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Doctor insights on: Thyroid Low Anion Gap

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Dr. Patricia Foster
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more


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Should a person worry if anion gap is low at 3.9?

No: This means nothing. Reference ranges are arbitrarily set so that 5% or so of healthy folks fall outside. ...Read more

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is normochloremic normokalemic RTA possible? anion gap usually normal. sodium usually on low end of normal.

is normochloremic normokalemic RTA possible? anion gap usually normal. sodium usually on low end of normal.

Unlikely to be RTA: Further evaluation with comprehensive history, physical exam and repeated labs are needed to determine the true significance of abnormal blood work results.Recommend discussing your concerns with a PCP and/or kidney specialist. ...Read more

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I recently got a blood panel for a routine physical. Everything seemed to be in normal range except for a low (3) on my anion gap. What does that mean?

I recently got a blood panel for a routine physical. Everything seemed to be in normal range except for a low (3) on my anion gap. What does that mean?

Routine Physical: The fact that it was a routine physical and everything else was normal, I wouldn't give it a second thought. The lab ranges are a reference and are not designed for patients to be able to cookbook their own medical care. Your doctor would have talked to you about any concerns. If you have anxiety and worry about this, then do go back to your doctor to discuss it. I wish you the very best! ...Read more

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What does it mean if your anion gap is low and your sodium is normal in the middle of the range? Should i be concerned?

What does it mean if your anion gap is low and your sodium is normal in the middle of the range?  Should i be concerned?

No need for worry: The anion gap is calculated by subtracting serum concentrations of chloride and bicarbonate (sodium bicarbonate) ions from sodium. If it falls below 3 meq/l, it is defined as low. The most common cause is laboratory error. Another less common explanation includes a low serum Albumin concentration. ...Read more

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My anion gap is low on my comprehensive metabolic lab panel today. What does that mean?

My anion gap is low on my comprehensive metabolic lab panel today.  What does that mean?

Need more info: 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 may due to low sodium or high serum proteins. You should discuss it with the doctor who ordered the test. You may consult this site for info. http://www.medfriendly.com/anion-gap.html ...Read more

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What causes a high anion gap and low bicarbonate (sodium bicarbonate)?

What causes a high anion gap and low bicarbonate (sodium bicarbonate)?

Metabolic Acidosis: In medicine, metabolic acidosis is a condition that occurs when the body produces too much acid or when the kidneys are not removing enough acid from the body. If unchecked, metabolic acidosis leads to acidemia, i.e., blood ph is low (less than 7.35) due to increased production of hydrogen by the body or the inability of the body to form bicarbonate (sodium bicarbonate) (hco3-) in the kidney. ...Read more

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I have a low anion gap, low estGFR, a high Microalbumin/Creatinine ratio, HA1C and a high ALT. Any concerns/thoughts?

I have a low anion gap, low estGFR, a high Microalbumin/Creatinine ratio, HA1C and a high ALT.   Any concerns/thoughts?

Diabetic kidney: These are signs of emerging diabetic kidney disease and likely fatty liver from diabetes. Is concerning. High Microalbumin/creatinine ratio indicates albumin leak into urine from overt diabetic kidney change. The low eGFR indicates kidney impairment. The low anion gap reflects low albumin in blood and would indicate high spillage of albumin into urine. High A1c indicates poor glucose control. ...Read more