Question: Hello, I am trying to get some insight to lab results I had done in April. I don't have a follow up until the end of July. I continue to have the same symptoms. Dizziness, headaches, foggy headed, poor concentration, blurry vision, pins and needles in forearms, legs, feet and left cheek occasionally. Vibrating shaking sensation in body, sweating, insomnia, throat feels swollen.

Here are my labs from April 2015. Thank you!


Test Name Results Reference Range Lab
Angiotensin Converting Enzyme 22 U/L
0000
Thyroxine (T4) 6.2 ug/dL
0000
ANA Cascading Reflex
ANA Screen Positive H Negative
CRP, High Sensitivity 0.3 mg/L
Immunoglobulin Quantitative
IgG 1205 694-1618 mg/dL
IgA 191 81-463 mg/dL
IgM 224 48-271 mg/dL
Erythrocyte Sedimentation Rate 2 0-20 mm/hr
Erythrocyte Sedimentation Rate (ESR) specimens are stable for 4-6 hours at room temperature, and 12
hours if refrigerated. ESR
results trend lower with increased specimen age. Consider use of C-reactive protein (CRP) to assess
acute phase responses.
Rheumatoid Factor <10 IU/mL
CBC w/ Differential, w/ Platelet
WBC 5.0 4-11 k/mm3
RBC 3.84 3.7-5.4 m/mm3
Hematocrit 38.3 35-48 %
Hemoglobin 12.3 11.5-16 g/dL
Platelet Count 321 130-450 k/mm3
MCV 100 78-100 fL
MCH 32.0 27-34 pg
MCHC 32.1 31-37 g/dL
RDW(cv) 12.5 12.1-18.2 %
MPV 10.8 7.5-14 fL
Segmented Neutrophils 55 40-85 %
Automated Diff
Lymphocytes 37 10-45 %
Monocytes 7 3-15 %
Absolute Neutrophil 2.8 1.6-9.3 k/uL
Absolute Lymphocyte 1.8 0.6-5.5 k/uL
Absolute Monocyte 0.3 0.1-1.6 k/uL
Absolute Eosinophil 0.1 0-0.7 k/uL

Test Name Results Reference Range Lab
Absolute Basophil 0.0 0-0.2 k/uL
Eosinophils 1 0-7 %
Basophils 0 0-2 %
RDW(sd) 45.3 36-55 fL
ANA Titer Negative <1:40
Approximately 1% of patients with autoimmune disease, especially those with Sjogren's syndrome and
polymyositis/dermatomyositis, can
yield negative ANA indirect immunofluoresence (IFA) test results. Testing for specific antibodies
may be a better indication of
clinical significance in these cases.
T3 Uptake 27.2 %
TSH, High Sensitivity 1.10 mU/L
Vitamin B12 and Folate
Folate 14.2 7.3 ng/mL
Serum for folate determinations should be collected as a fasting test.
Vitamin B12 1782 H 243-894 pg/mL
Sjogren's Antibodies, SS-A(Ro) and SS-B(La)
SS-B (La) Antibody Negative Negative
SS-A (Ro) Antibody Positive H Negative
Vitamin B6, Plasma 16.4 ng/mL
Microsomal TPO Antibody 237 H IU/mL
Hemoglobin A1c With eAG
Hemoglobin A1c 5.4 5.6 %
The XXXXXXX Diabetes Association (ADA) guidelines for interpreting Hemoglobin A1c are as follows:
Non-Diabetic patient:
<=5.6% Increased risk for future Diabetes: 5.7-6.4%
ADA diagnostic criteria for
Diabetes: >=6.5% Values for patients with Diabetes: Meets ADA's recommended
goal for therapy: <7.0%
Exceeds ADA's recommended goal: 7.0-8.0% ADA recommends reevaluation of therapy:
>8.0%
Estimated Average Glucose (eAG) 108 Not Established
Lyme Disease Screen w/Rflx Immunoblot
(IGG, IGM)
0.92 H XXXXXXX Vasculitides
Myeloperoxidase Antibody <0.2 0.9 AI
Proteinase-3 Antibody <0.2 0.9 AI
Myeloperoxidase Antibody Result Negative Negative
Proteinase-3 Antibody Result Negative Negative
Comprehensive Metabolic Panel
Aspartate Aminotransferase 23 10-41 IU/L

Test Name Results Reference Range Lab
Alkaline Phosphatase 53 37-137 IU/L
Calcium 9.6 8.7-10.4 mg/dL
Bilirubin, Total 0.6 0.2-1.3 mg/dL
Protein, Total 7.7 6-8 g/dL
Albumin 4.7 3.3-4.9 g/dL
Urea Nitrogen (BUN) 14 8-25 mg/dL
Chloride 102 96-110 mmol/L
Carbon Dioxide (CO2) 22 19-31 mmol/L
Sodium 139 135-145 mmol/L
Potassium 4.6 3.5-5.2 mmol/L
Glucose 90 65-99 mg/dL
Glucose reference range reflects fasting state.
Alanine Aminotransferase 22 5-46 IU/L
Creatinine 0.78 0.6-1.4 mg/dL
Albumin/Globulin Ratio 1.6 1-2
BUN/Creatinine Ratio 17.9 10-28
Anion Gap 15 4-18
Globulin 3.0 2-3.7 g/dL
GFR Estimated (Non-African American) 100 61 mL/min/1.73m2
GFR Estimated (African American) 115 61 mL/min/1.73m2
ANA Cascading Reflex 1
RNP Antibody Negative Negative
Chromatin Antibody Negative Negative
Sm Antibody Negative Negative
Sm/RNP Antibodies Negative Negative
dsDNA Antibody Result Negative Negative
dsDNA Reference Range: <=4.0 IU/mL Negative 5.0-9.0 IU/mL Indeterminate >=10.0 IU/mL
Positive
dsDNA Antibody Index 2.0 4 IU/mL
ANA Cascading Reflex 2
Jo-1 Antibody Negative Negative
Scleroderma Antibody Negative Negative
T7 Index 1.7
Topiramate 1.4 LL mcg/mL

Thank you for answering, but I think you are unaware that you spelled autoimmune completely wrong. I have been told that I have Sjogrens. I would like another doctor to look at my look at my results.