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What do my blood test results indicate?

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Posted on Tue, 10 May 2016
Question: Hi i am 33 year male.having hypothyroidism since three yrs and taking 150 mg of leavothyroxine daily.
my recent blood report shows Anti ccp test positive Sgot 59, total cholesterol 279 LDL181 HDL 38 Triglyceride 230 uric acid 7.5 Haemoglobin 17.4 esophils 7.1 red blood cell widh_SD 51.1 Homocystine 51.41 Vitamin d and folic acid difficiancy rest all tests are within normal ranfe
No clinical symptoms of RA . What tests revealed and please suggest what to do next.
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Answered by Dr. Shruti Rijhwani (2 hours later)
Brief Answer:
Please give your clinical complaints.

Detailed Answer:
Dear Sir,
Welcome to HCM.
Thank you for posting your query on HCM.

Well, looking into your problem I would like to tell you that , I would like to know why your anti ccp was done?, did you have any complaints of swelling in small joints of hands? .
Also its positivity just means that you are more prone for getting rheumatoid arthritis but doesnt signify that you have it . Rest you have mild dyslipidemia . Until and unless you have clinical symptoms of Rheumatoid arthritis treatment should not be started .

Hope this helps you. You can always get back to me if you have further queries.
Take care.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Deepak
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Follow up: Dr. Shruti Rijhwani (6 hours later)
Thanks Dr for quick reply.
I am not having any clinical symptoms of rheumatoid arthritis .I have done these blood tests as a part of regular check up.I am having occasional slightly redish palms which comes and goes.no other clinical symptom.what are early symptoms to recognize rheumatoid arthritis. ANT test also shows higher side.
Are liver function tests normal SGPT is 58.14.
Is it required any further investigation or treatment for high cholesterol ,Homocystein level and vit d and folic acid difficiancy.higher apolipoprotein b above normal range.

doctor
Answered by Dr. Shruti Rijhwani (14 hours later)
Brief Answer:
Follows.

Detailed Answer:
Dear Sir,

Thank you for reverting back.

Well first you should try to lose weight , and do dietary interventions like stop fatty food , take lot of salads etc and repeat your lipid profile after 6 weeks , if it still deranged treatment will be advisable . For high homocysteiene levels take folic acid 5mg daily which will correct folate deficiency also .

For vitamin D deficiency , you should take vitamin D XXXXXXX 60000 IU once in a week for 12 weeks then once a month for 1 year .

You dont have to do anything for anti ccp levels but in case you get swelling and pain over joints specially hand joints let us know and then we will decide further .

Take care.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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What do my blood test results indicate?

Brief Answer: Please give your clinical complaints. Detailed Answer: Dear Sir, Welcome to HCM. Thank you for posting your query on HCM. Well, looking into your problem I would like to tell you that , I would like to know why your anti ccp was done?, did you have any complaints of swelling in small joints of hands? . Also its positivity just means that you are more prone for getting rheumatoid arthritis but doesnt signify that you have it . Rest you have mild dyslipidemia . Until and unless you have clinical symptoms of Rheumatoid arthritis treatment should not be started . Hope this helps you. You can always get back to me if you have further queries. Take care. Dr. Shruti