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Doctor insights on: Complete Metabolic Panel Normal Values

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Explanations for elevated bilirubin ? (indirect high, direct normal)...also normal hemoglobin, low platelets, other liver function tests normal

Explanations for elevated bilirubin ?  (indirect high, direct normal)...also normal hemoglobin, low platelets, other liver function tests normal

Need more info: About 2-3% of otherwise normal people have elevated bilirubin, usually less than 5.0 mg/dL. Gilbert's disease is a usual cause and it despite disease in the name, it does not adversely affect a person's health. If you have any symptoms, it would be prudent to see your doctor. Consult this site for more info. http://www.mayoclinic.org/diseases-conditions/gilberts-syndrome/basics/definition/CON-20024904 ...Read more

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Labs results normal? Had a comp metabolic panel w/egfr egfr non-afr american 89 ml/min/1.73m2. What is this lab test? And is this result normal?

Labs results normal? Had a comp metabolic panel w/egfr egfr non-afr american  89 ml/min/1.73m2. What is this lab test? And is this result normal?

EGFR: An egfr is an "estimated glomerular filtration rate". It is not exact. To get the exact figure go to a nephrologist (n) to have a 24 hour urine collection for creatinine clearance. That will give you an actual gfr. As a young woman, your results, estimated, a bit abnormal. If you are an african-american, your egfr is normal, if not, see a n. ...Read more

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Can you have lupus with completely normal bloodwork? ANA, ENA neg, Complement levels normal, CBC normal. ESR of 2 and normal CRP

Can you have lupus with completely normal bloodwork? ANA, ENA neg, Complement levels normal, CBC normal. ESR of 2 and normal CRP

ANA negative lupus: There is an entity called ANA negative lupus. Please visit this site for diagnostic criteria for SLE. From what you have described, it is unlikely that you have lupus. http://www.lupusresearchinstitute.org/lupus-facts/lupus-diagnosis ...Read more

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What do these blood tests mean: cmb, cmp, fasting lipid panel?

What do these blood tests mean: cmb, cmp, fasting lipid panel?

Various lab test: Cmp: comprehensive metabolic panel: tests for a variety of different metabolites and studies activity of certain enzymes. The lipid panel is used to test cholesterol, high and low density lipids and lipoproteins. In general, theres are screening tests, and are not necessarily drawn for a specific reason. Without knowing your clinical information, it is tough to give guidance. ...Read more

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Had triage sob, hepatic panel, complete blood count, hepatic profile, basic metabolic profile, liver 1, lipid profile, hemo a1c, serum-serum all done?

Had triage sob, hepatic panel, complete blood count, hepatic profile, basic metabolic profile, liver 1, lipid profile, hemo a1c, serum-serum all done?

Maybe: It seems as though you've had quite a few tests ordered. Whether or not you're done will likely depend on the reason why they were ordered along with the test results that you'll discuss with your doctor. Good luck. ...Read more

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Eosinophils 7, serum bilirubin direct.42 total.83.All other cbc/lft/kft/crp test within normal range. Do strenuous exercise,healthy otherwise.concern?

Eosinophils 7, serum bilirubin direct.42 total.83.All other cbc/lft/kft/crp test within normal range. Do strenuous exercise,healthy otherwise.concern?

All good: 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. Having said that, none of your result is a cause for concern. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more

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High Total T, high SHBG, low Free T, very high FSH (22.8), normal LH, normal prolactin, low estradiol, normal TSH, normal metabolic and CBC. Ideas?

High Total T, high SHBG, low Free T, very high FSH (22.8), normal LH, normal prolactin, low estradiol, normal TSH, normal metabolic and CBC. Ideas?

Hormone tests: By themselves, without context, these labs don't say much of anything. They are confusing, and beg the question of why they are being done. Best to see an Endocrinologist. ...Read more

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Can you have a normal comprehensive metabolic panel normal acylcartinine panel and normal organic acids and still have a metabolic disease ?

Sure: You can have "metabolic syndrome" with liver enzymes still in the normal range; ask your physician about the current definition. You can have some other inborn error of metabolism. You can have any of a bazillion other illnesses that don't show up on "chemical profile / metabolic panel" but do as symptoms &/or signs -- still the most important. ...Read more

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Is it possible I have cirrhosis with a normal ultrasound, normal complete blood count, and normal comprehensive metabolic panel?

Is it possible I have cirrhosis with a normal ultrasound, normal complete blood count, and normal comprehensive metabolic panel?

Yes: Early, compensated cirrhosis may be accompanied by normal test results. A biopsy is the gold standard for diagnosis, though CT/MRI may be helpful. ...Read more

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Is it possible I have cirrhosis with a normal ultrasound, normal complete blood count, and normal comprehensive metabolic panel?

Is it possible I have cirrhosis with a normal ultrasound, normal complete blood count, and normal comprehensive metabolic panel?

Cirrhosis: No, if your labs are normal with normal US then likely not. However even if you don't have cirrhosis now, if you're drinking enough to be concerned about it Id stop any alcohol use and no tylenol (acetaminophen). ...Read more

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CBC test results: Elevated MCHC, elevated MCH, bottom of range for Haematocrit, everything else within normal ranges. What do these results mean?

Nothing: Your physician may want to repeat them. I trust you do not have spherocytosis or if you do, that you've been worked up. At most, a reticulocye count may be in order. Sometimes the machines can be a bit mis-calibrated. High MCHC is quite uncommon and if you feel well I wouldn't be troubled. Reference ranges are set so that a few percent of healthies fall outside on either end. ...Read more

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Bilirubin total high 3.5, normal liver function test, negative Gilbert's syndrome, bili direct normal 0.2, normal cbc, what could cause mild bili?

Hemolyzing: You may simply have Gilbert's despite "testing negative for it". Or you may be hemolyzing. It might be worth checking your reticulocyte count; this is often up even without your being anemic in folks who run a high bilirubin like yourself. ...Read more

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For blood tests, under a basic metabolic panel, what does TSH 3rd generation mean?

For blood tests, under a basic metabolic panel, what does TSH 3rd generation mean?

More sensitive than: Second generation. Third generation TSH assays can detect both hyper and hypo-function of thyroid gland. Second generation can only detect hypo-function. ...Read more

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Can you have a normal comprehensive metabolic panel and still have a metabolic disease ?

Can you have a normal comprehensive metabolic panel and still have a metabolic disease ?

Yes : The are a number of metabolic diseases and cmp can serve as a good tool in sorting many them out. The metabolic disease you are likely referring to is metabolic syndrome. The transaminases may be elevated in this condition on cmp and other labs are needed to make a textbook diagnosis. ...Read more