Q. What does my blood test report indicate?

Answered by
Dr. Ana Karen Pulido
and medically reviewed by iCliniq medical review team.
Published on Nov 10, 2018

Hello doctor,

I did a blood test. Kindly evaluate it and give advice.

Dr. Ana Karen Pulido

General Medicine Internal Medicine
#

Hi,

Welcome to icliniq.com.

Your laboratory test is fine (attachment removed to protect patient identity) but you have your liver enzymes a bit over the limit of normality. The most common cause for this alteration is fatty liver. The less expensive way to know this for sure is doing a liver ultrasound. If it is the first time you have this results, the most recommendable thing to do is to take new liver function test (including gamma-glutamyl transferase) in six months. Meanwhile, you should improve your diet (less simple carbohydrates, more natural fats) and exercise at least 30 minutes a day five days a week.

The metabolic syndrome includes the following. Large waist circumference, a waistline that measures at least 35 inches (89 centimeters) for women and 40 inches (102 centimeters) for men. High triglyceride level 150 milligrams per deciliter (mg/dL), or 1.7 millimoles per liter (mmol/L), or higher of this type of fat found in blood. Reduced high-density lipoprotein (HDL) cholesterol less than 50 mg/dL (1.3 mmol/L) in women. Increased blood pressure 130/85 millimeters of mercury (mm Hg) or higher. Elevated fasting blood sugar 100 mg/dL (5.6 mmol/L) or higher. So you should check on these other points, too. The rest of your lab tests are normal. Kidney function is fine, uric acid is fine.


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Thank you doctor,

One month before I did the same test. Please see. Any drastic change in the report?

Dr. Ana Karen Pulido

General Medicine Internal Medicine
#

Hi,

Welcome back to icliniq.com.

It has changed a lot. Your lipid profile got much better, but your liver enzymes were normal one month. Did you start on a new medication? Some of the drugs that are used to lower your cholesterol can alter the liver function tests. Depending on your age and presence of other comorbidities (high blood pressure or diabetes), we usually evaluate if you need or not drugs at this point.


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Thank you doctor,

No medicine I am taking for cholesterol but I reduced food a lot and I am planning to start exercise and now I am mainly having soup and veggies and yes, less sleep or delay in sleep is the problem I have. Otherwise, I am alright.

Dr. Ana Karen Pulido

General Medicine Internal Medicine
#

Hi,

Welcome back to icliniq.com.

Wow, well your change in diet has totally improved your lipid profile. You just need a little more natural fats like almond, avocado, salmon, and exercise to get your HDL (good cholesterol) a bit higher. About your liver enzymes, alcohol is another common cause of the alteration. You do not have to worry much right now for this if you are feeling fine. We can look at a new liver enzyme tests in 4 to 5 months to see if it gets better all by itself or we need more tests to search for the cause.


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Thank you doctor,

No, I am not a drinker. Only two bad habits I had, it was my food habit from outside that I changed. Please advise if I should do any thing to reduce enzymes.

Dr. Ana Karen Pulido

General Medicine Internal Medicine
#

Hi,

Welcome back to icliniq.com.

The causes of this alterations are extense. The most common is a fatty acid, drugs (including herbs or herbs tea) and viral (such as hepatitis A that resolves by itself) and rare causes (such as autoimmune). The first thing to do is keep on the good diet, avoid drugs that can hurt your liver, avoid natural drugs (not all of them are safe for the liver). Whenever we encounter these mild alterations with no identified cause, we just need to follow-up. You do not have to worry, just check this again in a few months.


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Thank you doctor,

Whether less sleep or black tea or lemon consumption or masturbation can affect badly?

Dr. Ana Karen Pulido

General Medicine Internal Medicine
#

Hi,

Welcome back to icliniq.com.

Less sleep and stress usually make it a little harder to control your lipid profile. The rest is perfect.


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Hi doctor,

Thanks for your advice.

Dr. Ana Karen Pulido

General Medicine Internal Medicine
#

Hi,

Welcome back to icliniq.com.

You are welcome. I hope it was helpful. Take care.


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