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Gone Through A Medical Test Recently. In The Test It
Question: Gone through a medical test recently.
In the test it shows Bilirubin Total as 1.8mg/dL.(Reference Range <1.3 mg/dL)
Bilirubin Direct: 0.23 mg/dL (Reference Range <=0.4 mg/dL)
TSH - ULTRASENSITIVE: 5.927 mIU/L(Reference Range 0.4 - 4.5 mIU/L)
Everything else is normal.
The test was conducted at 9:45 PM. Fast for at lest 10-12 hours.
I work in night shift from 10:00 PM to 7:00 AM.
Please advice.
In the test it shows Bilirubin Total as 1.8mg/dL.(Reference Range <1.3 mg/dL)
Bilirubin Direct: 0.23 mg/dL (Reference Range <=0.4 mg/dL)
TSH - ULTRASENSITIVE: 5.927 mIU/L(Reference Range 0.4 - 4.5 mIU/L)
Everything else is normal.
The test was conducted at 9:45 PM. Fast for at lest 10-12 hours.
I work in night shift from 10:00 PM to 7:00 AM.
Please advice.
Brief Answer:
INCREASED BILIRUBIN AND TSH LEVELS
Detailed Answer:
Hi....
Welcome to "Ask a Doctor" service.
I am Dr Ajeet XXXXXXX
I have gone through your query and here is my opinion.
For the bilirubin and thyroid tests,you will need to be on an overnight fast (do not take anything other than water).
Also,there is a term called circadian rhythm.
It means a daily cycle of hormone release which responds primarily to light and dark in environment and the sleep pattern.
The hormone secretion rates and levels change through out 24 hours and they are really unpredictable if the pattern is not followed (Reference levels are for the protocol pattern).
I advise you to repeat the tests in morning after an overnight fasting.
You can do so on your weekly off.
Stay healthy and stay blessed.
Regards.
INCREASED BILIRUBIN AND TSH LEVELS
Detailed Answer:
Hi....
Welcome to "Ask a Doctor" service.
I am Dr Ajeet XXXXXXX
I have gone through your query and here is my opinion.
For the bilirubin and thyroid tests,you will need to be on an overnight fast (do not take anything other than water).
Also,there is a term called circadian rhythm.
It means a daily cycle of hormone release which responds primarily to light and dark in environment and the sleep pattern.
The hormone secretion rates and levels change through out 24 hours and they are really unpredictable if the pattern is not followed (Reference levels are for the protocol pattern).
I advise you to repeat the tests in morning after an overnight fasting.
You can do so on your weekly off.
Stay healthy and stay blessed.
Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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