My lab results

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I finally got results of the extra tests I've been requesting for months

(some of the vitamins, parathormone, zinc, etc). Following are my results for

all labs from pre-op (8/24/01) thru the present. All comments, warnings,

advice, explanations, invited and welcomed and appreciated, as I don't know

really know the significance of much of any of this. I do know my B6 is high

and will immediately stop the B100 complex and take just B12 alone.

I would particularly appreciate knowing if it's good to be near the upper or

lower reference range, or if just in the middle is good. I understand

sometimes optimal is closer to one end or the other. If anyone notices any

trends I should keep watch on, (like for instance, it seems a number of

values are decreasing in the hemogram; is this good or bad?) (ditto the TSH

going up; GGTP going down) please speak up. Also, if you know what the

abbreviations stand for, esp in the hemogram.

Why is BUN/Creatinine ratio going up; last 2 tests it's above normal, but

both my pcp and surgeon say don't worry about it, it's just a calculation and

not important as long as BUN and creatinine separately are within normal

ranges. If it's unimportant, why is it part of the chem screen?

Many thanx,

Carol A

Result Name Dates of tests

8/02 4/02 12/01 8/01 Ref range

Result Name Result Values

CBC w/Differential, Platelets

Hemogram (new reference ranges effective as of 6/3/02

WBC 6.5 8.15 9.01 8.56 3.8 - 10.8

RBC 3.84 4.52 4.53 4.39 3.80 - 5.10

Hemoglobin 12.9 14.3 13.6 13.7 11.7 - 15.5

Hematocrit 36.4 41.7 40.7 40.6 35.0 - 45.0

MCV 94.9 92.3 89.8 92.5 80.0 - 100.0

MCH 33.7 31.6 30.0 31.2 27.0 - 33.0

MCHC 35.5 34.3 33.4 33.7 32.0 - 36.0

RDW 12.5 13.7 13.7 13.3 11.0 - 15.0

MPV 8.9 10.8 10.6 10.8 7.5 - 11.5

Platelets 166 227 229 303 128 - 358

Automated Differential **

%Neutrophils !! 54.9 61.1 66.2 53.8 34.4 - 87.7

%Lymphocytes 32.7 28.3 17.7 31.3 6.1 - 48.6

%Monocytes 7.3 6.4 6.7 8.3 2.9 - 10.9

%Eosinophils 4.6 9.2 4.0 6.2 0 - 7.4

%Basophils 0.5 0.2 0.2 0.4 0 - 1.2

Neutrophils, (1) 3659 1500 - 7800

Lymphocytes (2) 2126 850 - 3900

Monocytes (2) 475 200 - 950

Eosinophils (2) 299 50 - 550

Basophils (2) 33 0 - 200

Hyperthyroid Panel II (54262A)

TSH )( 2.19 1.6 0.81 0.40 - 5.50

T4, total 8.0 8.7 9.8 4.5 - 12.5

FTI (CFT4) 2.6 (3) 1.6 - 3.7

T3, total 102 60 - 181

T3, uptake 32.5 27.8 - 40.7

Lipid Panel (included in 745F)

Cholesterol 111 128 129 191 < 200

HDL 30 29 23 > 39

LDL 60 73 74 < 130

HDL/LDL ratio 3.7 < 5.0

Triglycerides 104 131 162 267 < 150

Chem Screen (745F)

LDH 163 404 423 100 - 250

GGTP 9 15 18 37 2 - 60

Phosphorus 3.3 3.9 3.4 2.5 - 4.5

Uric Acid 3.1 3.5 3.5 1.7 - 7.5

HbA1c 5 .0 5.8 5.5 4.4 - 6.0

Glucose 91 131 160 169 65 - 109

PBG (&&) 0.85 < 1.2

BUN 18 17 14 12 7 - 35

Creatinine 0.6 0.6 0.4 0.7 0.5 - 1.2

BUN/Creat 30 28 23 17 6 - 25

Sodium 142 141 141 143 135 - 146

Potassium 4.0 4.1 3.9 4.5 3.5 - 5.3

Chloride 107 106 106 105 98 - 110

Carbon Dioxide 26 27 28 27 21 - 33

Anion GAP }{ 8 7 5 - 14

Calcium 9.3 9.3 8.9 9.5 8.5 - 10.4

Protein, total 6.3 6.4 6.5 7.2 6.0 - 8.3

Albumin 4.1 3.5 3.3 4.0 3.5 - 4.9

Globulin, calc'd 2.2 2.2 - 4.2

A/G Ratio 1.9 1.2 1.1 1.3 0.8 - 2.0

AST (SGOT) 18 19 11 15 2 - 35

ALT (SGPT) 19 38 18 21 2 - 40

Alk Phos@@ 69 96 77 66 20 - 125

Bilirubin, total 0.6 0.4 0.2 0.3 0.2 - 1.5

Bilirubin, direct 0.1 0.1 0.1 0.0 - 0.4

Iron, serum 118 85 74 37 - 170

TIBC 278 250 - 400

TPS (7) 42 15 - 50

Individual tests

Ferritin 81 (22764R) 20 - 288

Magnesium 1.8 (26013E) 1.5-2.5

Copper, plasma 142 (56317W) (4) 70 - 155

Zinc, serum 92 (57638W) (5) 50 - 160

Vit A 44 (29231P) 38 - 98

Carotene, serum 27 (9) 6 - 77

Vit D, 25-hydroxy 34 (19893P) 10 - 68

Vit B1 34 (29991P) 9 - 44

Vit B6 51.0 (29009P) 3.3 - 26.0

Vit B12, serum 414 (30304P) 200 - 1100

B12, bindg cap'y 986 (6) 650 - 1340

Folate, serum >24 (22848W) (normal: >5.4; borderline: 3.4-5.4;

deficient: <3.4)

Folate, RBC 831 > 280

EFA's ## 0.69 (22749P) 0.09 - 0.82

Parathormone (1222A)

Calcium 9.6 (8) 8.5 - 10.4 (8)

Intact 26 10 - 65

Notes:

!! = same thing as what ian lab calls " gran "

@@ keep a watch; numbers going up can signal Vit D defic'y

)( = it's optimal if this stays near low end of range

(&&) = fasting blood glucose

** Quest shows no ref ranges for the % items; the ones shown are from ian

## = fatty acids, free (is that the same as essential fatty acids?)

}{ = this is a calculation that ian makes, but Quest does not

(1) = segmented neutrophils, absolute

(2) = all these are " absolute "

(3) = free thyroxin index (calculated free T4)

(4) this test # is for serum; for some reason the results came back plasma

(5) this test # is for serum; results showed no designation other than " zinc "

(6) this is test # 55111A (deficiency?)

(7) = transferrin % saturation

(8) this is apparently part of test #1222A as well as part of chem screen

#745F

(9) I did not order this, so don't know why it's on here; I ordered Vit A

(which to me

should include all forms, not just carotene) but this result was not

reported with

or near Vit A result; the carotene was reported right after Vit D