What Does The Following Blood Test Report Indicate?

Posted on Mon, 7 Aug 2017

Question: From a recent blood test, here are the results that showed up as alerts.
HDL Cholesterol - 39 mg/dL (low)
Direct LDL Cholesterol - 124 mg/dL (above optimal)
T3 - 80 ng/dL (low)
MCHC - 31.4 g/dL (low)
eAG CALCULATED - 111.1

I wanted to know if any of these are high risk at this point of time and what can be done to remedy them. Thank you!

Answered by Dr. Vaishalee Punj (4 hours later)

Brief Answer:
Can you upload the report?

Detailed Answer:
Hi
Thanks for your query

Can you upload the report so that I am better able to help?

From the parameters that you have provided
Lipid profile is only mildly deranged and medicine is not required.
Dietary changes must be done. Avoid fatty foods like milk products (cheese, butter, ghee, cream, ice cream, sweets, etc)
Regular exercise of atleast 30 min per day must be done.

Regarding T3 normal value is 70–195 ng/dL. Let me know the reference range used by your laboratory. Also let me know T4 and TSH levels. Do you have any symptoms of weakness, recent weight gain, constipation etc?

Low MCHC can be ignored if other parameters are normal.

eAG is also normal.

Hope it helps. Let me know if I can assist you further.
Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaishalee Punj (23 hours later)

Dr Vaishalee,

Thank you for the response. Here are the reference ranges used.

TSH: 1.38 uIU/mL
Reference Range: 0.4 - 5.5 uIU/mL

T3: 80 ng/dL
Reference Range: 97 - 219 ng/dL

T4: 4.8 mcg/dL
Reference Range: 4.8 - 10.4 mcg/dL

I tried uploading the report. Let me know if you were able to see it. Thank you!

Answered by Dr. Vaishalee Punj (34 minutes later)

Brief Answer:
Yes I have seen report

Detailed Answer:
Hi again

I have seen the report.

TSH is normal, while thyroid seems to be under-producing the thyroid hormones T3 and T4.
I suggest that you repeat the thyroid profile from a different laboratory to confirm.
Take iodinated salt. Drinking cleaner water and regular exercise very much help with thyroid problems.

Also mild fatty liver in ultrasound report. It will get better by avoiding fatty foods, alcohol and medicines.

Hope it helps.
Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaishalee Punj (8 minutes later)

Dr Vaishalee,

Thank you for the response. That makes sense.

I used to have a slightly unhealthy diet but have switched that for the past month or so. Completely stopped alcohol, fried and junk food. So hopefully the liver and cholesterol number come within check.

Last 2 questions:
1. Do I need to increase intake of salt? Currently I am having slightly more bland food with less spice and less salt.
2. Are there any sides effects with the thyroid hormones being under produced? Weight gain etc?

Do let me know. Thank you!

Warm regards,
XXXXX

Answered by Dr. Vaishalee Punj (20 hours later)

Brief Answer:
Yes lipid profile normalise with healthy diet

Detailed Answer:
Hi again

No need to increase intake of salt.

Yes low thyroid hormone production can have effects of low metabolism on body. The effects include weight gain, tiredness, constipation, dry skin, muscle aches.

Hope it helps.
Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vaishalee Punj (1 hour later)

Dr Vaishalee,

That helps a lot. Thank you so much for all your help on this. I will go ahead and close the Discussion.

Warm regards,
XXXX

Answered by Dr. Vaishalee Punj (4 minutes later)

Brief Answer:
Thanks

Detailed Answer:
Thanks for consulting me online

Take care
Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar