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Please Review The Attached Blood Tests For Remarkable Trends. Although
Question: Please review the attached blood tests for remarkable trends.
Although I am most interested in insights on December 2019 values, I've included previous values for reference.
I suspect rise in TSH is due to forgetting to take levothyroxine for a day or two.
Thanks for your help.
Although I am most interested in insights on December 2019 values, I've included previous values for reference.
I suspect rise in TSH is due to forgetting to take levothyroxine for a day or two.
Thanks for your help.
Brief Answer:
Mostly normal, not much for concern
Detailed Answer:
Hello, I'm Dr. Branch, thanks for using 'Ask a Doctor'. I've looked over your labs, which overall are mostly normal and no need for concern, but I will discuss each of the abnormal values separately:
Your total and non-HDL cholesterol are a bit high, which may need to be treated if you have other risk factors for cardiovascular disease; if you are not yet being treated and want to discuss that more, please let me know and we can talk more about that.
Your TSH is a bit high, and if you have been diagnosed with hypothyroidism and missed some doses of levothyroxine, this may partially be responsible, though I wouldn't expect a big change from just a few doses. I would check again after 6 weeks of taking the levothyroxine daily, or if you are having any symptoms (such as fatigue), increasing the dose of levothyroxine may be considered.
Your hemoglobin A1c is suggestive of prediabetes (if you are not being treated for diabetes), and so it would be recommended to watch your diet and exercise to prevent diabetes.
Your alkaline phosphatase is slightly high, which, since your other liver tests are normal, would not be a concern.
I would consider your Vitamin D to be normal, I don't agree that 29 is low or needs to be treated.
I hope that helps, please let me know if you have any other questions about that, and I would be glad to discuss it with you further.
Mostly normal, not much for concern
Detailed Answer:
Hello, I'm Dr. Branch, thanks for using 'Ask a Doctor'. I've looked over your labs, which overall are mostly normal and no need for concern, but I will discuss each of the abnormal values separately:
Your total and non-HDL cholesterol are a bit high, which may need to be treated if you have other risk factors for cardiovascular disease; if you are not yet being treated and want to discuss that more, please let me know and we can talk more about that.
Your TSH is a bit high, and if you have been diagnosed with hypothyroidism and missed some doses of levothyroxine, this may partially be responsible, though I wouldn't expect a big change from just a few doses. I would check again after 6 weeks of taking the levothyroxine daily, or if you are having any symptoms (such as fatigue), increasing the dose of levothyroxine may be considered.
Your hemoglobin A1c is suggestive of prediabetes (if you are not being treated for diabetes), and so it would be recommended to watch your diet and exercise to prevent diabetes.
Your alkaline phosphatase is slightly high, which, since your other liver tests are normal, would not be a concern.
I would consider your Vitamin D to be normal, I don't agree that 29 is low or needs to be treated.
I hope that helps, please let me know if you have any other questions about that, and I would be glad to discuss it with you further.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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