Doctor insights on:
Elevated Methylmalonic Acid Level
Blood results: alt/sgpt serum level=40 iu/l, serum alkaline phosphatase=43 iu/l, serum bilirubin level=2 umol/l, serum urea level=2.3 mmol/l. Normal?
Normal: It is very important to know why these were drawn in what sounds to be an otherwise healthy 19 year old. Did you expect to find something wrong? ...Read more
Not by itself: High uric acid, by itself, cannot damage joints. If and when it causes gouty arthritis can joint damage result. This type of arthritis may manifest in many different ways, from the solitary attack to multiple attacks and chronic arthritis over time. High uric acid, again, may be harmless, or it can also cause kidney problems, so get a urinalysis and kidney function tests to be on the safe side. ...Read moreSee 3 more doctor answers
Iron overload or...: High ferritin levels in your thirties could be an indication of an primary ( hemachromatosis) or secondary (hemosiderosis) overload state, or chronic inflammation. Ferritin levels in the iron overload states are typically quite high and are typically > 800; whereas chronic inflammation will produce levels typically <800. ...Read more
Low vitamin D level (19), High phosphorus level (4.5), High PTH level (70). What could be the cause of this? Serum Calcium level is normal.
No: These two are not related.Get a more detailed answer ›
Speak with your doc: It sounds as if your doctor is doing a diagnostic work up to include your parathyroic gland. If this is the case she may also order tests to visualize the gland as well as your bones. You may have had a recent fracture or problem that she is addressing. Hope you get to the bottom of it soon. ...Read more
Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?
Replace vitamin d: Vitamin d deficiency is very common. You need vitamin d to absorb calcium from the intestines. When you don't have enough vitamin d, in order to keep your blood calcium levels normal, your make more PTH to pull calcium from the bones and that raises the alkaline phosphatase. Replacing vitamin d should normalize all the tests. ...Read more
Partly: High homocysteine is commonly due to methylation insufficiency. Folate (folic acid) is just one cog in the machinery. Other factors include magnesium, b12, zinc, b6. Lead toxicity can impair methylation. Use the best active form of folate (folic acid) which is l-methylfolate (folic acid). ...Read more
Seek cause: Vitamin d deficiency is very common today & may explain the high alk phos in an adult; it's usually due to misguided "healthy" lifestyles avoiding sunlight and vitamin-d enriched dairy products. Anemia is more worrisome and always requires a real medical workup; nutritional iron deficiency is rampant in our world but other causes must be sought as well. Good luck & stay proactive. ...Read more
What causes high glucose serum, calcium serum, albumin serum, total cholesterol, LDL cholesterol calc, vitamin b12, but low sed rate westergren?
Means nothing alone: As a pathologist who's devoted a lifetime to lab medicine, my teammates and i are always reminding people that lab results mean nothing whatever in the absence of a history & physical exam. Please don't take this the wrong way, and i appreciate your proactive approach to health. But no one can do anything with this. Ask instead, "could high Albumin out-of-range be from dehydration?" etc. ...Read more
Max 3.2 ng: Sensitivity of prostatic acid phosphatase is very low 39% of the prostatic carcinomas acid phosphatase level was below the upper limit of normal fixed at 3.2ng. Specificity is high t 96% of cases with abnormally high ri acid phosphatase levels, the diagnosis was adenocarcinoma. In the absence of bone metastases high acid phosphatase level is predictive of lymph node involvement in 90%. ...Read more
Wrong approach: Alkaline phosphatase is a lab value to tell a physician what is happening, not a medical problem to treat. It can be high just because you're growing (teens tend to be maybe 5x the upper limit of the reference range). About 5% of older folks have a high alk phos for "no reason", presumably paget's of the bone that never becomes evident; nonfasting samples may have it from the intestine. ...Read more
Diabetic measure.: The HgbA1C is a measure reflective of your degree of diabetic control in the long term. It essentially represents a three month average of your fingersticks, as if you took a fingerstick every minute, night and day, eating and fasting, for three months straight and then averaged them all. Technically, it's the percentage of red blood cells that have glucose attached to them. ...Read moreSee 2 more doctor answers
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