physical check-up

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So I underwent a physical examination a few weeks ago (June 17th) and received the results today. Overall my health seems pretty good:
  • Glucose plasma fasting 4.8 mmol/L (3.6-6.0 is normal, 6.1-6.9 is impaired, >6.9 is "provisional diagnosis of diabetes mellitus")
  • Creatinine (a measure of kidney function) is 83 mmol/L, which I believe is normal.
  • Bilirubin total: 11 umol/L (normal < 23)
  • Urate: 371 umol/L (200-440)
  • Cholesterol: 4.33 (desired: < 5.2)
  • Triglycerides: 1.38 mmol/L (< 2.3)
  • HDL cholesterol: 1.31 mmol/L
  • LDL cholesterol calc.: 2.39 mmol/L
  • Vitamin B12: 337 pmol/L (possibly deficient if < 150, probably if < 110)
  • Ferritin: 165 ug/L (80-300 is normal, Iron deficient if <12)
  • Sodium: 141 mmol/L (135 - 145)
  • Potassium: 4.6 mmol/L (3.3 - 5.1)
  • Chloride: 100 mmol/L (95-108)
  • Alkaline phosphatase: 46 U/L (40-129)
  • AST (Aspartate transaminase): 29 U/L (<37)
  • ALT (Alanine transaminase): 1.55 mIU/L (0.35 - 5.00)
  • Hemoglobin: 143 g/L (135-170)
  • Hematocrit: 0.43 l/l (0.38 - 0.49)
  • RBC: 4.17 x 10E12/L (4.2 - 5.7)
  • RBC indices MCV, MCH, MCHC: 104 fl (80-97), 34 pg (27-32), 330 g/L (320-360)
  • RDW: 14.1 (11.5-15.5)
  • WBC: 3.5 x 10E9/L (4 - 11)
  • Platelets: 226 x 10E9/L (145-400)
  • MPV: 8.1 fl (7.4 - 11.3)
  • Smear: "Platelets appear adequate, red cells appear normochromic, macrocytosis - mild"
  • Blood group: O positive
  • 25 hydroxy vitamin D: 63 nmol/L (sufficency is 76-250, <25 is a deficiency).
Macrocytosis -- possibly due to excessive drinking in my past. Possibly. In any case I've reduced considerably my alcohol intake in the past several months -- frankly, since I've started dating again. The vitamin D and white blood cell count issues are likely due to the colitis medication I take. Even so, I will bring this up when next I see my specialist. The original reason for having the examination done was to see if it would give me any insight on why my energy levels seem rather low of late. I mean, apart for the lack of exercise, poor diet and irregular sleeping habits. Oh well, I guess it's back to the basics -- I'm not a spring pup no more!

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