Doctor insights on:
High Folate Blood Test Results
Folic acid, AKA folate (folic acid) (vit B9), is recommended for all women wanting to get pregnant -- 0.4mg (400mcg) daily, which is important for preventing birth defects like spina bifida. Women w/ a hx these disorders should take 10x that amt daily -- 4mg (4000mcg) through the 3rd month of pregnancy. It won't affect fertility, chances of conception/twins, or periods. ...Read more
Blood test report: homocysteine level high/ blood platelets low/ bilirubin high. What could be wrong?
Big picture please: As a lab doctor, this means nothing in isolation. I appreciate your caring & this is no familiar pattern. Is the person clinically healthy? How off are the values? Vegetarians and junk-fooders are equally at risk for high homocysteine as are folks with genetic disease. Bilirubin -- gilbert's? Platelets -- gin and tonic? This isn't something to discuss in a 400-character text thx 4 understanding. ...Read more
No: Tsh or thyroid stimulating hormone is only good for assessing thyroid function (either good, overactive or underactive). With that said, during that same blood draw, your blood could potentially be checked for testosterone to determine how much you have. This is best done in the morning. Remember that we really should treat the person (and symptoms), not just a number. Make sure benefit > risk. ...Read more
Repeat / start worup: High sgot/liver enyzme levels are quite common but do need a workup. Causes range from having gotten drunk a few days previous to taking iboprofen to lack of physical fitness to life-threatening, treatable illnesses like viral or autoimmune hepatitis / hemochromatosis / wilson's / drug allergy. Your physician knows the right way to proceed for you. ...Read more
24-hr salivary cortisol tests showed dangerously low levels. One-off blood test showed abnormally high levels. Treatment with hc denied. Advice?
I'm puzzled: Please forgive my confusion. Have you had an acth stimulation test? With your history, you are right to be concerned about autoimmune addisonism. If you feel as if you have this, and/or are confused by your labs or have poor rapport with the physician who worked you up, it's time for another opinion. Stay proactive and good luck. ...Read more
They do not: All blood tests are usually normal in patients with Essential Hypertension. They can be abnormal in patients with hypertension secondary to renal disease or other causes of hypertension 2/2 identifiable source. However any patient with newly diagnosed hypertension should get all the recommended blood tests to rule out diabetes, renal disease, hyperlipidemia, electrolyte abnormalities. ...Read more
HIgh protein level: High blood protein (hbp) level can be caused by dehydration causing bengin elevation of proteins. Other more serious causes of hbp are chronic inflammation, ameyloidosis, hiv/aids, multiple myeloma and monoclonical gammopathies. I would suggest your seeing an hematologist if the cause of your hbp is not due to dehydration as soon as you can to arrive at the correct cause of your hbp level. ...Read more
Nothing: Reference ranges are set so that several percent of healthy folks fall outside. ...Read more
Yes: The normal levels of fibrinogen range from about 150-400mg/dl. There are normal circumstances in which the level may be higher, e.g., pregnancy. Any lab value needs to be interpreted in the context of other health issues and this value may not be associated with a disease. Do consult the doctor who ordered the blood test. ...Read more
What might cause hyperthyroid, high anti-centromere b antibodies, enlarged red blood cells and high iron saturation, normal serum iron, low TIBC/UIBC?
THIS IS A "LONGSHOT": but this set of symptoms (SYNDROME) sound like HASHIMOTO's THYROIDITIS and PERNICIOUS Macrocytic anemia also may be AUTO-IMMUNE!!! in nature ie: the body falsely detects NORMAL TISSUE as being "FOREIGN" and develops auto-antibodies against (in this case) your thyroid gland and your bone marrow) This is a guess....just a "thought"..hope it helps! Dr Z ...Read more
Blood tests show high mean platelet volume, low platelet count, high urobilinogen, high WBC, high clumpy platelet morphology. Related? conerns?
Why the tests?: 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, it might have helped to have the actual values rather than high and low. Why were the tests done? It would be prudent to discuss these with the doctor who ordered the test as s/he knows more about your health. 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. Drink enough water daily, so that your urine is mostly colorless. 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. Get HPV vaccine. ...Read more
Not enough info.: A low WBC can be from many causes including viral infection, drug side effect, autoimmune disease, congenital problem, nutritional deficiency, or one of many blood diseases both benign and malignant. Proteinuria also has many causes. Need to know the kind of protein and that there is no infection. Drugs, autoimmune disorders, diabetes, certain blood diseases can be present. Talk with your doc. ...Read more
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