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A member asked:
I want help understanding bloodwork results - my igm is 414, and igm kappa 3.06, igm lambda 1.34 and all were listed as "high" - the igm k/l hlc ratio is 2.28 and was listed within range. also had low vitamin d which was 19.9 and low rdw at 11.5?
3 doctors weighed in across 3 answers
All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, your doctor can order a protein electrophoresis if other clinical data warrants. You may take Vitamin D3 supplement, available over the counter. Wish you good health!
Answered 10/15/2021
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Those labs need to be repeated, An hematologist would be best at evaluating this issue. HRS, MD, FACC
Answered 10/16/2021
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Can you tell us why you have these blood tests done? It is not easy to explain these results (high IgM, lamda and kappa portions but ratio is normal) in this limited space, especially we do not know why tests were done. For sure, your vitamin D level in the deficiency range (less than 20) and you will need supplement unless serum calcium is high. The red blood cell RDW of 11.5 is insignificant.
Answered 10/17/2021
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