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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Any Suggestion For Fatty Liver?

Hello, Please see my recent blood work: (I'm male, 40 y/o, Non-alcoholic, with some fatty liver) [abnormals: 1)ALT 2)Total Cholesterol 3)Triglycerides 4) Some blood in urine]

Hematology
Category Result Normal Units
WBC 6.3 4.0 - 11.0 10*9/L
RBC 5.58 4.30 - 5.90 10*12/L
Hemoglobin 161 135 - 180 g/L
Hematocrit 0.47 0.41 - 0.52 L/L
MCV 84 80 - 100 fL
MCH 28.9 27.0 - 34.0 pg
MCHC 344 323 - 365 g/L
Platelet Count 200 150 - 400 10*9/L

Differential

Neutrophils 3.2 2.0 - 8.0 10*9/L
Lymphocytes 2.1 1.0 - 4.0 10*9/L
Monocytes 0.7
Eosinophils 0.3
Basophils 0.1
Granulocytes Immature 0.0

Urinalysis

Urine Chemistry
Colour Yellow
Appearance Clear
pH 7.0 4.5 - 8.0
Protein Negative g/L
Glucose Negative mmol/L
Ketones Negative
Hemoglobin A MODERATE
Nitrite Negative
Leukocytes Negative

Urine Microscopic

WBC Negative 0-3 per HPF
RBC A 4-10 0-3 per HPF

Epithelial Cells Negative per HPF

General Chemistry

Glucose Fasting 5.0 3.6 - 5.5 mmol/L
- Hours After Meal: 11.0 h pc
- Specimen Drawn: 1030 h
Sodium 142 135 - 145 mmol/L
Potassium 4.7 3.5 - 5.0 mmol/L
Creatinine 94 45 - 110 umol/L
Estimated GFR 77 > 59 mL/min/1.73sq.m

     Note: eGFR based on serum creatinine, age and gender. This result within reference interval. Diet, drugs and clinical state may also affect: see WWW.WWWW.WW bc.ca/msp/protoguides/gps/ckd.pdf

Calcium 2.37 2.10 - 2.60 mmol/L
     Note: New Calcium Reagent Formulation effective Aug 14, 2013.(Roche Photometric, NM-BAPTA)
Phosphorus 1.0 0.8 - 1.5 mmol/L
ALT H 52
AST 22

Lipids

Cholesterol H 5.53 2.00 - 5.20 mmol/L
     At risk:>6.20 mmol/L
LDL Cholesterol 3.14 1.50 - 3.40 mmol/L
     At risk:>3.40 mmol/L
An LDL cholesterol level of less than 2.60 mmol/L is suggested for patients with established CAD.
HDL Cholesterol 1.39 > 0.99 mmol/L
Chol/HDL (Risk Ratio) 3.98
     A ratio of 5.00 in males is associated with average risk. Increased ratios are associated with higher risk for CAD.
Triglycerides H 2.21
- Hours After Meal 11.0 h pc

Thyroid Function

TSH 2.59 0.30 - 5.50 mU/L
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Tue, 8 Apr 2014
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Psychologist 's  Response
Hello,

I had gone through the case and found that this report is normal. For conformation of grade of fatty liver do the ultrasound of upper abdomen and complete Liver function test.

Meanwhile take Liv 52 twice a day and avoid fatty and oily food items.

Hope my answer will be effective for you.

Thanks
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Any Suggestion For Fatty Liver?

Hello, I had gone through the case and found that this report is normal. For conformation of grade of fatty liver do the ultrasound of upper abdomen and complete Liver function test. Meanwhile take Liv 52 twice a day and avoid fatty and oily food items. Hope my answer will be effective for you. Thanks