Doctor insights on:
Serum Serotonin Level Blood Test
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
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
What is the calcium?: Upper normal calcium with high PTH could indicate primary hyperparathyroidism as well. Other possible causes include: low vitamin d, kidney problem or a lab error. You need to sit down with your doctor to look at all values, not just calcium and pth. Good luck. ...Read moreSee 1 more doctor answer
How high?: It's important to know how high the tests were above the normal range (were they clinically significant?). Cortisol is produced by the adrenal glands which is under control by the pituitary. The problem could be either one. Your doctor who ordered the cortisol should be able to tell you the next step of workup. If the tests were indeed very high, you will need more testings before treatment. ...Read moreSee 1 more doctor answer
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
Yes: Serum is the part of blood. It is the liquid part left when blood clots and is centrifuged . Many 'blood' tests, including beta HCG are done on serum. ...Read more
A blood test showed that i'm B12 deficient. Serum B12 level of 186 pg/ml, should I take vitamin B12 supplements?
B12: this low will likely cause dementia, spinal cord degeneration and peripheral neuropathy. Keep your level above 550 for the rest of your life. Recovery takes about a year in a young person. I suggest you take liquid sublingual weekly for 3 months then bi weekly thereafter. Its important to check a level after you cut back to twice a month. Use 1 1/2 dropper and hold it under the tongue for 30 sec. ...Read moreSee 1 more doctor answer
What could cause/explain significantly (4.5x norm rang)elevated plasma norepinephrine levels in blood test , but normal urinary norepinephrine levels?
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
Pancreatitis: Typical tests done include amylase and lipase. Amylase can be elevated due to other problems, so lipase is more specific. Any elevation indicates a problem. Lab values are specific to the lab used. Severe pancreatitis can elevate the lipase into the 1000's. Even a small elevation above normal can cause severe pain. ...Read more
Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?
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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