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User: RB
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Original Dr. report of this user: I've summarised your blood results below: Cholesterol Your total cholesterol is raised and not in the healthy range. This is mainly due to your LDL cholesterol (bad cholesterol) being raised, while your HDL cholesterol (good cholesterol) is in the healthy range. Your apolipoprotein B, which is a true marker of how much bad cholesterol is in your circulation, is in the desirable range. Your triglycerides and very low density lipoprotein are both in the optimal range. Overall, your cholesterol and cardiac risk is low, but could be improved to get your cholesterol into the normal or optimal range. This can be achieved through diet and exercise. You do not drink alcohol and have a normal weight, so these are not contributing to your cholesterol level. Blood Count There are a few markers out of range, but these are not unhealthy. Your haemoglobin is marginally raised, but you are not a smoker, so this is unlikely to be the cause. Your ferritin and iron are in the normal range, so other more concerning causes are not relevant. Your MCH is very marginally raised and therefore not significant. The same applies to your MPV, where your platelet volume may be slightly raised, but your total platelets are normal. I would simply repeat this in two to three months. Kidney Function Your eGFR, which measures the filtration of your kidneys, is slightly reduced. This can be age related and can be affected by other factors such as protein supplements or high protein intake. These do not damage the kidneys but can give us a slightly low eGFR reading. I would not change what you are currently doing regarding your kidneys, it is safe to continue your protein supplements. Liver Tests and Diabetes Your liver tests are entirely normal. Your test for diabetes is normal but could be optimal. The haemoglobin A1c, which indicates whether we are metabolically healthy and processing sugar adequately, is in the normal range but could be slightly lower to be optimal. Actions that improve haemoglobin A1c are improved muscle mass (strength training) and decreased sugar intake, including excess carbohydrates. Inflammatory Markers Your inflammatory marker, hs-CRP, is in the optimal range. Your homocysteine, which is another inflammatory marker, is slightly raised. This can be affected by a multitude of factors, including transportation to the clinic, but I can see this happened quickly so I do not think that is the reason. Homocysteine is an early marker of inflammation in the body and is thought to possibly show any early changes towards cardiac risk or cognitive decline. However, your cardiac risk is relatively low. Other factors affecting this can be a deficiency in B vitamins. Again your B12 and folate are replete in your case, so are unlikely to be the cause. Therefore, it may be a temporary fluctuation, so I would repeat this test in two to three months along with the other tests. Vitamins and Minerals Your ferritin is healthy, as is your iron and all your other vitamins and minerals. Your vitamin B12 is in the high range, and therefore, if you are taking a supplement, which I believe you are, you could stop this for at least six months. Your magnesium is in the normal range. However, I recommend to continue supplements as this is healthy for muscle recovery. Next Steps: Repeat blood tests in two to three months. Stop vitamin B12 supplement for at least six months. Continue magnesium supplements. Focus on diet and exercise to improve cholesterol levels. Reduce sugar and excess carbohydrate intake to optimise haemoglobin A1c.
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