Reading Labwork

On January 16, 2011, in Tests, by Andrea

I’m not sure if I’ve ever actually posted a copy of my labwork and how to read it, nor how to determine what should be done in terms of supplements.

Let’s rectify that now.

Keep in mind that while my doc is good about ordering labs?  He’s still not perfect about ordering what I ask for.  This was one of my best requests, though.

These are some labs that were pulled on October 11th, 2010.  Included are the reference intervals for this particular labs, and marked as high/low if applicable.

Vitamin Draws

Vitamin D, 25-Hydroxy                                      87.6 ng/mL (32.0-100.0)
Vitamin E, Serum (alpha Tocopherol)          11.3 mg/L (3.0-15.8)
Vitamin A, Serum                                                   61 mcg/dL (19-83)
Vitamin B1, Whole Blood                                     Insufficient quantity
Vitamin B12                                                              1584 pg/mL (H) (211-946)
Vitamin B6                                                                 16.0 mcg/L (2.0-32.8)
Zinc                                                                              102 mcg/dL (70-150)
Copper                                                                        109 mcg/dL (70-155)


Iron, Total                                                                 78 mcg/mL (28-182)
Iron, Unbound Capacity                                     372 mcg/dL (130-375)
Iron Bind Capacity, Total                                    450 mcg/dL (180-545)

PTH, Intact                                                                12 pg/mL (L) (15-65)

HGB A1c                                                                     5.2 (4.2-5.8)

Glucose                                                                       93 mg/dL (70-110)
BUN (UREA)                                                             17 mg/dL (5-25)
Creatinine                                                                  1.1 mg/dL (0.5-1.5)
Sodium                                                                        141 mmol/L (135-145)
Potassium                                                                   3.7 mmol/L (3.6-5.0)
Chloride                                                                      108 mmol/L (97-113)
CO2                                                                                39 mmol/L (H) (22.0-34.0)
Calcium                                                                        9.6 mg/dL (8.4-10.2)
Blilirubin, Total                                                        0.4 mg/dL (0.1-1.2)
Alkaline Phos                                                             87 U/L (42-128)
ALT (SGPT)                                                                23 IU/L (10-60)
AST (SGOT)                                                                28 IU/L (10-42)
Total Protein                                                             6.7 g/dL (6.0-8.0)
Albumin                                                                      4.2 g/dL (3.2-5.5)
Magnesium                                                                 2.3 mg/dL (1.8-2.5)


WBC                                                                              4.85 g/dL (4.5-11.5)
Neut %                                                                         53.10 % (50.0-70.0)
Lymph%                                                                      41.60 % (20.5-51.1)
Mono%                                                                         2.40 % (1.7-9.3)
Eos%                                                                             2.30% (0.0-4.0)
Baso%                                                                           0.60% (0.0-2.0)
Neut#                                                                           2.58 x10^9/L (1.4-6.5)
Lymph#                                                                       2.02 x10^9/L (1.2-3.4)
Mono#                                                                         0.12 x10^9/L (0.1-0.6)
Eos#                                                                              0.11 x10^9/L (0.0-0.7)
Baso#                                                                            0.03 x10^9/L (0.0-0.2)
RBC                                                                                4.41 x10^12/L (3.50-6.00)
HGB                                                                                13.9 g/dL (12.0-15.0)
HCT                                                                                40.72 % (35.0-49.0)
MCV                                                                               92.43 fL (80.0-100.0)
MCH                                                                               31.55 pg (26.0-32.0)
MCHC                                                                             34.13 g/dL (32.0-36.0)
RDW                                                                               12.03 % (11.6-16.0)
MPV                                                                                9.09 fL (0.0-20.0)
PLT                                                                                  179.96 x10^9/L (150-450)

T-4 (Thyroxine)                                                         6.8 mcg/dL (4.0-11.0)
T3-Uptake                                                                    31.8 % (25.0-38.0)
TSH                                                                                 5.19 ulU/mL (0.50-6.00)

Ferritin                                                                          9.4 ng/mL (lab says 6-81, but NO)

PTT                                                                                  21.7 sec (22.0-35.0)  (8/13/2010 was 18.8)
PT                                                                                    11.0 sec (11.8-12.7) (8/13/2010 was 12.6)

So what does all of this gibberish mean?  It means I’m really am one of you.

I still have issues with my ferritin, despite my serum iron, hct, and hgb being good.  This will probably always be my bane.

I also continue to have issues with my vitamin K, as evidenced by the PT/PTT.  In August, I was taking 20omcg of vitamin K1.  After the draw in October, I upped it to 300mcg.  I don’t know if it will be enough to push me over the threshold or not.  We’ll have to see.  But this is what I do – I look at the labs that are low and I add to as I need to.

When we look at our labs, we take note of what’s off, and we adjust accordingly.  If your B12 is low – add B12.  Iron is low?  Take more iron.  Copper too high (hi, Shawn) then we look for copper sources and cut those out.  It’s not a hard process — and can be seen by some as a game.  This is where tracking trends becomes critical as you can figure out what changes have what effects on your labwork.

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7 Responses to “Reading Labwork”

  1. Rachel says:

    ok friend… I am seeing surgeon Wednesday… They are going to recheck my D!!! Lets hope for good news :-) Do you think its too soon to recheck my ferritin if I had it done a month ago and have been taking iron daily?

  2. Andrea says:

    Not at all. Have them pull it.

  3. Shawn says:

    I am jealous, you have normal copper :)

  4. Beth says:

    You have better blood than me.

  5. Andrea says:

    I take more vitamins than you.

  6. ASG says:


    Have you considered offering a service of reading labs and offering suggestions for a fee (such as additional labs, questions to ask the doc, etc)? Obviously you would require all sorts of disclaimer language involved to protect yourself legally, of course. But I would know you would pick up on things that many doctors and patients are over-looking.

    Personally, I would love to have your eyes on my labs. I would pay. I can’t be the only one who would pay for such a service.

  7. Andrea says:

    People already send me their labs for this. For free. It gets overwhelming.

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