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What Do The Following Test Results Indicate?

Posted on Sat, 2 Jul 2016

Question: Tests Result Flag Units Range Lab
SODIUM 140 mmol/L 134-149
POTASSIUM 4.0 mmol/L 3.6-5.5
CHLORIDE 106 mmol/L 97-112
CO2 22.0 mmol/L 21-32
GLUCOSE 104.0 H mg/dL 65-99
BUN 9.0 mg/dL 6-25
CREATININE 0.83 mg/dL 0.60-1.40
BUN/CREA RATIO 10.8 Ratio 9-28
eGFR 108.0 mL/min >60
For African-American patients, multiply result by 1.21.
CALCIUM 9.7 mg/dL 8.6-10.5
TOTAL PROTEIN 7.10 g/dL 6.3-8.1
ALBUMIN 4.4 g/dL 3.7-5.5
GLOBULIN 2.70 g/dL 2.0-5.0
A/G RATIO 1.6 Ratio 1.1-2.5
AST (SGOT) 72.0 H U/L 10-40
ALK PHOSPHATASE 88.0 U/L 42-128
ALT (SGPT) 43.0 H U/L 10-40
TOTAL BILIRUBIN 0.70 mg/dL 0.2-1.3
IRON 75 ug/dL 65-175
FOLATE 16.55 ng/mL 5.90-24.80
URIC ACID 6.6 mg/dL 2.1-8.5
VITAMIN B-12 466 pg/mL 180-914
MAGNESIUM 2.2 1.6-2.5
PREALBUMIN 31 20-40
PHOSPHORUS 2.6 L 3.9-6.9
VITAMIN D 19 L 30-100
T4, TOTAL 5.80 L ug/dL 6.09-12.23
CHOLESTEROL 130 mg/dL 120-200
HDL CHOLESTEROL 44.0 mg/dL 30-85
TRIGLYCERIDES 176 H mg/dL 30-150
CHOL/HDL RATIO 2.95 Ratio <5.60
LDL 51 mg/dL 0-129
WBC 4.5 K/uL 4.5-10.5
RBC 5.39 M/uL 4.00-6.00
HGB 15.1 g/dL 11.0-18.0
HCT 44.0 % 35.0-60.0
MCV 81.6 fL 80.0-99.0
MCH 28.1 pg 27.0-31.0
MCHC 34.4 g/dL 32.8-37.0
PLATELETS 182 10^3/uL 150-450
These are the result of my blood work.
I am concerned by the elevated AST and ALT and my low thyroid
I am an XXXXXXX XXXXXXX 5'11 250lb BMI 36

Answered by Dr. Shailja Puri (57 minutes later)

Brief Answer:
AST, ALT marginally raised, vit D supplement needed, free T4 suggested

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
AST and ALT are liver enzymes.
They are elevated in injury to liver cells due to any cause.
The increase in ST and ALT is mild, AST being more than ALT.
People who consume alcohol on regular basis may have elevated liver enzymes.
Other causes include viral infections, certain drugs etc , however, the level is not very high so as to suggest any severe damage.
Your report shows low vitamin D, you need to take vitamin D supplements for this after prescription from your doctor.
Total T4 level is low, but you have not posted the result of total T3 and TSH.
If Total T3 and TSH are normal, then I suggest you to take up free T4 to know the exact status of T4.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Shailja Puri (35 minutes later)

Actually I do not consume alcohol at all and that is my main concern. I was reading about primary sclerotic cholangitis since the AST:ALT about 1.7 I was thinking may be I have it but I don't know if it is a legitimate concern or not

Thanks

Answered by Dr. Shailja Puri (4 minutes later)

Brief Answer:
Primary sclerosic cholangitis not likely since other liver tests normal.

Detailed Answer:
Hello and welcome again,
Primary sclerotic cholangitis is one of the cause of elevated AST and ALT.
However, with the presence of other liver function tests i.e. bilirubin, protein etc within range, this possibility is not likely.
A viral infection, drugs etc may cause mildly elevated AST and ALT levels.
I suggest you to take up the test within next couple of months to look for any improvement.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Shailja Puri (3 minutes later)

Thank you so much Dr Shailja.
I really appreciate your help

Answered by Dr. Shailja Puri (1 minute later)

Brief Answer:
Thanks and take care

Detailed Answer:
Thanks My pleasure!

Take care

Dr Shailja Puri

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Naveen Kumar