Clinical Notes

Date: 16 March 2026

Priority

High (2)
Borderline (3)
Optimal (2)
Normal (7)
Importance
High
Insight
Atherogenic lipid profile with low HDL and elevated ApoB burden

Apo B is elevated with a high Apo B / Apo A1 Ratio, alongside reduced Apolipoprotein A1. This sits with elevated LDL cholesterol and triglycerides (with raised VLDL) and a low HDL cholesterol pattern, reflected in a higher Total Cholesterol / HDL Ratio and reduced HDL % of total. Lipoprotein(a) is in a strong range and does not add to the particle-related signal; uric acid is stable.

Affected Areas
Cardiovascular Risk (Advanced Lipids)
Metabolic Health
Immune & Inflammatory Health
Biomarkers
Name
Result
Expected
Unit
Status
Apo B / Apo A1 Ratio
1.038
< 0.7
ratio
High
Apolipoprotein A1
1.05
> 1.20, < 1.40
g/L
Abnormal
Apolipoprotein B
1.09
< 0.9
g/L
Abnormal
HDL % of total
18.85
> 20
%
Abnormal
Triglycerides
2.09
< 1.70 (fasting)
mmol/L
Abnormal
VLDL
0.95
< 0.78
mmol/L
Abnormal
HDL
0.98
1.0 - 2.3
mmol/L
Abnormal
Total Cholesterol / HDL Ratio
5.31
< 4.5
ratio
Abnormal
Cholesterol
5.2
< 5.18
mmol/L
Abnormal
LDL
3.27
0.5 - 3.0
mmol/L
Abnormal
Lipoprotein(a)
< 0.1
< 0.3
g/L
Optimal
Uric Acid
362
330 - 547
µmol/L
Normal
Importance
High
Insight
Low androgen signal with normal SHBG in adult male

In an adult male, testosterone is markedly reduced with a low Free Androgen Index. Sex Hormone Binding Globulin is normal, so the low testosterone reading is not explained by increased binding. Luteinising Hormone and DHEA-S are within range, giving a focused low-androgen pattern rather than a broad multi-marker elevation.

Affected Areas
Hormonal & Thyroid Health
Biomarkers
Name
Result
Expected
Unit
Status
Testosterone
5.5
8.4 - 28.7
nmol/L
Low
Free Androgen Index
27.08
30 - 150
ratio
Abnormal
Luteinising Hormone
2.27
1.5 - 9.3
mIU/mL
Normal
Sex Hormone Binding Globulin
20.31
17.3 - 65.8
nmol/L
Normal
DHEA-S
2.56
0.44 - 13.4
µmol/L
Normal
Importance
Borderline
Insight
Low circulating iron availability with preserved ferritin stores

Serum iron and transferrin saturation are reduced, indicating lower circulating iron availability. Ferritin is in an optimal range, which supports preserved iron stores and makes this a more contained pattern rather than a clear depletion signal; transferrin and iron binding capacity remain stable.

Affected Areas
Immune & Inflammatory Health
Nutrition & Micronutrient Status
Biomarkers
Name
Result
Expected
Unit
Status
Serum Iron
10.1
11.6 - 31.3
µmol/L
Abnormal
Transferrin Saturation
16.62
18 - 55
%
Abnormal
Ferritin
82.3
22 - 322
ng/mL
Optimal
Transferrin
2.42
2.15 - 3.65
g/L
Normal
Iron Binding Capacity
57.85
44 - 76.1
µmol/L
Normal
Importance
Borderline
Insight
Isolated MPV elevation with otherwise stable blood counts

Mean platelet volume is elevated, while platelet count is maintained and the remainder of the full blood count is coherent. Haemoglobin, haematocrit, red blood cell count and red cell indices do not show an anaemia pattern, and the white cell count with differential is stable.

Affected Areas
Immune & Inflammatory Health
Biomarkers
Name
Result
Expected
Unit
Status
MPV
11.4
7.1 - 10.1
fL
Abnormal
Haemoglobin
144
130 - 170
g/L
Normal
HCT
0.419
0.40 - 0.50
L/L
Normal
Red Blood Count
4.67
4.5 - 5.5
x10^12/L
Normal
MCV
89.9 fl
83 - 101
fL
Normal
MCH
30.8
27 - 32
pg
Normal
MCHC
343
315 - 345
g/L
Normal
RDW
12.7
11.5 - 15
%
Normal
Platelets
161
150 - 410
x10^9/L
Normal
White cell count
5.41
4 - 10
x10^9/L
Normal
Neutrophils
2.76
2 - 7
x10^9/L
Normal
Lymphocytes
1.98
1 - 3
x10^9/L
Normal
Monocytes
0.42
0.2 - 1.0
x10^9/L
Normal
Eosinophils
0.19
0.02 - 0.5
x10^9/L
Normal
Basophils
0.03
0.01 - 0.1
x10^9/L
Normal
Importance
Borderline
Insight
Mild homocysteine elevation with adequate B-vitamin status

Homocysteine is mildly elevated. Active B12 is optimal and serum folate is normal, making B-vitamin deficiency unlikely as the explanation for this result. Levels can vary with age, sex, and intercurrent illness. High Sensitivity C-reactive Protein and thyroid and renal markers are reassuring in the provided data. 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
Homocysteine
18.43
< 15
µmol/L
Abnormal
Active B12
104.25
25 - 165
pmol/L
Optimal
Serum Folate
10.61
3 - 17
ng/mL
Normal
Importance
Optimal
Insight
Electrolytes and mineral balance stable

Magnesium is in an optimal range, supporting strong mineral status. Sodium, potassium, chloride, calcium (including corrected calcium) and phosphate are stable, giving a coherent overall electrolyte and mineral pattern.

Affected Areas
Renal & Electrolyte Health
Nutrition & Micronutrient Status
Biomarkers
Name
Result
Expected
Unit
Status
Magnesium
0.86
0.53 - 1.11
mmol/L
Optimal
Sodium
142
133 - 146
mmol/L
Normal
Potassium
4.99
3.5 - 5.3
mmol/L
Normal
Chloride
107
95 - 108
mmol/L
Normal
Calcium
2.27
2.08 - 2.65
mmol/L
Normal
Corrected Calcium
2.35
2.2 - 2.6
mmol/L
Normal
Phosphate
1.4
0.78 - 1.65
mmol/L
Normal
Importance
Optimal
Insight
Vitamin D in optimal range

Vitamin D is in the optimal range, consistent with strong vitamin D status; this aligns with reported use of a multivitamin.

Affected Areas
Nutrition & Micronutrient Status
Biomarkers
Name
Result
Expected
Unit
Status
Vitamin D
81.18
> 50, < 250
nmol/L
Optimal
Importance
Normal
Insight
Stable average glucose regulation

HbA1c sits in the higher end of the normal range, indicating average circulating sugar over the past 3 months is not elevated into an abnormal pattern.

Affected Areas
Metabolic Health
Biomarkers
Name
Result
Expected
Unit
Status
HbA1c
37
20 - 42
mmol/mol
Normal
Importance
Normal
Insight
Main liver markers stable

The main liver markers are in the normal range, with ALT and AST stable and Gamma GT and Alkaline Phosphatase not showing an accompanying elevation. Albumin and total protein (with globulin) are preserved, supporting stable protein status alongside normal bilirubin handling.

Affected Areas
Metabolic Health
Nutrition & Micronutrient Status
Biomarkers
Name
Result
Expected
Unit
Status
ALT
19
< 56
IU/L
Normal
AST
19
13 - 45
IU/L
Normal
Gamma GT
25
4 - 73
IU/L
Normal
Alkaline Phosphatase
73
46 - 116
IU/L
Normal
Total Bilirubin
7
5 - 21
µmol/L
Normal
Albumin
39
34 - 50
g/L
Normal
Total Protein
69
57 - 82
g/L
Normal
Globulin
30
18 - 36
g/L
Normal
Importance
Normal
Insight
Stable kidney filtration

Estimated GFR and creatinine are stable, indicating preserved filtration. Urea is also within range, keeping the renal picture coherent.

Affected Areas
Renal & Electrolyte Health
Biomarkers
Name
Result
Expected
Unit
Status
Estimated GFR
83
> 60, < 90
mL/min/1.73m²
Normal
Creatinine
89
65 - 104
µmol/L
Normal
Urea
5.3
3.2 - 8.2
mmol/L
Normal
Importance
Normal
Insight
Preserved thyroid hormone output

Thyroid Stimulating Hormone is within range with Free T4 and Free T3 also within range, indicating preserved thyroid hormone output without a discordant pattern.

Affected Areas
Hormonal & Thyroid Health
Biomarkers
Name
Result
Expected
Unit
Status
Thyroid Stimulating Hormone (TSH)
3.286 m
0.55 - 4.78
mIU/L
Normal
Free Thyroxine (Free T4)
13.94
11.5 - 22.7
pmol/L
Normal
Free T3
5.21
2.6 - 7.1
pmol/L
Normal
Importance
Normal
Insight
Low-grade inflammatory marker signal

High Sensitivity C-reactive Protein is within the normal range, without an inflammatory elevation signal.

Affected Areas
Immune & Inflammatory Health
Biomarkers
Name
Result
Expected
Unit
Status
High Sensitivity C-reactive Protein
1.71
< 5
mg/L
Normal
Importance
Normal
Insight
Morning cortisol at upper-normal level

Cortisol (7–9am) sits in the upper end of the normal range, which can be sensitive to day-to-day physiological context and is best interpreted as a single time-point within a broader pattern.

Affected Areas
Stress & Neuroendocrine Load
Biomarkers
Name
Result
Expected
Unit
Status
Cortisol (7-9am)
509.69
145.4 - 619.4
nmol/L
Normal
Importance
Normal
Insight
Muscle enzyme stable under training load

Creatine Kinase is within range. Given regular strength and cardio training, a stable result supports good tolerance of training-related muscle turnover at the time of testing.

Affected Areas
Metabolic Health
Biomarkers
Name
Result
Expected
Unit
Status
Creatine Kinase
105
40 - 320
U/L
Normal




















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