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Labs & Biomarkers

Complete blood panel and biomarker tracking

Latest Panel Date

Jan 6, 2025

12 months ago (overdue)

Overall Status

Stable

2 markers flagged, non-urgent

Provider

Dr. Chen

Primary Care

⚠ New panel recommended — 12 months since last test. Schedule fasting blood draw this week.

Biomarkers (Jan 6, 2025)

Lipid Panel

Biomarker	Value	Unit	Reference Range	Trend	Note
Total Cholesterol	178	mg/dL	< 200	↓	Optimal
LDL Cholesterol	98	mg/dL	< 100	↓	Near optimal
HDL Cholesterol	62	mg/dL	> 40 (M)	→	Protective
Triglycerides	168	mg/dL	< 150	↑	Borderline high

Metabolic Panel

Biomarker	Value	Unit	Reference Range	Trend	Note
Glucose (Fasting)	88	mg/dL	70-99	→	Normal
HbA1c	5.2	%	< 5.7	→	Excellent
Creatinine	0.95	mg/dL	0.7-1.3	→	Normal kidney
eGFR	>90	mL/min	> 60	→	Excellent
ALT (Liver)	28	U/L	7-56	→	Normal liver
AST (Liver)	24	U/L	10-40	→	Normal liver

Vitamins & Hormones

Biomarker	Value	Unit	Reference Range	Trend	Note
Vitamin D (25-OH)	28	ng/mL	30-100	↑	Below optimal (winter)
Vitamin B12	542	pg/mL	200-900	→	Optimal
TSH (Thyroid)	2.1	mIU/L	0.4-4.0	→	Normal thyroid
Testosterone (Total)	680	ng/dL	300-1000	→	Healthy range

Complete Blood Count (CBC)

Biomarker	Value	Unit	Reference Range	Trend	Note
WBC (White Blood Cells)	6.2	K/µL	4.5-11.0	→	Normal immune
RBC (Red Blood Cells)	5.1	M/µL	4.5-5.9	→	Normal oxygen
Hemoglobin	15.2	g/dL	13.5-17.5	→	Excellent
Platelets	245	K/µL	150-400	→	Normal clotting

Trends (Last 2 Years)

Triglycerides (mg/dL)

Trending up • Now at 168 (borderline)

Vitamin D (ng/mL)

Winter dip • Below 30 (seasonal pattern)

Doctor Notes (Manual Record)

From Dr. Chen, Jan 6, 2025 panel review

• Triglycerides trending up — Now at 168 (borderline high). Likely dietary. Reduce alcohol, saturated fats. Increase omega-3. Recheck in 6 months.
• Vitamin D below optimal — 28 ng/mL (winter baseline). Continue 5000 IU D3 daily. Consider 10,000 IU during Dec-Feb. Target: 40-60 ng/mL.
• Metabolic health excellent — Glucose, HbA1c, kidney, liver all optimal. Training stress not impacting metabolic markers. Continue current routine.
• Lipids overall good — LDL 98 (near optimal), HDL 62 (protective). Total cholesterol 178 (excellent). Triglycerides only concern. No statin indicated.
• Next panel recommended — 12 months (Jan 2026). Earlier if symptoms appear or major diet changes. Focus: triglycerides, vitamin D seasonal tracking.

Suggested Actions

Address triglycerides (168 → target < 150)

Trigger: Triglycerides at 168 mg/dL, above optimal range (< 150). Trending up from 155 (6mo ago).

Evidence: Borderline high. Not urgent but warrants dietary modification. Alcohol + refined carbs likely drivers.

→ Suggested: (1) Reduce alcohol to 2-3 drinks/week max. (2) Cut refined carbs (bread, pasta, sugar). (3) Increase Omega-3 to 3000mg/day. (4) Recheck in 3-6 months.

Optimize Vitamin D (28 → target 40-60)

Trigger: Vitamin D at 28 ng/mL, below optimal (30+). Seasonal winter dip (typical Jan level).

Evidence: Current dose 5000 IU daily. Insufficient for winter baseline. Summer levels reach 45-50 ng/mL (optimal).

→ Suggested: Increase to 10,000 IU daily during Dec-Feb. Return to 5000 IU in March. Recheck in summer (target 50+).

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