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Doctor insights on: Low Serum Osmolality

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Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?

Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?

TSH is WAY high!: Must get on a higher dose of synthroid (thyroxine). This can be life threatening, get treated asap, ! other thyroid tests need to be done to know what needs to be done, and to come to a diagnosis. ...Read more

Serum (Definition)

Serum is the component of blood that does not contain cells or clotting factors. It does contain electrolytes an ...Read more


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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?

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

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Adnorm. Blood & cfs results: high: CSF protein-47, high cfs albumin-30.9; low total protein-5.7, low gamma globulin-.5, low IgG quantitative -621 worry?

Adnorm. Blood & cfs results: high: CSF protein-47, high cfs albumin-30.9; low total protein-5.7, low gamma globulin-.5, low IgG quantitative -621 worry?

CSF: Some experts consider CSF protein levels to be normal if the value is equal to or below your age in years. I don't think in your case there is a reason to worry. Other CSF components are important as well. Check with your physician to see if there is any reasons to worry. Hope you feel well soon. ...Read more

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What causes high glucose serum, calcium serum, albumin serum, total cholesterol, LDL cholesterol calc, vitamin b12, but low sed rate westergren?

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

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Low rbc, high urea nitrogenBUN, high urine osmolality,high urine creatinine random,high UA sodium random,ab. urine epithelial cell,k etones,ur.mucus ?

Low rbc, high urea nitrogenBUN, high urine osmolality,high urine creatinine random,high UA sodium random,ab. urine epithelial cell,k etones,ur.mucus ?

Dehydrated: 39 F from Indy of unknown ethnicity medical or drugs notes low rbc high bun and high urine Na creat. ANS: sounds like anemia and dehydration or renal disease. The latter is often due to eating too much salt and HTN and choosing the wrong grandparents. Your Dr knows you best so ask them. ...Read more

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What causes high globulin, but low globulin albumin ratio?

What causes high globulin, but low globulin albumin ratio?

Liver blood tests: The liver is an amazing organ- it does many things including making proteins your body needs. Albumin is a major protein product of the liver. Chronic illness can cause that to decline- esp. if you're not eating. Globulins are other proteins usually made to fight diseases like infections- perhaps you've been fighting an illness for a few weeks/months that explain this pattern. ...Read more

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Bloodwork showed high IgA, high glucose, low potassium, high hb1ac?

Bloodwork showed high IgA, high glucose, low potassium, high hb1ac?

Need values: 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 would have helped to know the actual values. It would be prudent to consult your doctor to rule out pre-diabetes or diabetes. ...Read more

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High bun and bun/creatinine ratio results? Dangerous?

High bun and bun/creatinine ratio results? Dangerous?

See below: An elevated BUN with normal creatinine and a ratio of [generally more than 18-20] occurs most commonly in dehydrated individuals and is not a sign of kidney damage.It may also occur in in certain other conditions like bleeding in the intestines, artificial nutrition intravenously of Amino Acids and use of steroids.Your doctor determines its significance. ...Read more

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Low creatinine and elevated bun/creatinine ratioplease interpret?

Low creatinine and elevated bun/creatinine ratioplease interpret?

Stop worrying: Low creatinine is never a health concern. Reference ranges are set so that a few percent of healthies fall outside on either end. The ratio can be up if you're a little thirsty or ate a protein-rich meal lately. ...Read more

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High wbc, high rbc, low mch, low mchc which means?

High wbc, high rbc, low mch, low mchc which means?

How high on WBC?: A high rbc and low MCH can be thallesemia trait. Do yo know the actual numbers? ...Read more

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ALT low 30's thru 10-yr illness. Chronic dehydration, low phosphorus, low WBC, high alk phos, L sodium, unstable glucose, H creatinine, L protein?

ALT low 30's thru 10-yr illness. Chronic dehydration, low phosphorus, low WBC, high alk phos, L sodium, unstable glucose, H creatinine, L protein?

Not the key: I appreciate your interest in labs. Your ALT is in what most labs count as normal range. You haven't provided actually numbers for any lab, and for those you cite, only very markedly out-of-range values are helpful. No responsible physician would even direct you based on these labs, though it would surprise me if a nephrologist found you to have a mild interstitial nephritis. ...Read more

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Total protein 8.3, serum albumin 4.2 , serum globulin 3.8, albumin globulin ratio 1.2.. Is this abnormal?

Abnormal labs: It would be helpful that for the labs mentioned above. If you. Can find the normal range or reference range and list it than our answer can be more educated and helpful. The reference range does vary from one lab to another. ...Read more

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Plasma Vitamin D <4.2 ng/mL Serum Vitamin B12 -197 Serum TSH-2.805 Serun Alkaline Phosphatase-356 WBC-3300 MCV-103 MCH-34 Platelet-141k?

Plasma Vitamin D  <4.2 ng/mL
Serum Vitamin B12  -197
Serum TSH-2.805
Serun Alkaline Phosphatase-356
WBC-3300
MCV-103
MCH-34
Platelet-141k?

Need Vits D3 and B12: You are severely deficient in Vitamins D3 and B12. I recommend 10,000 IU of Vit D3 per day, and 1,000 mcg methylcobalamin each day. Your D3 levels should be 60-70 ng/dl. ...Read more

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High protein level in blood results?

High protein level in blood results?

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

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Low aldosterone, normal renin. Sodium 141(135-145), potassium 3.4(3.5-5.0) confused, shouldnt sodium be lower if low aldosterone and potassium higher?

Low aldosterone, normal renin. Sodium 141(135-145), potassium 3.4(3.5-5.0) confused, shouldnt sodium be lower if low aldosterone and potassium higher?

Sodium is difficult: Sodium regulation is complex and not directly related to any single hormone. Mineralocorticoids like Fludrocortisone can increase sodium a bit and do cause sodium retention of sodium, but the sodium level is mostly regulated by a hormone called adh (vasopressin). ...Read more

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Low creatinine and elevated bun/creatinine ratio. Please explain?

Decrease in flow.: Bun=blood urea nitrogen, byproduct of proteins ingested, if rise to high levels due to kidney problem, can cause toxic affects on the body. Creatinine= measurement of renal function. Normal bun/cr ratio about 10. The higher that ratio, the more likely it is not intrinsic kidney disease per se, but reduction in blood flow or volume to kidney, like when on strong diuretic-prerenal-reversible. ...Read more