Clinical Notes

Date: 13 March 2026

Priority

High (1)
Borderline (2)
Optimal (2)
Normal (9)
Importance
High
Insight
Atherogenic lipid pattern with raised ApoB and triglyceride-rich fractions

Apolipoprotein B is elevated alongside elevated LDL cholesterol, total cholesterol, triglycerides, and VLDL, forming a coherent higher particle and triglyceride-rich lipid pattern. HDL cholesterol and HDL % of total are strong and the Total Cholesterol/HDL Ratio and Apo B/Apo A1 Ratio remain contained, which moderates the overall profile. Uric acid is in a strong range within this cardiometabolic context.

Affected Areas
Metabolic Health
Cardiovascular Risk (Advanced Lipids)
Immune & Inflammatory Health
Biomarkers
Name
Result
Expected
Unit
Status
Cholesterol
6.3
< 5.18
mmol/L
Abnormal
LDL
3.23
0.5 - 3.0
mmol/L
Abnormal
Triglycerides
2.31
< 1.70 (fasting)
mmol/L
Abnormal
VLDL
1.05
< 0.78
mmol/L
Abnormal
Apolipoprotein B
1.15
< 0.9
g/L
Abnormal
HDL % of total
32.06
> 20
%
Optimal
Uric Acid
312
330 - 464
µmol/L
Optimal
HDL
2.02
1.3 - 2.3
mmol/L
Normal
Apolipoprotein A1
2.02
> 1.40
g/L
Normal
Apo B / Apo A1 Ratio
0.569
< 0.6
ratio
Normal
Total Cholesterol / HDL Ratio
3.12
< 4.5
ratio
Normal
Importance
Borderline
Insight
Elevated average glucose signal over three months

HbA1c is elevated, indicating higher average circulating sugar over the past three months.

Affected Areas
Metabolic Health
Biomarkers
Name
Result
Expected
Unit
Status
HbA1c
43
20 - 42
mmol/mol
Abnormal
Importance
Borderline
Insight
Isolated basophil reduction with otherwise stable blood counts

Basophils are reduced, while the broader full blood count remains coherent: haemoglobin, haematocrit, red blood count, and red cell indices are stable, and total white cell count with neutrophils and lymphocytes is maintained. MCHC is mildly elevated without accompanying shifts in MCV or RDW, which keeps the red cell picture structurally stable.

Affected Areas
Immune & Inflammatory Health
Biomarkers
Name
Result
Expected
Unit
Status
MCHC
347
315 - 345
g/L
Abnormal
Basophils
0.01
0.02 - 0.1
x10^9/L
Abnormal
Haemoglobin
136
120 - 150
g/L
Normal
HCT
0.392
0.36 - 0.46
L/L
Normal
Red Blood Count
4.42
3.8 - 4.8
x10^12/L
Normal
MCV
88.7 fl
83 - 101
fL
Normal
MCH
30.8
27 - 32
pg
Normal
RDW
13.3
11.6 - 14
%
Normal
Platelets
301
150 - 410
x10^9/L
Normal
MPV
8
7.1 - 10.1
fL
Normal
White cell count
4.82
4 - 10
x10^9/L
Normal
Neutrophils
2.14
2 - 7
x10^9/L
Normal
Lymphocytes
2.3
1 - 3
x10^9/L
Normal
Monocytes
0.2
0.2 - 1.0
x10^9/L
Normal
Eosinophils
0.05
0.02 - 0.5
x10^9/L
Normal
Importance
Optimal
Insight
Preserved thyroid hormone output with optimal TSH

Thyroid Stimulating Hormone is in the optimal range with Free T4 and Free T3 maintained, reflecting well-regulated thyroid hormone output.

Affected Areas
Hormonal & Thyroid Health
Biomarkers
Name
Result
Expected
Unit
Status
Thyroid Stimulating Hormone (TSH)
1.33 m
0.55 - 4.78
mIU/L
Optimal
Free Thyroxine (Free T4)
17.5
11.5 - 22.7
pmol/L
Normal
Free T3
4.19
2.6 - 7.1
pmol/L
Normal
Importance
Optimal
Insight
Vitamin D in optimal range

Vitamin D is in the optimal range, consistent with strong vitamin D status; ongoing vitamin D supplementation provides relevant context.

Affected Areas
Nutrition & Micronutrient Status
Biomarkers
Name
Result
Expected
Unit
Status
Vitamin D
115.96
> 50, <250
nmol/L
Optimal
Importance
Normal
Insight
B-vitamin status strong with homocysteine near upper normal

Homocysteine is near the upper end of the normal range, while Active B12 is a strong result and serum folate is stable, making overt B-vitamin deficiency less likely as a driver of this pattern. Levels can vary with age, sex, and intercurrent illness. Higher homocysteine levels are associated with heart disease and cognitive decline.

Affected Areas
Stress & Neuroendocrine Load
Nutrition & Micronutrient Status
Biomarkers
Name
Result
Expected
Unit
Status
Active B12
98.47
25 - 165
pmol/L
Optimal
Homocysteine
14.86
< 15
µmol/L
Normal
Serum Folate
8.27
3 - 17
ng/mL
Normal
Importance
Normal
Insight
Electrolytes and mineral balance stable with strong magnesium

Electrolytes and minerals are well-balanced overall, with magnesium in a strong range and calcium and corrected calcium remaining aligned.

Affected Areas
Renal & Electrolyte Health
Nutrition & Micronutrient Status
Biomarkers
Name
Result
Expected
Unit
Status
Magnesium
0.99
0.53 - 1.11
mmol/L
Optimal
Sodium
138
133 - 146
mmol/L
Normal
Chloride
104
95 - 108
mmol/L
Normal
Calcium
2.44
2.08 - 2.65
mmol/L
Normal
Corrected Calcium
2.49
2.2 - 2.6
mmol/L
Normal
Phosphate
1.02
0.78 - 1.65
mmol/L
Normal
Importance
Normal
Insight
Main liver markers stable

The main liver markers are in the normal range, with liver enzymes and protein markers remaining coherent.

Affected Areas
Metabolic Health
Nutrition & Micronutrient Status
Biomarkers
Name
Result
Expected
Unit
Status
ALT
20
< 56
IU/L
Normal
AST
21
13 - 45
IU/L
Normal
Gamma GT
15
4 - 38
IU/L
Normal
Alkaline Phosphatase
76
46 - 116
IU/L
Normal
Total Bilirubin
7
5 - 21
µmol/L
Normal
Albumin
40
34 - 50
g/L
Normal
Total Protein
74
57 - 82
g/L
Normal
Globulin
34
18 - 36
g/L
Normal
Importance
Normal
Insight
Stable kidney filtration

Estimated GFR and creatinine are stable, supporting preserved filtration, with urea remaining within range.

Affected Areas
Renal & Electrolyte Health
Biomarkers
Name
Result
Expected
Unit
Status
Estimated GFR
72
> 60, < 90
mL/min/1.73m²
Normal
Creatinine
77
49 - 90
µmol/L
Normal
Urea
5.3
3.2 - 8.2
mmol/L
Normal
Importance
Normal
Insight
Iron stores on the lower side with otherwise stable iron transport

Ferritin sits on the lower side of the provided range, while serum iron, transferrin, transferrin saturation, and iron binding capacity remain stable, giving an overall coherent iron profile.

Affected Areas
Immune & Inflammatory Health
Nutrition & Micronutrient Status
Biomarkers
Name
Result
Expected
Unit
Status
Ferritin
36.2
10 - 291
ng/mL
Normal
Serum Iron
14.6
9.0 - 30.4
µmol/L
Normal
Transferrin
2.9
2.5 - 3.8
g/L
Normal
Transferrin Saturation
20.05
18 - 55
%
Normal
Iron Binding Capacity
63.95
44 - 76.1
µmol/L
Normal
Importance
Normal
Insight
Post-menopausal sex hormone profile within expected ranges

In a post-menopausal context, oestradiol, luteinising hormone, testosterone, sex hormone binding globulin, free androgen index, and DHEA-S form a stable and internally consistent sex hormone profile.

Affected Areas
Hormonal & Thyroid Health
Biomarkers
Name
Result
Expected
Unit
Status
Oestradiol
204.07
0.0 - 1309.1
pmol/L
Normal
Luteinising Hormone
21.66
0.50 - 76.30
mIU/mL
Normal
Testosterone
0.61
0.5 - 2.6
nmol/L
Normal
Sex Hormone Binding Globulin
63.66
27.8 - 146
nmol/L
Normal
Free Androgen Index
0.96
0.5 - 6.5
ratio
Normal
DHEA-S
4.24
0.26 - 11
µmol/L
Normal
Importance
Normal
Insight
Low-grade inflammatory marker signal contained

High Sensitivity C-reactive Protein is within the normal range, indicating no clear inflammatory marker elevation on this sample.

Affected Areas
Immune & Inflammatory Health
Biomarkers
Name
Result
Expected
Unit
Status
High Sensitivity C-reactive Protein
4.12
< 5
mg/L
Normal
Importance
Normal
Insight
Morning cortisol in lower-normal range

Cortisol (7–9am) sits in the lower-normal range, indicating a contained morning cortisol level on this sample.

Affected Areas
Stress & Neuroendocrine Load
Biomarkers
Name
Result
Expected
Unit
Status
Cortisol (7-9am)
217.33
145.4 - 619.4
nmol/L
Normal
Importance
Normal
Insight
Creatine kinase stable under training context

Creatine kinase is stable; given strength and high-intensity training, a normal result supports good tolerance of recent muscle load.

Affected Areas
Metabolic Health
Biomarkers
Name
Result
Expected
Unit
Status
Creatine Kinase
144
40 - 320
U/L
Normal




















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