Help with test results/unanswered questions

Question

I’ve been getting abnormal test results for approximately 4-5 years now and can’t find answers. Doctors I’ve seen have been very passive and haven’t investigated further.

Symptoms
-Chronic fatigue
-Frequent UTI’s
-Thrombocytosis (idiopathic)
-weight loss
-loss of appetite
-anxiety
-at certain points low bp

Test results from January and April 2020
-White Blood Count
7.53 x10^3/uL
04/30/20
-Red Blood Count
4.75 x10^6/uL
04/30/20
-Hemoglobin
14.5 g/dL
04/30/20
-Hematocrit
41.4 %
04/30/20
-Mean Corpuscular Volume
87.2 fL
04/30/20
-Mean Corpuscular Hemoglobin
30.5 pg
04/30/20
-Mean Corpuscular Hemoglobin Concent
35.0 g/dL
04/30/20
-RDW Standard Deviation
39.1 fL
04/30/20
-RDW Coefficient of Variation
12.2 %
04/30/20
-Platelet Count
471 x10^3/uL (H)
04/30/20
-Mean Platelet Volume
8.7 fL (L)
04/30/20
-Neutrophils (%) (Auto)
44.4 %
04/30/20
-Lymphocytes (%) (Auto)
45.3 %
04/30/20
-Monocytes (%) (Auto)
7.7 %
04/30/20
-Eosinophils (%) (Auto)
1.5 %
04/30/20
-Basophils (%) (Auto)
0.8 %
04/30/20
-Neutrophils # (Auto)
3.35 x10^3/uL
04/30/20
-Lymphocytes # (Auto)
3.41 x10^3/uL
04/30/20
-Monocytes # (Auto)
0.58 x10^3/uL
04/30/20
-Eosinophils # (Auto)
0.11 x10^3/uL
04/30/20
-Basophils # (Auto)
0.06 x10^3/uL
04/30/20
-Absolute Immature Granulocyte (auto
0.0200 X10^3/uL
04/30/20
-Nucleated Red Blood Cells % (auto)
0.0 /100 WBC
04/30/20
-Immature/Total Granulocytes (auto)
0.300 %
04/30/20
-Nucleated Red Blood Cells #
0.000 x10^3/uL
04/30/20
-Erythrocyte Sedimentation Rate
7 mm/hr
04/30/20
-Sodium Level
140 mmol/L
04/30/20
-Potassium Level
3.8 mmol/L
04/30/20
-Chloride Level
105 mmol/L
04/30/20
-Carbon Dioxide Level
23.8 mmol/L
04/30/20
-Anion Gap
11.2 mmol/L
04/30/20
-Blood Urea Nitrogen
12 mg/dL
04/30/20
0.72 mg/dL
04/30/20
-Estimat Glomerular Filtration Rate
> 60.0
-Estimated GFR (African American)
> 60.0
04/30/20
-BUN/Creatinine Ratio
16.7 Ratio
04/30/20
-Glucose Level
87 mg/dL
04/30/20
-Calcium Level
9.5 mg/dL
04/30/20
-Iron Level
83 mcg/dL
04/30/20
-Total Bilirubin
0.42 mg/dL
04/30/20 10:
-Aspartate Amino Transf (AST/SGOT)
19 U/L
04/30/20
-Alanine Aminotransferase
Select 40 U/L
04/30/20
-Alkaline Phosphatase
56 U/L
04/30/20
-Lactate Dehydrogenase
171 U/L
04/30/20
-Total Protein
8.3 g/dL (H)
04/30/20
-Albumin
4.7 g/dL
04/30/20
-Albumin/Globulin Ratio
1.3 Ratio
04/30/20
-Triglycerides Level
45 mg/dL
04/30/20
-Cholesterol Level
153 mg/dL
04/30/20
-LDL Cholesterol, Calculated
86 mg/dL
04/30/20
-VLDL Cholesterol
9 mg/dL
04/30/20
-HDL Cholesterol
58 mg/dL
04/30/20
-Cholesterol/HDL Ratio
2 Ratio (L)
04/30/20
-Vitamin B12 Level
Select 567 pg/mL
04/30/20
-Folic Acid (LAB)
13.5 ng/mL
04/30/20
-Thyroid Stimulating Hormone (TSH) 0.527 mIU/mL
04/30/20
-Hemoglobin A1c
4.9 %
04/30/20
-Estimated Average Glucose (eAG)
94 mg/dL
04/30/20
-C-Reactive Protein
< 0.3 mg/dL
04/30/20
-Estradiol (E2) Level
81 pg/mL
04/30/20
-Prolactin
7.38 ng/mL
04/30/20
-Progesterone Level
6.58 ng/mL
04/30/20
-Free Androgen Index
Select 1.8 %
04/30/20 10:41 am
Select
-Total Testosterone
Select 0.45 ng/mL
04/30/20 10:41 am
Select
-Free Testosterone
Select 0.0041 ng/mL
04/30/20 10:41 am
Select
-Bioavailable Testosterone
Select 21.4 %
04/30/20 10:41 am
Select
-Sex Hormone Binding Globulin
Select 87.6 nmol/L
04/30/20 10:41 am
Select
-Parathyroid Hormone (Intact)
34.7 pg/mL
04/30/20 10:41 am
Select
-Anti-Cyclic Citrullinated Peptide
Negative
04/30/20 10:41 am
Select
-Anti-Nuclear Antibody Screen
Negative
04/30/20 10:41 am
Select
-Tissue Transglutaminase IgG Ab
Select < 0.8 U/mL (L)
04/30/20 10:41 am
Select
-Tissue Transglutaminase IgA Ab
Select < 0.5 U/mL (L)
04/30/20 10:41 am
Select
-Gliadin (Deamidated) IgG Antibody
Select < 0.4 U/mL (L)
04/30/20 10:41 am
Select
-Gliadin (Deamidated) IgA Antibody
Select 1.3 U/mL
04/30/20 10:41 am
Select
-Rapid Plasma Reagin
Select Non-reactive
04/30/20 10:41 am
Select
-Hepatitis A IgM Antibody
Negative
04/30/20 10:41 am
Select
-Hepatitis B Core IgM Antibody
Negative
04/30/20 10:41 am
Select
-25-Hydroxy Vitamin D Total
Select 49.9 ng/mL
04/30/20 10:41 am
Select
-1,25 Dihydroxy Vitamin D
41.4 pg/mL
04/30/20 10:41 am
Select
-Serum C-Peptide
Select 6.6 ng/mL (H)
04/30/20 10:41 am
Select
-Glutamic Acid Decarboxyl 65 Ab
Select <5.0 U/mL
04/30/20 10:41 am
Select
-Insulin Antibody
Select <5.0 uU/mL
04/30/20 10:41 am
Select
-Total Estrogens
Select 282 pg/mL
04/30/20 10:41 am
Select
-Differential Total Cells Counted
100
01/13/20 10:48 am
Select
-Neutrophils % (Manual)
37 %
01/13/20 10:48 am
Select
-Lymphocytes % (Manual)
56 % (H)
01/13/20 10:48 am
Select
-Monocytes % (Manual)
2 % (L)
01/13/20 10:48 am
Select
-Eosinophils % (Manual)
4 %
01/13/20 10:48 am
Select
-Basophils % (Manual)
1 %
01/13/20 10:48 am
Select
-Neutrophils # (Manual)
2.67 x10^3/uL
01/13/20 10:48 am
Select
-Lymphocytes # (Manual)
4.04 x10^3/uL (H)
01/13/20 10:48 am
Select
-Monocytes # (Manual)
0.14 x10^3/uL (L)
01/13/20 10:48 am
Select
-Eosinophils # (Manual)
0.29 x10^3/uL
01/13/20 10:48 am
Select
-Basophils # (Manual)
0.07 x10^3/uL
01/13/20 10:48 am
Select
-Whole Blood Vitamin B1 Level
Select 100.7 nmol/L
01/13/20 10:48 am
Select
-Vitamin B6 Level
Select 18.3 ug/L
01/13/20 10:48 am
Select
-Urine Color
Yellow
01/13/20 10:48 am
Select
-Urine Clarity
Clear
01/13/20 10:48 am
Select
-Urine pH
5.0
01/13/20 10:48 am
Select
-Urine Specific Gravity
1.029 (H)
01/13/20 10:48 am
Select
-Urine Protein
Negative
01/13/20 10:48 am
Select
-Urine Glucose (UA)
Negative
01/13/20 10:48 am
Select
-Urine Ketones
1+ (Abnormal)
01/13/20 10:48 am
Select
-Urine Blood
Negative
01/13/20 10:48 am
Select
-Urine Nitrate
Negative
01/13/20 10:48 am
Select
-Urine Bilirubin
Negative
01/13/20 10:48 am
Select
-Urine Urobilinogen
2.0 mg/dL (Abnormal)
01/13/20 10:48 am
Select
-Urine Leukocyte Esterase
Negative
01/13/20 10:48 am
Select
-Urine RBC
0-2 grad/HPF
01/13/20 10:48 am
Select
-Urine WBC
0-2 grad/HPF
01/13/20 10:48 am
Select
-Urine Squamous Epithelial Cells
1+ grad/HPF
01/13/20 10:48 am
Select
-Urine Bacteria
Trace grad/HPF (Abnormal)
01/13/20 10:48 am
Select
-Urine Mucus
2+ grad/LPF
01/13/20 10:48 am
Select
-Urine Ascorbic Acid Level
Select Negative
01/13/20 10:48 am
Select

iams76 · Answer

You might have a reactivated case of Epstein Barr virus (EBV).  You can ask you doctor to test you for EBV.  Make sure to test for the whole EBV panel including EBV PCR Quant.