Hi,
Welcome back to icliniq.com.
I understand your health concerns. I want to discuss every aspect of the laboratory tests you uploaded, especially the most critical and out-of-range findings (attachments removed to protect the patient's identity). Folic Acid - Low. (Folic acid is essential for blood functions and keeps the blood cells within limits. If levels are low, it can be treated by giving supplemental Folate. Your physician can assist you further in dosage and prescription for that). Creatinine - Normal but in higher normal limits (Creatinine levels in the blood reflect the functioning of the kidneys. Kidneys are responsible for clearing this waste material from the blood and keeping a balance. If kidneys are not working usually, the creatinine levels go considerably high. Your levels are not that high. The best next step is to keep a follow-up and see how the levels go in the future. At this stage, nothing much to do for it). HDL (high-density lipoprotein) - A little low (Taking a low-fat diet, regular exercise, and a healthy lifestyle with least to no junk foods would help you take these levels in the normal required range). LDL (low-density lipoprotein) - A little high (Taking a low-fat diet, regular exercise, and a healthy lifestyle with least to no junk foods would help you take these levels in the normal required range). Total Bilirubin - In higher normal limits (It does not look serious this time, but in the future, I would recommend keeping a follow-up with your physician to keep an eye on the levels and see how it goes. Bilirubin is a product handled and cleared from the blood by the liver. The liver keeps bilirubin in normal limits in human blood. If the liver is not working perfectly, the levels increase. You are negative for hepatitis C, meaning you do not have hepatitis C. Alcohol consumption and certain medications can also raise the levels. Again it would be best if you kept an eye on these levels in future follow-ups). Alpha-2-globulin (a protein) - In lower normal limits. (It is a protein produced by the liver, and in case of any issues with liver functioning, the levels of proteins produced by the liver may decrease. Fatty liver, alcohol consumption, or certain medications that interfere with liver functions may cause lowering the alpha-2-globulin levels). TSH (Thyroid gland functioning test) - A little high. (If your thyroid is not functioning optimally and as needed, more and more TSH is released from the pituitary gland. In simple words, the hypothyroid gland may be behind high TSH levels. Please discuss the matter with your physician). Your treating physician may refer you to an endocrinologist if he feels it appropriate. PSA (prostate-specific antigen) - A little high. (Not always cancer can raise PSA levels, benign causes can also be the reason for elevated PSA levels, for example, inflammation of the prostate, enlargement of the prostate, etc. Your physician can better assist you in this regard in the light of all of your medical records related to the prostate). The liver issues, especially high levels of liver enzymes, are not a new issue here. I can see in our past conversations you have this issue lingering on from the past. You should consult a hepatologist for this issue to evaluate the reason behind high liver enzymes properly. Your specific questions and explanations to them. Are the problems as shown in the abnormal test result interlinked: for instance, the hypo-activity of the thyroid and the disturbed lipids metabolism? Not precisely, but constantly low thyroid function lowers all the body's metabolic functions, including lipid metabolism. I would like to hear your medical evaluation of the overall results. Also, please suggest a diet that I should follow. It would be best to go for an exercise and physical activity schedule. At least five days a week, light to medium levels of exercise are essential for you. I have already detailed relevant information.