 0.46]

Red blood cell count 4.33 10*12/L [3.8 - 5.8]

RDW 12.5 % [11.0 - 14.8]

Mean cell volume 93.7 fL [80.0 - 100.0]

Mean cell haemoglobin level 32.4 pg [27.0 - 32.0]

Above high reference limit

Mean platelet volume 7.3 fL

Neutrophil count 3.99 10*9/L [1.7 - 7.5]

Lymphocyte count 3.10 10*9/L [1.0 - 4.5]

Monocyte count - observation 0.59 10*9/L [0.2 - 0.8]

Eosinophil count - observation 0.07 10*9/L [0.0 - 0.4]

Basophil count 0.05 10*9/L [0.0 - 0.1]

Serum lipid levels

Serum cholesterol level 5.5 mmol/L

Target for secondary CHD prevention is total

cholesterol of <5, HDL >1 and LDL <3.0 mmol/L

Primary prevention - use risk tables.

Serum triglyceride levels 1.73 mmol/L [0.6 - 2.3]

Serum HDL cholesterol level 1.72 mmol/L [0.9 - 3.0]

Serum LDL cholesterol level 2.99 mmol/L [0.0 - 3.0]

Serum cholesterol/HDL ratio 3.2

NON-HDL CHOLESTEROL 3.78 mmol/L

Target non-HDL cholesterol reduction on treatment

40% from baseline.

[SlowDragon Administrator]

Serum vitamin B12 level 355 ng/L [120.0 - 900.0]

Serum folate level > 20 ug/L [2.5 - 9999.0]

Serum ferritin level 66 ng/mL [15.0 - 300.0]

Serum TSH level 0.05 mu/L [0.3 - 5.0]

Serum free T4 level 11.3 pmol/L [7.9 - 16.0]

How much levothyroxine are you currently taking

Are you currently taking any other thyroid hormones like T3 or NDT

Or any other medications

What vitamin supplements are you currently taking

No vitamin D result

Ferritin ok, but might be better at least over 70

B12 likely too low

Obviously just testing TSH and Ft4 is completely inadequate

Recommend getting TSH, Ft4 and ft3 tested via Monitor My Health

ALWAYS test as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test

cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk