Lab Test Normal Ranges

Essential Guide: How to Read Blood Test Results As patient self-education grows with access to information online, more people are taking charge of their health by buying their own blood tests that they can access online without visiting a doctor. Large blood testing networks located all over the United States make it easy for empowered and educated patients to find a lab location near them where they can have their blood drawn or provide a blood sample, urine sample, or saliva sample. Discounted Labs makes it easy for those consumers to buy and learn how to read blood test results, including the results of conventional blood tests, which can provide valuable insights into human health, including the effects of drugs and environmental contaminants, so that they can have more educated discussions with their physicians. After people buy their own blood tests and receive their results, it is sometimes difficult to make sense of what high or low blood test values mean when compared with the “normal” ranges provided by blood testing companies. Searching on the Internet may only give people a limited explanation of the health consequences of these high or low blood test values. We will attempt to include the most common blood tests, their normal ranges, and the meaning of high or low values, including the lower limits, as well as individual tests or collections of related tests called panels, to help people understand and monitor their ongoing health conditions. It is important to note that when interpreting blood test results, your clinician will likely focus on test trends relative to their normal ranges and not just the numerical results themselves. This means that if you have results for a given test from different labs, your clinician will look at how your results compare to the normal ranges for that specific test, rather than just the numerical values listed on your lab report. Additionally, these normal ranges are based on statistical analyses of tests from a large number of patients, providing a more accurate understanding of what is considered a healthy range for each test. Table of Contents Essential Guide: How to Read Blood Test Results How can one interpret the various values presented in blood test results? Consult Your Health Care Provider to Discuss How to Read Blood Test Results 1. Alanine aminotransferase (ALT, SGPT) 2. Albumin 3. Alkaline phosphatase (ALP) (adults) 4. Androstenedione (adult) 5. Aspartate aminotransferase (AST, SGOT) 6. Bilirubin, direct 7. Bilirubin, total 8. Calcium 9. Carbon dioxide, C02 total 10. Chloride 11. Cholesterol 12. Creatinine 13. Dehydroepiandrosterone (DHEA) Sulfate (Adult) 14. Estradiol (Ultra-Sensitive) 15. Follicle-Stimulating Hormone (FSH) 16. Globulin 17. Glucose, fasting 18. Gamma Glutamyl Transferase (GGT) 19. Growth Hormone, GH (resting) 20. Hemoglobin A1C 21. High-Density Lipoprotein Cholesterol, HDL 22. Insulin 23. Lactate Dehydrogenase (LDH) 24. Lipoprotein (a) Low-Density Lipoprotein Cholesterol 25. Iron 26. Luteinizing hormone (LH) 27. Magnesium 28. Mean Corpuscular Hemoglobin (MCH) 29. Mean Corpuscular Volume (MCV) 28. Phosphorus, inorganic (adult) 29. Potassium 30. Progesterone 31. Prolactin 32. Prostate-specific antigen (PSA) 33. Protein, total 34. Sodium 35. Somatomedin C (insulin-like growth factor I , IGF-1) 36. Testosterone, total 37. Testosterone, Free 38. Thyroid-stimulating hormone (TSH) 39. Thyroxine (T4) and Triiodothyronine (T3) 40. Thyroid Antibodies Sources: How can one interpret the various values presented in blood test results? Interpreting blood test results involves understanding values like cholesterol, blood sugar levels, and white blood cell count. Comparing these to standard ranges helps assess overall health. Consult a healthcare provider for detailed explanations and guidance on how to read blood test results accurately. Consult Your Health Care Provider to Discuss How to Read Blood Test Results Consult your health care provider to get explanations about your blood test results and how he or she uses them to diagnose and treat your condition. The information below is not meant to provide medical advice or guide any treatment decisions, and it is only intended as an educational tool to enable you to have an educated discussion with a health practitioner. In order to accurately interpret your blood test results and determine the cause of fatigue, your healthcare provider will consider numerous factors and disorders, such as anemia, an underactive thyroid, or diabetes, which occurs when there are excessive glucose molecules in the bloodstream, that can contribute to prolonged or chronic fatigue. One important factor that your healthcare provider will look at is the history of glucose levels in your bloodstream, which can be determined through a hemoglobin A1c test. This test measures the percentage of HbA1c present relative to the total amount of hemoglobin, providing a history of glucose levels in the bloodstream over a period of about three months prior to the test. We will review 40 of the most common lab tests that people buy through direct-to-consumer lab testing companies like DiscountedLabs.com. 1. Alanine aminotransferase (ALT, SGPT) Your liver produces the enzyme alanine aminotransferase. It's important to test this substance to determine whether your liver is infected or not. This test is sold as part of a Comprehensive Metabolic Panel (CMP test. Normal AST range: 10-55 U/liter for males 10-55 U/liter for females High ALT, SGPT The liver cells might be seriously damaged, to the point of necrosis It might be a sign of extensive trauma to the liver, left heart failure, cirrhosis, or jaundice It might also be a sign of muscular dystrophy, fatty liver, myocardial infarction, and liver tumors As a result of the breakdown of muscle fibers during exercise, ALT can rise in people who perform regular resistance exercises with weights and machines. Low ALT, SGPT Low values of ALT indicate pyridoxal phosphate deficiency, that can result in various health complications, including epilepsy 2. Albumin Albumin is one of the most important proteins in the human body. It helps to carry nutrients to various tissues and it prevents blood vessels from leaking fluids. Normal albumin range 1–4.3 g/dl for men and women When Albumin blood test is high It might signify severe dehydration. It's not possible to increase albumin levels naturally. The only way albumin concentration might get higher is if plasma water decreases significantly When Albumin blood test is low This is a sign of acute or chronic inflammation Albumin levels might drop if the liver has problems synthesizing this protein properly, so it might indicate liver damage The transportation of bile acids and metal ions might be affected if the albumin levels get too low 3. Alkaline phosphatase (ALP) (adults) Alkaline phosphatase is also known as ALP, and it's found in different tissues in the body. This enzyme is mostly present in the bones and liver. It plays a vital role in bone formation and mineralization. Normal Alkaline Phosphatase (ALP) 45-115 U/liter for males 30-100 U/liter for females When ALP blood test is high It might be a sign of biliary obstruction or liver diseases such as hepatitis or cirrhosis sign of bone disorder or even renal problems In some cases, it might indicate thyroid issues When ALP blood test is low It might signify nutritional deficiencies such as a lack of vitamin D, B12, magnesium or zinc It might be caused by severe anemia 4. Androstenedione (adult) Normal Androstenedione ranges 50-250 ng/dl for men and women This is a precursor to major sex hormones such as testosterone and estrogen. Testing for this hormone is necessary in conjunction with other hormonal tests to determine the levels of testosterone or estrogen in the body. The gonads and adrenal glands are responsible for producing androstenedione. When Androstenedione blood test is high Elevated levels might indicate a gonadal tumor, especially when the levels exceed 500 ng/dl When Androstenedione blood test is low This might signify a dysfunction of the adrenal glands, such as adrenal insufficiency It might signify ovarian or testicular failure if the levels are too low 5. Aspartate aminotransferase (AST, SGOT) Aspartate aminotransferase is an enzyme found in most tissues in the human body, particularly in the liver and the heart. It has multiple functions in the human body and abnormal levels usually indicate a liver problem. Normal AST or SGOT ranges 10–40 U/liter for men 9–25 U/liter for women When AST or SGOT blood test is high This could be a sign of liver cell necrosis or obstructive jaundice It might also signify hepatitis or a liver problem caused by drugs and medications Since this enzyme is found in the muscles, it might be a sign of skeletal muscle, inflammatory disease or even heart failure Exercise that involves resistance may also raise AST or SGOT. Normally, the levels of aspartate aminotransferase should be low. Problems appear when these levels get very high due to organ failure or inflammation. 6. Bilirubin, direct Bilirubin is a yellow substance involved in the process of cleaning organic waste from the body, such as dead red blood cells, etc. It is excreted in the bile and urine, and it consists of direct and total bilirubin, as well as blood urea nitrogen and waste products. When doing a blood test, your results might indicate the levels of direct and total bilirubin, blood urea nitrogen, and waste products, as all of these are important to diagnose certain diseases. Normal direct bilirubin range 0-0.4 mg/dl for men and women When bilirubin blood test is high It might signify biliary tree obstruction, cholestasis, and damage to the hepatic cells The patient might have Dubin-Johnson syndrome, which is characterized by an increase of direct bilirubin in the liver The patient may be taking a liver-toxic medication or herb The patient may have hepatitis A, B, or C When bilirubin blood test is low Low levels of direct bilirubin are usually not a cause of concern. Barbiturates or caffeine consumption may temporarily lower these levels. 7. Bilirubin, total This is the total amount of bilirubin enzymes in your body, including direct and indirect ones. Low levels of total bilirubin are not a problem in most cases. You should see a doctor when these levels are elevated, as they can signify different types of damage to your organs. Normal total bilirubin range 0-1.0 mg/dl for men and women When total bilirubin blood test is high It might be a sign of neonatal physiological jaundice Toxins or inflammation may cause the hepatic cells to suffer damage, which would result in high levels. It might be a sign of biliary tree obstruction See item 4 for more 8. Calcium Calcium is one of the most important minerals in the body. It's directly involved in the mineralization and growth of bones and it ensures that teeth remain in good condition. Normal calcium range 5–10.5 mg/dl for men and women When calcium blood test is high This might be a sign of hyperparathyroidism, bone disorders, malignant disease such as metastatic carcinoma of breast and kidney, etc Your blood might contain too much vitamin D, which leads to intoxication Acromegaly or dehydration When calcium blood test is low It might be a sign of hypoparathyroidism or chronic kidney failure It might be due to a magnesium or vitamin D deficiency. The patient might have acute pancreatitis, anemia or problems with the pituitary gland 9. Carbon dioxide, C02 total Carbon dioxide is a byproduct of the food metabolization process. This gas is released into the bloodstream when cells are broken down in simpler substances. The blood full of carbon dioxide returns to the lungs, where it is eliminated through respiration. Normal carbon dioxide CO2 range 24–30 mmol/liter for men and women When carbon dioxide CO2 blood test is high It might be a sign of respiratory acidosis resulted from poor gas exchange in the body Additionally, metabolic acidosis may be the cause, especially if there are numerous episodes of vomiting. When it's too low It might signify tubular acidosis of the kidneys It might be a sign of loss of alkaline fluids through the intestines or compensated respiratory alkalosis 10. Chloride Chloride forms when the element chlorine gains an electron. This is an important electrolyte that helps to maintain cell homeostasis or balance. Normal chloride blood test range 100–108 mmol/liter for men and women When chloride blood test is high High chloride may be caused by metabolic acidosis, especially when it's accompanied by loss of fluids caused by diarrhea Additionally, severe dehydration or a kidney issue like renal tubular acidosis or acute renal failure can be the cause. Hyperparathyroidism can also cause chloride levels to increase When chloride blood test is low Too much vomiting or prolonged diarrhea episodes could be the cause. Gastric issues like gastric suction or gastric secretion can also be the cause of low levels. Excessive sweating or respiratory acidosis can also make the chloride levels drop significantly 11. Cholesterol Cholesterol is one of the most common substances tested by physicians all over the world. This substance lines up the interior of your blood vessels and arteries. It's necessary for making new cells and hormones, but too much of it can be a problem. The liver produces cholesterol, but you can also get it from food. Liver function studies are an important part of a chemistry panel, as they can indicate how well your liver is working and if there are any potential problems with body function. Additionally, within the blood are numerous molecules formed as byproducts of normal biochemical functions that can be measured through a blood test, serving numerous roles in maintaining your overall health. Normal cholesterol ranges The ideal level is less than 200 mg/dl The upper limit is 200–239 mg/dl High is anything above 239 mg/dl When cholesterol blood test is high, It might be a symptom of pancreatic dysfunction, but it can also be due to gout, hypothyroidism, chronic renal failure, or extrahepatic cholestasis. can result from acute intermittent porphyria as well as alcoholism or anorexia nervosa. Might facilitate the development of atherosclerosis, that can lead to various cardiovascular diseases When cholesterol blood test is low This might signify lipoprotein deficiency or the necrosis of liver cells Malnutrition and inadequate nutrient absorption are additional causes of it. It might be associated with mental retardation, rheumatoid arthritis or obstructive lung disease 12. Creatinine The muscles produce creatinine, which is a byproduct of creatine, particularly following a strenuous workout. The kidneys eliminate it from the body through urine. This test is part of the CMP panel. Normal creatinine range 6-1.5 mg/dl for men and women When creatinine blood test is high Too much creatinine in the body might be a sign of renal failure or kidney dysfunction Hyperthyroidism can also be a cause of too much creatinine building up in the body, as well as acromegaly Eating too many meals containing meat can increase the level of creatine in the body Certain supplements, like creatine, can increase creatinine blood levels When creatinine blood test is low This might be a symptom of excessive muscle loss, most likely due to muscular dystrophy. It can also be a sign of liver problems or a lack of protein in your diet 13. Dehydroepiandrosterone (DHEA) Sulfate (Adult) DHEA sulfate is a steroid produced by the adrenal cortex in both males and females. It influences the activity of sex hormones such as testosterone and estrogen. Normal DHEA ranges 10-619 µg/dl for men 12–535 µg/dl for premenopausal women 30-260 µg/dl for postmenopausal women When DHEA blood test is high It might cause anxiety and depression in women during menopause When DHEA blood test is low It might be a sign of psoriasis or hyperlipidemia in men and women 14. Estradiol (Ultra-Sensitive) Estradiol is one of the most common female sex hormones. It's responsible for regulating the menstrual cycle in women and plays an important role in the libido of a man as well. It is responsible for maintaining healthy bone density in men and women. This hormone also starts the development of secondary female sexual characteristics such as breasts, hip enlargement, etc. More information about: the role of estradiol in men Normal estradiol ranges Less than 50 pg/mL in men (however, men with high testosterone may have higher estradiol since 0.4% of T aromatizes to estradiol.) Less than 59 pg/mL in postmenopausal women 50–145 pg/mL in women during the Menstruating Follicular Phase 112-443 pg/mL during the midcycle peak 50–241 pg/mL during the luteal phase When estradiol blood test is high Gynecomastia might appear in men with too much estradiol and low testosterone. This means the development of breast tissue in males For young girls, it might be a sign of early puberty Different types of tumors in the testicles or ovaries could be the cause. Hyperthyroidism for both men and women High testosterone doses may increase estradiol in men. When estradiol blood test is low It might signify the onset of menopause in women It might signify hypopituitarism or hypogonadism in men Usually associated with the Turner syndrome, which happens when the woman has just one X chromosome instead of two Can be caused by polycystic ovarian syndrome, a condition that might lead to infertility in women The overuse of aromatase inhibitors like anastrozole can result in low estradiol. 15. Follicle-Stimulating Hormone (FSH) The anterior pituitary gland is responsible for producing FSH. It's responsible for pubertal maturation, and it works together with the luteinizing hormone to ensure the optimal functioning of the reproductive system. Normal FSH ranges 0–12.0 U/liter for men 0–20.0 U/liter for women during the menstruating follicular phase 0–26.0 U/liter for women during the ovulatory phase 0–12.0 U/liter during the luteal phase 0-153.0 U/liter for postmenopausal women When FSH blood test is high In women, FSH might be a sign of menopause or having the polycystic ovarian syndrome It might also signify a chromosomal abnormality such as Klinefelter's syndrome in men or Turner syndrome in women High levels of FSH in men could also be a sign of damaged testicles from alcohol abuse. In children, excessive FSH might be a sign of starting puberty When FSH blood test is low It might be a sign that a tumor or trauma has harmed the pituitary gland and other crucial hormone control centers in the brain. The woman might not produce eggs and the man might not be able to produce sperm The patient lives a very stressful life, as stress can drastically alter FSH levels Men or women on hormone replacement therapy may have low FSH due to the shutdown of the hypothalamic-pituitary-gonadal (HPGA) axis. 16. Globulin Globulins are a category of proteins produced by the human body. The immune system makes some of them, while the liver produces others to combat various bacteria and viruses. Normal globulin range 6–4.1 g/dl for men and women When globulin blood test is high It might be a sign of cirrhosis, chronic liver disease, or hepatitis When globulin blood test is low This might indicate lymphoproliferative disorder or the onset of various autoimmune diseases 17. Glucose, fasting Glucose is basically the amount of sugar you have in your blood. The entire human body uses glucose as a fuel source, but too much of it can be a problem (diabetes). This test is part of the CMP panel. Normal fasting glucose range 70–110 mg/dl for men and women When glucose blood test is high This might be a sign of diabetes, increased insulin resistance, increased epinephrine, pancreatic disorders or endocrine problems Very high values are commonly associated with acute myocardial infarction, kidney disease or chronic liver disease When glucose blood test is low Although uncommon, a tumor that stimulates the pancreas to produce excessive amounts of insulin may be the cause of low glucose levels. It might also be a sign of serious liver disease or renal disorder 18. Gamma Glutamyl Transferase (GGT) GGT can be found in many tissues in the body, particularly in the liver. This is an enzyme that helps doctors diagnose liver diseases with better accuracy. Normal GGT ranges 1-94 U/liter for males 1-70 U/liter for females When GGT blood test is high High levels are associated with liver diseases such as alcohol-induced liver disorders, inflammation or even cirrhosis Very high levels of GGT might signify post-hepatic obstruction or obstructive liver disease When GGT blood test is low This can be a sign of hypothyroidism or hepatoma It might also indicate prostate or pancreatic cancer 19. Growth Hormone, GH (resting) The growth hormone stimulates cell production and regeneration in the human body. It is produced in a pulsatile fashion and most of it is secreted during periods of deep sleep. Normal growth hormone range 2–5 ng/mL for men and women When GH blood test is high Too much growth hormone can cause gigantism in children or acromegaly in middle-aged adults. Both these conditions are characterized by excessive growth of the bones in the hands and feet. Growth hormone therapy or a pituitary tumor that produces GH can be the cause of it. When GH blood test is low Growth hormone deficiency might be present at birth and caused by a poorly developed pituitary gland Later on in life, too little growth hormone might signify a tumor or serious disorder with the pituitary that prevents it from secreting growth hormone normally 20. Hemoglobin A1C Hemoglobin A1c is also known as glycated hemoglobin, and it measures your average blood sugar levels from the last 2 to 3 months. Although it's not an efficient indicator of diabetes, hemoglobin a1c can be used to monitor its evolution over time. Normal A1C range A normal A1C level is below 5.7%, a level of 5.7% to 6.4% indicates prediabetes, and a level of 6.5% or more indicates diabetes. Within the 5.7% to 6.4% prediabetes range, the higher your A1C, the greater your risk of developing type 2 diabetes. When A1c blood test is high Increased levels of this substance are associated with hyperglycemia in adults Having low levels of hemoglobin a1c is usually not a cause of concern. This can happen if the patient consumes little to no sugar over an extended period of time or fasts for more than 12 to 24 hours. 21. High-Density Lipoprotein Cholesterol, HDL HDL cholesterol is also known as "good cholesterol". It is usually calculated and interpreted in combination with either total cholesterol values or LDL cholesterol. Studies indicate that for every 5% decrease in HDL, the risk of coronary artery disease increases by 25%. The HDL test is part of the lipid panel. Normal HDL ranges Over 40 mg/dl for men Over 50 mg/dl for women When HDL blood test is high Although too much HDL is a rare occurrence and shouldn't be a problem, it can increase the risk of serious heart disease in people who already had a heart attack When HDL blood test is low Especially if the triglycerides and LDL cholesterol levels are high, low HDL cholesterol can significantly increase the risk of heart disease such as arrhythmia, myocardial infarction, etc. The use of higher-dose testosterone or anabolic steroids can decrease HDL. Obesity and a sedentary lifestyle are known to contribute to low HDL. Read about how to increase HDL. 22. Insulin The pancreas produces insulin, which aids in controlling blood sugar levels. This substance acts as a "key" that opens up the cells in your body, allowing them to absorb glucose and use it for energy production. Normal fasting insulin  range 2-20 U/ml for men and women When insulin blood test is high, A pancreatic tumor that increases secretion can be the cause of too much insulin. It might also be a sign of insulin resistance syndromes or endogenous hyperinsulinemia When insulin blood test is low, This can be a sign that diabetes type 1 was treated improperly 23. Lactate Dehydrogenase (LDH) LDH is an enzyme found in all living cells and organisms. It can be used as a marker for tissue breakdown. Normal LDH range 110–210 U/liter in men and women When LDH blood test is high It might be a sign of myocardial or pulmonary infarction as well as cellular injury High LDH levels are also associated with nonviral hepatitis, lymphoma, sickle cell disease or hemolytic anemias Very high levels usually signify a host of conditions, such as megaloblastic anemia, hyperthermia, hypoxia, extreme shock or renal diseases Low levels of LDH are rare and usually not a cause of concern. 24. Lipoprotein (a) Low-Density Lipoprotein Cholesterol Lipoprotein (a) has been called a powerful predictor of premature atherosclerotic vascular disease. Extra Lp(a) levels are linked to a higher risk of cardiac death in people with acute coronary syndromes and who have restenosis after angioplasty (PTCA) and coronary bypass procedures. This is because they are an independent risk factor for early coronary artery disease. In general, concentrations greater than or equal to 75 nmol/L of Lp(a) in serum are associated with a two- to sixfold increase in risk, depending on the presence of other risk factors. Lp(a) test is an independent risk factor for coronary artery disease and cerebral infarction (in white populations) equal to high LDL cholesterol. Serum concentrations are genetically determined. Fifteen percent to 20% of the white population have Lp(a) levels ≥75 nmol/L and are presumed to be at risk. Race-dependent differences in Lp (a) concentrations are known. The significance of high Lp (a) in nonwhite populations must be evaluated with caution. The Lp(a) levels in different ethnic populations can vary widely. Africans, or people of African descent, generally have Lp(a) levels higher than Caucasians and Asians, while Native Americans generally have levels lower than Caucasians. This variability of Lp(a) levels by ethnic population requires careful interpretation of results based on knowledge of the patient and other cardiac risk factors that may be present. Normal Lipoprotein a ranges Risk: nmol/L Optimal | <75 Moderate: 75-125 High: >125 When lipoprotein a is high It might be a sign of premature coronary heart disease as well as hyperlipoproteinemia  It might lead to hypothyroidism, anorexia nervosa, hepatic obstruction or Cushing’s syndrome When lipoprotein a blood test is low Very low levels of LDL cholesterol occur rarely, but they might signify cancer or hemorrhagic stroke. Very high statin doses can also be the cause of it. 25. Iron Iron is an important element in the human body. It helps with the production of red blood cells and prevents the onset of anemia, a condition characterized by permanent fatigue and lack of energy. Iron also helps transport oxygen to the various cells and tissues in the body. Normal iron range 45–180 ug/dL for men and women When iron blood test is high This might indicate conditions such as hemolytic anemias, poisoning with lead, acute leukemia, hepatitis or a deficiency of vitamin B6 Too much iron can also be associated with hemochromatosis and nephritis Taking higher doses of iron supplements can also cause high iron When iron blood test is low This can signify severe anemia, acute or chronic infection in the body, carcinoma or hypothyroidism Low amounts of iron in the blood are also associated with nephrosis, shortness of breath, paleness, and heart palpitations Other causes of low iron are frequent blood donations or internal bleeding. 26. Luteinizing hormone (LH) The luteinizing hormone (LH) plays a vital role in the reproductive organs for both men and women. It affects the menstruation cycle of a woman and for men, the luteinizing hormone binds to the Leydig cells in the testes to produce testosterone. Normal LH ranges 0-12.0 in men 0–15.0 for the follicular phase of a menstruating female 22–105 for the ovulatory phase 6-19 for the luteal phase 16-64 for postmenopausal women When LH blood test is high In men, too much LH in the bloodstream might be a sign of testicular dysfunction or an LH-producing adenoma. In women, this can indicate ovarian failure or ovarian dysfunction. When LH blood test is low Very low levels of LH might indicate dysfunction of the pituitary gland in both men and women Hormone replacement therapy is another factor that can contribute to low LH in both men and women. 27. Magnesium Magnesium is an important element in the human body. It helps to process glucose in the bloodstream, it supports the immune system, it keeps neurological system function well, it keeps bones strong, and it also ensures a steady heartbeat. Normal magnesium range 4–2.0 meq/liter for men and women When magnesium blood test is high This can be a sign of uncontrolled diabetes mellitus as well as renal insufficiency or dehydration Too much magnesium can also be associated with Addison's disease, hypothyroidism or autoimmune diseases such as lupus When magnesium blood test is low A magnesium deficiency can be characterized by muscle cramps, excessive fatigue, and osteoporosis, among other conditions. Conditions and medications that increase the risk of magnesium deficiency include gastrointestinal (GI) diseases, advanced age, type 2 diabetes, use of loop diuretics (such as Lasix), treatment with certain chemotherapies, and alcohol dependence. 28. Mean Corpuscular Hemoglobin (MCH) Mean Corpuscular Hemoglobin (MCH) and MCH Concentration (MCHC): the amount or concentration, respectively, of hemoglobin in an average red blood cell. Mean corpuscular hemoglobin (MCH) is a calculation of the amount of oxygen-carrying hemoglobin inside your red blood cells (RBCs). A high MCHC indicates an increased level of hemoglobin in your RBCs, which can be further evaluated through a red blood cell count. These results are typically included in a complete blood count panel, which is crucial for monitoring overall health and detecting potential medical conditions. Normal MCH range 27.5 and 33.2 picograms (pg) per cell When MCH blood test is high A high MCH indicates an increased level of hemoglobin, the oxygen-carrying protein, in your RBCs. Increases can be associated with anemia. Often, increased MCH occurs in conjunction with a high mean corpuscular volume—or large red blood cells-which suggest macrocytic anemia. High MCH can also be linked to low blood levels of B-12 or folate, indicating a potential health condition. When MCH blood test is low A low MCH indicates that you have a decreased level of oxygen-carrying protein in your red blood cells, also known as anemia. This can result from either lower than normal levels of red blood cells or a decrease in the quantity or quality of hemoglobin, the protein that allows these cells to transport oxygen. Decreases can be associated with certain types of anemia, including chronic fatigue syndrome. Often, decreases occur in conjunction with low mean corpuscular volume—or small RBCs—which suggest microcytic anemia. Hypochromic anemia, resulting from hemoglobin deficiency, can be a possibility as well. Understanding your MCH levels is crucial to interpreting your blood test results and identifying any potential issues with your normal levels of red blood cells. Different ways of studying blood and interpreting results can also affect the reference range, making it important to consult with a healthcare professional for accurate analysis. 29. Mean Corpuscular Volume (MCV) Mean Corpuscular Volume (MCV) is the average size, or volume, of individual red blood cells. Normal MCV range 80–100 femtoliters When MCV blood test is high A high MCV indicates large, or macrocytic, RBCs. A high MCV is associated with specific varieties of anemia and can indicate a deficiency in vitamin B12 or folic acid. It can also be elevated in patients with sleep apnea. When MCV blood test is low A low MCV indicates small, or microcytic, red blood cells. A low MCV is associated with anemia and can indicate an iron deficiency, chronic illness, hereditary disease, or thalassemia. 28. Phosphorus, inorganic (adult) Phosphorus is the second-most common mineral in the body. It makes up for about 1% of a person's weight and its main role is to help in the formation of bones and teeth. The highest levels of phosphorus in the bloodstream usually occur in the morning and they gradually drop to lower levels in the evening. Normal phosphorus range 6-4.5 mg/dl for men and women When phosphorus blood test is high This can be a sign of intoxication with vitamin D, bone tumors or even leukemia Too much phosphorus might also be a sign that some bones are healing inside the body, as well as hypoparathyroidism or renal failure In some cases, it can be associated with respiratory acidosis or pulmonary embolism When phosphorus blood test is low You might experience severe fatigue, muscle weakness, and lack of energy It might contribute to the development of joint pain or bone disorders 29. Potassium Potassium is one of the most important electrolytes in the body. Electrolytes help to transport electrical impulses to and from organs and tissues. Potassium is not produced in the body, so it must be taken from various foods such as bananas, nuts, beans, whole grains, and lean meats. Normal potassium range 4–4.8 mmol/liter for men and women When potassium blood test is high This is also known as hyperkalemia and it's usually associated with a poor excretion of potassium through the kidneys It can also be a sign of anorexia nervosa, dehydration, tissue damage or hemolysis The most common cause of high potassium is kidney disease. Some blood pressure medications can increase serum potassium Uncontrolled diabetes Injuries that cause severe bleeding Some rare diseases can cause high potassium levels. When potassium blood test is low This might be a sign of an adrenal disorder such as Cushing syndrome Low potassium (hypokalemia) has many causes. The most common cause is excessive potassium loss in urine due to prescription medications that increase urination. Also known as water pills or diuretics, these types of medications are often prescribed for people who have high blood pressure or heart disease. 30. Progesterone Progesterone is produced in the ovary and it plays a vital role in maintaining a pregnancy. It also plays an important role in brain function in men and women and it can be used as a medication to treat different hormonal disorders. It's important to note that the levels of progesterone in a woman's body vary throughout the month, depending on her ovulation phase. The progesterone levels skyrocket if the woman is pregnant. Normal progesterone ranges Less than 1 ng/mL for men More than 1 ng/mL for a female during the follicular phase 3-20 ng/mL during the mid-luteal phase When progesterone blood test is high If the woman is not pregnant, this can be a sign of an ovarian problem, such as an ovarian cyst or ovarian cancer. If the woman is pregnant, high levels are normal Hormone replacement therapy (HRT) can also be the cause of high progesterone. When progesterone blood test is low Low progesterone levels in women are usually associated with infertility problems and might lead to poor ovarian function testosterone or the use of anabolic steroids may be the cause of low progesterone levels in men. It can be linked to sleep issues and anxiety. 31. Prolactin The pituitary gland is responsible for producing the hormone prolactin. It influences the lactation process, but it also plays an important role in the functioning of the immune system. In some cases, it can also influence the behavior of the individual. Normal prolactin ranges 0–15 ng/mL for men 0–20 ng/mL for premenopausal women 0–15 ng/mL for postmenopausal women When prolactin blood test is high, In men, too much prolactin might lead to impotence, galactorrhea, low libido, and even infertility. Pituitary adenomas (tumors) can be the cause of it. High prolactin levels can decrease testosterone production and cause erectile dysfunction. It can also cause nipple discharge in some men. Caution: Blocking prolactin may cause heart issues. In women, too much prolactin might interfere with the ovulation process and reduce the secretion of estrogen and progesterone When prolactin blood test is low Although very rare, this might reduce the production of milk in women who just gave birth. It might also be a sign of a poorly functioning pituitary gland Higher doses of cabergoline or other prolactin antagonists can cause low prolactin levels in men. 32. Prostate-specific antigen (PSA) Both healthy and unhealthy prostate tissue produce the prostate-specific antigen, a type of protein. It acts as a marker for detecting prostate cancer as well as monitoring the recurrence of prostate-related diseases like prostatitis. It is suggested that you follow these recommendations to prepare for a PSA test. Normal PSA range 0-2.0 ng/ml for men under 40 years of age 0-4.0 ng/ml for 40-year-old men or older When PSA blood test is high It might be a sign of prostatitis or benign prostatic hyperplasia, so high PSA may not be prostate cancer. Strong exercise or surgery may also be the cause of a high PSA level. In some cases, high PSA levels are associated with prostate cancer When PSA blood test is low It might indicate prostate tumors, but usually more tests are required to confirm the diagnosis 33. Protein, total Protein is one of the most important nutrients in the human body, as it directly impacts cell regeneration and repair. Different types of proteins can be used as fuel and they help with the development of muscle tissue and new human cells. Normal protein range 0-8.0 g/dl for men and women When protein blood test is high Too much protein in the bloodstream might be associated with anabolic steroid use High serum protein can also be a sign of insulin progesterone, epinephrine or corticosteroids preparations When protein blood test is low This can signify malnutrition, malabsorption syndrome or a chronic liver disease 34. Sodium Sodium is another important electrolyte in the body. It helps to keep the cell fluid balance at normal levels and it performs other important body functions. Normal sodium range 135–145 mmol/liter for men and women When sodium blood test is high This can be a sign of Cushing's syndrome Too much sodium might also be a sign of increased renal sodium retention in hyperaldosteronism When sodium blood test is low Also known as hyponatremia, too little sodium in the blood might signify diuretic abuse, salt-losing nephropathy or excessive sweating Low sodium might also be caused by excessive vomiting or diarrhea 35. Somatomedin C (insulin-like growth factor I , IGF-1) IGF-1 plays a vital role during childhood and it can have anabolic effects in adults. This hormone acts like insulin as it helps control the blood sugar level. It's produced by the liver and it can be influenced by growth hormone. It increases with hunger as Ghrelin is produced by the stomach. Normal IGF-1 ranges 182–780 ng/mL for people between 16 and 24 years 114–492 ng/mL for people between 25 and 39 years 90-360 ng/mL for people between 40 and 54 years 71-290 ng/mL for people older than 54 years When it's too high This might be a sign of acromegaly, especially if the growth hormone levels are also high. A pituitary tumor might be the cause of this. High growth hormone therapy doses may be the cause of high IGF-1. Hypothyroidism, liver disease, or uncontrolled diabetes are possible causes of low IGF-1. It can slow down height in children. 36. Testosterone, total Testosterone is the most important male sex hormone. It starts the development of primary and secondary sex characteristics in pubertal boys and it helps to produce sperm in adult men. It is linked to libido, lean body mass, and motivation in men and women. You can find a cheap testosterone test on discountedlabs.com Normal testosterone ranges (depending on laboratory) 270–1070 ng/dl for men 6-86 ng/dl for women When testosterone blood test is high, This can be a sign of high testosterone doses. High testosterone doses or polycystic ovary syndrome (PCOS) in women can be the cause of it. When testosterone blood test is low, It can lead to hypogonadism and low sex drive in men It may result from illness, head trauma, the use of opiates or anabolic steroids, exposure to environmental toxins, high prolactin from pituitary adenomas, testicular dysfunction, malnutrition, specific medications, or low LH produced by the pituitary gland. Low testosterone in women can result from a variety of causes, including illness, ovarian or adrenal dysfunction, the use of opiates or anabolic steroids, excessive exercise, and other factors. 37. Testosterone, Free Free or unbound testosterone makes up for about 1% to 2% of the total testosterone people have in their bodies. This type of testosterone is not bound to proteins such as albumin or sex hormone-binding globulin. It is responsible for most of the functions attributed to testosterone (libido, mood, etc.) Normal free testosterone ranges 0–40.0 pg/mL for males between 20 and 40 years 0–35.0 pg/mL for males between 41 and 60 years 0–28.0 pg/mL for males between 61 and 80 years 6–3.1 pg/mL for females between 20 and 40 years 4–2.5 pg/mL for females between 41 and 60 years 2–2.0 pg/mL for females between 61 and 80 years When free testosterone blood test is low, It's usually associated with hypogonadal symptoms in men and women. Low free testosterone is usually caused by low total testosterone or by high sex hormone binding globulin (SHBG). When free testosterone blood test is high High free testosterone is usually caused by high total testosterone (high TRT doses), anabolic steroid use, or low SHBG. 38. Thyroid-stimulating hormone (TSH) The pituitary gland is responsible for producing TSH. It directly stimulates the thyroid and makes it secrete different types of thyroid hormones that are involved in energy production and other metabolic processes. Normal TSH range 5–5.0 U/ml for men and women (some physicians treat based on a range of 0.5–2.5) When TSH blood test is high High TSH levels can mean your thyroid is not making enough thyroid hormones, a condition called hypothyroidism, especially when it's associated with fatigue, depression, and constipation Iodine supplementation can also result in high TSH. When TSH blood test is low It might be a sign of an overly active thyroid or hyperthyroidism. Muscle weakness, nervousness, and irregular heartbeats can accompany it. Thyroid hormone replacement can result in low TSH. 39. Thyroxine (T4) and Triiodothyronine (T3) Hormonal production of the thyroid gland is composed of thyroxine or T4 (80%), and triiodothyronine, or T3 (20%). In the circulation, whole T4 originates from thyroid secretion but most of T3 (80%) is produced outside the thyroid from T4 deiodination. Different factors may affect the conversion of T4 to T3, and circulating T3 is a less reliable indicator of thyroid hormone production than T4. In the blood, most of T4 and T3 are bound to binding proteins and only 0.02% of T4 and 0.3% of T3 are free. Because of their higher diagnostic performance, free T4 (FT4) and free T3 (FT3) measurements have superseded total (free + bound) hormone determination. Free T3 measures the free T3 hormone levels. This test can be really useful for finding out what amount of active thyroid hormones are available for the thyroid receptor sites. Free T3 blood test are high in hyperthyroid conditions and low in hypothyroid conditions. May also be high in thyroid toxicosis. The thyroid function panel also measures the levels of these hormones to assess thyroid-related health, including the levels of these hormones. Free T4 is used to measure the amount of free or active T4 in the blood. High with hyperthyroidism, low with hypothyroidism. The drug Heparin can also cause elevated free T4 levels, as can some acute illness. It’s also high in an overdose of thyroid hormone. Normal total T4 range 5–10.9 g/dl for men and women When T4 blood test is high Too much thyroxine is commonly associated with hyperthyroidism When T4 blood test is low This can be a sign of a poorly functioning thyroid gland or hypothyroidism 40. Thyroid Antibodies When these antibodies are present, it means that your immune system is attacking your own tissue. When your body produces thyroid autoantibodies, it could create a hypo- or hyper-thyroid state. They may also be elevated if there is thyroid cancer. Some antibodies can attach to TSH receptors, but they don’t cause a response in the thyroid. These people will complain of low thyroid symptoms, but the TSH might not change at all. In other cases, the antibodies bind to receptor sites and cause the thyroid to be overactive. Here you will see high T4, low TSH and high antibodies. There are 3 autoantibodies that are tested. The first 2 are the most common: Thyroid Peroxidase Antibody (TPO Ab): This antibody is the one that is usually high in autoimmune thyroid conditions like Hashimoto’s. It is also known as microsomal antibody. Thyroglobulin antibodies (TgAb): These aren’t seen as often as TPO Ab. They are usually ordered when thyroid lab results seem strange because these antibodies can interfere with thyroid hormone production. TgAb is also used to monitor progress after surgery for removing the thyroid in thyroid cancer. You can buy thyroid tests on discountedlabs.com Sources: Troponin Test Basic Metabolic Panel (BMP) Lab Tests Thyroid Tests Journal Article on HIV-Associated Cancers and Related Diseases Lactate Dehydrogenase (LDH) Test Perspectives on Diagnostic Strategies for Excessive Daytime Sleepiness Research Article on Severe Diarrhea and Malnutrition How to Read Your Laboratory Report Fatigue - Merck Manuals Professional Edition Complete Blood Count (CBC) Diagnosing Anemia    

Testosterone Replacement Monitoring Targets and Their Management (Consult Your Physician Before Any Treatment Initiation, Cessation or Changes). These are not absolute values and should be taken into context with symptoms. We will discuss various blood test targets for those undergoing testosterone replacement therapy (TRT). It covers key health indicators such as total and free testosterone levels, hematocrit, PSA, estradiol, blood pressure, kidney and liver function, thyroid levels, iron and ferritin levels, and cholesterol. Each parameter includes a target range and suggestions for management if the results are outside the normal range. This comprehensive approach ensures that individuals on TRT can monitor their health effectively and make informed decisions with their healthcare provider.     Total Testosterone Test above 500 ng/dL If low or hypogonadal symptoms are not improved, increase the testosterone dosage. High T levels (over 1500 ng/dL) with high hematocrit, low HDL, and/or side effects may require dosage reduction.  Free Testosterone ≥ 2 % of total T If low, test for sex hormone-binding globulin. Higher TRT dose may increase free T by decreasing SHBG. Low SHBG may be present in diabetes. Hematocrit ≤ 53 % If high, donate blood or ask your doctor for therapeutic phlebotomy order. If low, investigate anemia or stop donating blood more than every 3 months. How to Lower High Hematocrit PSA ≤ 4 ng/mL If high, talk to your doctor about potential prostatic infection or a referral to a urologist. TRT is contraindicated if PSA is 4 ng/mL or greater. Estradiol (UltraSensitive Test) = 20- ? pg/mL Most men on TRT do not need to use an aromatase inhibitor (AI). Some physicians prescribe low dose AI for what they consider high estradiol. If low, higher testosterone dose and/or cessation of AI may be required. The lab range was derived from men with heart disease and low testosterone, so there is still debate on what the range should be for men on TRT since  0.3 to 0.4 % of testosterone aromatizes to estradiol, so men with high T due to TRT will have higher estradiol.  No upper range value has been determined for men on TRT. Studies have shown that for gynecomastia to occur, high estradiol in the presence of low T and high IGF-1 may be required. Read Estradiol In Men – Why Is It Important For Optimal Health And Fitness Performance and The Top 18 Things You Did not Know About Estradiol in Men Blood pressure ≤ 135/85 mmHg If high, weight loss, exercise, T dose reduction, and/or blood pressure medications may be needed. If too low, blood pressure medication dose needs to be reduced, electrolytes checked or hypoglycemia excluded. Estimated Glomerular Filtration Rate (eGFR) (kidney function) ≥ 60 mL/min/1.73 m2 If low, good hydration, use of blood pressure medications, and/or stopping offending oral supplements may improve eGFR. Exercise, high protein intake, creatine supplements, and higher muscle mass can also increase creatinine and decrease eGFR. If under 60, explore getting a Cystatin C test. Liver enzymes ≤ 1.2 x top value of reference range If high, stopping oral supplements can help. AST and ALT can increase with exercise but this is not clinically relevant. If high AST and ALT, test GGT and bilirubin to ensure no liver toxicity is present. TSH ≤ 2.5 U/mL If high, test for other thyroid tests included in a thyroid panel like free T3, free T4, and antibodies to detect hypothyroidism. Why Only Using TSH to Diagnose Hypothyroidism is Wrong Free T3 ≥ 3.7 pg/mL If low, hypothyroidism may be present. See comment on TSH. If high (>5 pg/mL), explore hyperthyroidism. Ferritin 55-270 ng/mL & Iron 55-160 micrograms/dL If low, reduce the frequency of blood donations or phlebotomies and supplement with iron until it is back to normal. If high, donate blood or get therapeutic phlebotomy. HDL ≥ 40 mg/dL The most difficult parameter to manage. Higher TRT doses decrease HDL. Niacin may help increase HDL but may cause flushing. Prolactin ( ≤ 30 nd/dL) Test if Total Testosterone is below 150 ng/dL before TRT to detect potential pituitary adenoma or other issues. High levels (> 30 ng/dL) may cause sexual dysfunction and galactorrhea in men (milk production)     Here are panels that include these tests: Discounted Labs Panels   Buy a testosterone test on DiscountedLabs.com

Table of Contents What Tests Are Included in the CMP? What Are the Consequences of High or Low CMP Lab Test Values? Alanine aminotransferase (ALT, SGPT) Low AST or SGPT Albumin Normal albumin values When albumin is very low: Alkaline phosphatase ALP (Adults) ALP Normal values High ALP Low ALP Aspartate aminotransferase (AST, SGOT) AST or SGOT normal levels High AST or SGOT   Bilirubin, direct Bilirubin normal values High direct albumin Low direct bilirubin   Bilirubin, total Total bilirubin normal values High total bilirubin   Calcium Calcium normal values High calcium Low calcium   Carbon dioxide, total High carbon dioxide Low carbon dioxide   Chloride High Chloride Low Chloride Creatinine Creatinine normal levels High creatinine Low creatinine Glucose normal values High glucose Low glucose Potassium Potassium normal values Low Potassium High Potassium Sodium Sodium normal values High sodium Low sodium What Tests Are Included in the CMP?   The Comprehensive Metabolic Panel (CMP) is a broad screening tool includes 14 tests that evaluate your liver, kidneys, and more to provide a picture of your overall health. The panel looks at your organ function, electrolytes, blood sugar, and blood proteins. Along with the CBC and lipid panels, CMP is the most commonly ordered lab test panel when you go to see your doctor for an annual physical exam. The CMP includes tests for: • Liver function (ALP, ALT, AST, Bilirubin) • Kidney function (BUN, Creatinine) • Electrolytes and fluid balance (Sodium, Potassium, Carbon Dioxide, Chloride) • Proteins (Albumin, Total Protein) • Blood sugar (Glucose) • Calcium   What Are the Consequences of High or Low CMP Lab Test Values?   We will now explain the potential causes for high or low blood levels of these variables so that  you can discuss them with your physician.   Alanine aminotransferase (ALT, SGPT) Included in the CMP panel ALT normal values are: 10-55 U/liter for males 10-55 U/liter for females Alanine aminotransferase is an enzyme made by your liver. ALT is important to test to determine whether your liver is performing at its best. High ALT or SGPT The liver cells might be seriously damaged, to the point of necrosis It might be a sign of extensive trauma to the liver, left heart failure, cirrhosis, or jaundice Might also be a sign of muscular dystrophy, fatty liver, myocardial infarction, and liver tumors Low AST or SGPT Low values of ALT indicate pyridoxal phosphate deficiency that can result in various health complications including epilepsy   Albumin Included in the CMP panel Normal albumin values 3.1-4.3 g/dl for men and women Albumin is a protein synthesized by the liver and can be an indicator of the liver’s synthetic ability. However, because it has a long half-life of 20-30 days, and levels often remain normal even in acute disease, it is not always useful in assessing acute hepatic injury. Albumin is one of the most important proteins in the human body. It helps to carry nutrients to various tissues and it prevents blood vessels from leaking fluids. When albumin is very low: This is a sign of acute or chronic inflammation Decreased albumin levels can occur in chronic diseases such as cirrhosis, cancer and malnutrition. Albumin levels might drop if the liver has problems synthesizing this protein properly, so it might indicate liver damage The transportation of bile acids and metal ions might be affected if the albumin levels get too low   Alkaline phosphatase ALP (Adults) Included in the CMP panel Alkaline phosphatase is also known as ALP and it is found in different tissues in the body. This enzyme is mostly present in the bones and liver. It plays a vital role in bone formation and mineralization. ALP Normal values 45-115 U/liter for males 30-100 U/liter for females High ALP It might be a sign of biliary obstruction or liver diseases such as hepatitis or cirrhosis Sign of bone disorder or even renal problems In some cases, it might indicate thyroid issues Low ALP It might signify nutritional deficiencies such as a lack of vitamin B12, magnesium or zinc Might be caused by severe anemia   Aspartate aminotransferase (AST, SGOT) Included in the CMP panel AST or SGOT normal levels 10-40 U/liter for men 9-25 U/liter for women Aspartate aminotransferase is an enzyme found in most tissues in the human body, particularly in the liver and the heart. It has multiple functions in the human body and abnormal levels usually indicate a liver problem. High AST or SGOT This could be a sign of liver cell necrosis or obstructive jaundice It might also signify hepatitis or a liver problem caused by drugs and medications Since this enzyme is found in the muscles, it might be a sign of skeletal muscle, inflammatory disease or even heart failure. Excessive exercise can raise it. Normally, the levels of aspartate aminotransferase should be low. Problems appear when these levels get very high due to organ failure or inflammation.   Bilirubin, direct Included in the CMP panel Bilirubin normal values 0-0.4 mg/dl for men and women Bilirubin is a yellow substance involved in the process of cleaning organic waste from the body such as dead red blood cells, etc. It is excreted in the bile and urine and it consists of direct and total bilirubin. When doing a blood test, your results might indicate the levels of direct and total bilirubin as both of these are important to diagnose certain diseases. High direct albumin It might signify a biliary tree obstruction, cholestasis, and damage to the hepatic cells The patient might have the Dubin-Johnson syndrome which is characterized by an increase of direct bilirubin in the liver Low direct bilirubin Low levels of direct bilirubin are usually not a cause of concern. These levels might be temporarily lowered by caffeine consumption or barbiturates   Bilirubin, total Total bilirubin normal values 0-1.0 mg/dl for men and women This is the total amount of bilirubin enzymes in your body, including direct and indirect ones. Low levels of total bilirubin are not a problem in most cases. You should see a doctor when these levels are elevated as they can signify different types of damages to your organs. High total bilirubin It might be a sign of neonatal physiological jaundice High levels might be caused by damage to the hepatic cells caused by toxins or inflammation It might be a sign of biliary tree obstruction   Calcium Included in the CMP panel Calcium normal values 5-10.5 mg/dl for men and women Calcium is one of the most important minerals in the body. Calcium is directly involved in the mineralization and growth of bones and it ensures that teeth remain in good condition. High calcium This might be a sign of hyperparathyroidism, bone disorders, malignant disease such as metastatic carcinoma of breast and kidney, etc. Your blood might contain too much vitamin D which leads to intoxication Acromegaly or dehydration Low calcium It might be a sign of hypoparathyroidism or chronic kidney failure Might be caused by a deficiency of vitamin D or magnesium The patient might have acute pancreatitis, anemia or problems with the pituitary gland   Carbon dioxide, total Included in the CMP panel Carbon dioxide normal values 24-30 mmol/liter for men and women Carbon dioxide is a byproduct of the food metabolization process. This gas is released into the bloodstream when cells are broken down in simpler substances. The blood full of carbon dioxide returns to the lungs where this gas is eliminated through respiration. High carbon dioxide It might be a sign of respiratory acidosis resulted from a poor gas exchange in the body Can also be caused by metabolic acidosis, especially if it is accompanied by multiple episodes of vomiting Low carbon dioxide It might signify tubular acidosis of the kidneys Might be a sign of loss of alkaline fluids through the intestines or compensated respiratory alkalosis   Chloride Included in the CMP panel Chloride normal values 100-108 mmol/liter for men and women Chloride forms when the element chlorine gains an electron. This is an important electrolyte that helps to maintain cell homeostasis or balance. High Chloride It might be caused by metabolic acidosis, especially when it is accompanied by loss of fluids caused by diarrhea It can also be caused by severe dehydration or a problem with the kidneys such as renal tubular acidosis or acute renal failure Hyperparathyroidism can also cause chloride levels to increase Low Chloride It might be caused by too much vomiting or prolonged episodes of diarrhea Low levels can also be caused by gastric problems such as gastric suction or gastric secretion Excessive sweating or respiratory acidosis can also make the chloride levels drop significantly Adrenal insufficiency may lower chloride blood levels Low blood chloride levels can be caused by drugs such as: These medication types can result in low chloride: Laxatives Diuretics Corticosteroids (long-term treatments) Bicarbonates   Creatinine Included in the CMP panel Creatinine normal levels 6-1.5 mg/dl for men and women Serum creatinine (a blood measurement) is an important indicator of kidney health because it is an easily measured byproduct of muscle metabolism that is excreted unchanged by the kidneys. It is eliminated from the body by kidneys through urine. The creatinine test is used to measure creatinine clearance as a way to assess kidney function. Creatinine is one of the variables used to estimate eGFR - Estimated glomerular filtration rate- which is one of the best test to measure your level of kidney function and determine your stage of kidney disease. Your doctor can calculate it from the results of your blood creatinine test, your age, body size and gender. Your GFR tells your doctor your stage of kidney disease and helps the doctor to plan your treatment. If your GFR number is low, your kidneys are not working as well as they should. The earlier kidney disease is detected, the better the chance of slowing or stopping its progression. People with high creatinine (low eGFR) should get a Cystatin C test which may be more accurate in certain cases. Elevated creatinine is not always representative of a true reduction in eGFR. A high reading may be due to increased production of creatinine not due to decreased kidney function, to interference with the assay, or to decreased tubular secretion of creatinine. An increase in serum creatinine can be due to increased ingestion of cooked meat (which contains creatinine converted from creatine by the heat from cooking) or excessive intake of protein and creatine supplements, taken to enhance athletic performance. Intense exercise can increase creatinine by increasing muscle breakdown. Dehydration secondary to an inflammatory process with fever may cause a false increase in creatinine concentrations not related to an actual kidney injury. Several medications can interfere with the assay. Creatinine secretion by the tubules can be blocked by some medications, again increasing measured creatinine. High creatinine Too much creatinine in the body might be a sign of renal failure or kidney dysfunction Hyperthyroidism can also be a cause of too much creatinine building up in the body as well as acromegaly Eating too many meals containing meat can increase the level of creatine and creatinine in the body Taking creatine supplements can falsely increase creatinine blood levels. Certain medications can increase creatinine blood levels, so talk to your doctor. Low creatinine This might be a sign of excessive muscle loss, probably caused by muscular dystrophy It can also be a sign of liver problems or a lack of protein in your diet   Glucose, fasting Glucose normal values 70-110 mg/dl for men and women Glucose is basically the amount of sugar you have in your blood. The entire human body uses glucose as a fuel source, but too much of it can be a real problem. High glucose This might be a sign of diabetes, increased insulin resistance, increased epinephrine, pancreatic disorders or endocrine problems Very high values are commonly associated with acute myocardial infarction, kidney disease or chronic liver disease Low glucose Although rare, low glucose values might be caused by a tumor that makes the pancreas produce too much insulin It might also be a sign of serious liver disease or renal disorders   Potassium Potassium normal values 5-5.2 mmol/L Potassium ions are vital for the functioning of all living cells. The transfer of potassium ions across nerve cell membranes is necessary for normal nerve transmission; potassium deficiency and excess can each result in numerous signs and symptoms, including an abnormal heart rhythm and various electrocardiographic abnormalities. Fresh fruits and vegetables are good dietary sources of potassium. The body responds to the influx of dietary potassium, which raises serum potassium levels, with a shift of potassium from outside to inside cells and an increase in potassium excretion by the kidneys. Low Potassium Hypokalemia (low potassium blood level) always occurs as a result of excessive loss of potassium through the urine, sweat or stool. It is always a symptom of another disorder, rather than a disease that occurs by itself. The excessive excretion of potassium in the urine may result from the use of diuretic drugs (which increases urination), a deficiency of magnesium in the blood, excessive mineralocorticoids such as aldosterone in the blood which affect the electrolyte and fluid balance in the body (usually caused by endocrine diseases), kidney disorders, or from the use of high doses of penicillin. Gastrointestinal losses of potassium usually are due to prolonged diarrhea or vomiting, chronic laxative abuse, inadequate dietary intake of potassium, intestinal obstruction or infections such as fistulas in the intestines which continually drain intestinal fluids. Additionally, excessive perspiration due to hot weather or exercise can cause hypokalemia. Some drugs can keep your kidneys from removing enough potassium. This can cause your potassium levels to rise. High Potassium The symptoms of an elevated potassium level are generally few and nonspecific. Nonspecific symptoms may include feeling tired, numbness and weakness. Occasionally palpitations and shortness of breath may occur. Hyperventilation may indicate a compensatory response to metabolic acidosis, which is one of the possible causes of hyperkalemia (high potassium).   Often, however, the problem is detected during screening blood tests for a medical disorder, or after hospitalization for complications such as cardiac arrhythmia or sudden cardiac death. High levels of potassium (> 5.5 mmol/L) have been associated with cardiovascular events. Decreased kidney function is a major cause of hyperkalemia.   Sodium Sodium normal values 135-145 mmol/liter for men and women Sodium is another important electrolyte in the body. It helps to keep the cell fluid balance at normal levels and it performs other important body functions. High sodium This can be a sign of Cushing's syndrome or water loss through the skin Too much sodium might also be a sign of increased renal sodium conservation in hyperaldosteronism Low sodium Also known as hyponatremia, too little sodium in the blood might signify diuretics abuse, salt-losing nephropathy (kidney disease) or excessive sweating Low sodium might also be caused by excessive vomiting or diarrhea A low sodium level has many causes, including consumption of too many fluids, kidney failure, heart failure, cirrhosis, and use of diuretics. Symptoms result from brain dysfunction. At first, people become sluggish and confused, and if hyponatremia worsens, they may have muscle twitches and seizures and become progressively unresponsive. Restricting fluids and stopping use of diuretics can help, but severe hyponatremia is an emergency requiring use of drugs, intravenous fluids, or both.    

Table of Contents Lab Test Ranges and Complications Of High Or Low Blood Levels – A to C 1. Alanine aminotransferase (ALT, SGPT) 2. Albumin 3. Alkaline phosphatase (adults) 4. Androstenedione (adult) 5. Aspartate aminotransferase (AST, SGOT) 6. Bilirubin, direct 7. Bilirubin, total 8. Calcium 9. Carbon dioxide, total 10. Chloride 11. Cholesterol 12. Creatinine Lab Test Ranges and Complications Of High Or Low Blood Levels – A to C   It's important to test different substances and hormones in the human body to discover their exact levels. For example, most people do glucose or calcium tests. The results usually get back to you in a few business days and you can ask your doctor to interpret these results. However, why shouldn't you be educated when it comes to the lab ranges of hormones in your bloodstream? In other words, what complications might arise if you have too little testosterone? What should you expect if you have too much bilirubin in your blood? The following content is part of a series of articles that explain the complications of having abnormal lab ranges for popular substances and hormones. The substances in this article include alanine aminotransferase, albumin, alkaline phosphatase, androstenedione, aspartate aminotransferase, bilirubin direct, bilirubin total, calcium, carbon dioxide, chloride, cholesterol, and creatinine. Keep reading to become more educated about your health and understand your body better! 1. Alanine aminotransferase (ALT, SGPT) The normal values are: 10-55 U/liter for males 10-55 U/liter for females Alanine aminotransferase is an enzyme made by your liver. It's important to test this substance to determine whether your liver is infected or not. When it's too high The liver cells might be seriously damaged, to the point of necrosis It might be a sign of extensive trauma to the liver, left heart failure, cirrhosis or jaundice Might also be a sign of muscular dystrophy, fatty liver, myocardial infarction, and liver tumors When it's too low Low values of ALT indicate pyridoxal phosphate deficiency that can result in various health complications including epilepsy 2. Albumin Normal values 1-4.3 g/dl for men and women Albumin is one of the most important proteins in the human body. It helps to carry nutrients to various tissues and it prevents blood vessels from leaking fluids. When it's too high It might signify severe dehydration. It's not possible to increase albumin levels naturally. The only way albumin concentration might get higher is if plasma water decreases significantly When it's too low This is a sign of acute or chronic inflammation Albumin levels might drop if the liver has problems synthesizing this protein properly, so it might indicate liver damage The transportation of bile acids and metal ions might be affected if the albumin levels get too low 3. Alkaline phosphatase (adults) Normal values 45-115 U/liter for males 30-100 U/liter for females Alkaline phosphatase is also known as ALP and it's found in different tissues in the body. This enzyme is mostly present in the bones and liver. It plays a vital role in bone formation and mineralization. When it's too high It might be a sign of biliary obstruction or liver diseases such as hepatitis or cirrhosis Sign of bone disorder or even renal problems In some cases, it might indicate thyroid issues When it's too low It might signify nutritional deficiencies such as a lack of vitamin B12, magnesium or zinc Might be caused by severe anemia 4. Androstenedione (adult) Normal values 50-250 ng/dl for men and women This is a precursor of major sex hormones such as testosterone and estrogen. Testing for this hormone is necessary in conjunction with other hormonal tests to determine the levels of testosterone or estrogen in the body. Androstenedione is produced by the gonads and adrenal glands. When it's too high Elevated levels might indicate a gonadal tumor, especially when the levels exceed 500 ng/dl When it's too low This might signify a dysfunction of the adrenal glands such as adrenal insufficiency It might signify ovarian or testicular failure if the levels are too low 5. Aspartate aminotransferase (AST, SGOT) Normal levels 10-40 U/liter for men 9-25 U/liter for women Aspartate aminotransferase is an enzyme found in most tissues in the human body, particularly in the liver and the heart. It has multiple functions in the human body and abnormal levels usually indicate a liver problem. When it's too high This could be a sign of liver cell necrosis or obstructive jaundice It might also signify hepatitis or a liver problem caused by drugs and medications Since this enzyme is found in the muscles, it might be a sign of skeletal muscle, inflammatory disease or even heart failure Normally, the levels of aspartate aminotransferase should be low. Problems appear when these levels get very high due to organ failure or inflammation. 6. Bilirubin, direct Normal values 0-0.4 mg/dl for men and women Bilirubin is a yellow substance involved in the process of cleaning organic waste from the body such as dead red blood cells, etc. It is excreted in the bile and urine and it consists of direct and total bilirubin. When doing a blood test, your results might indicate the levels of direct and total bilirubin as both of these are important to diagnose certain diseases. When it's too high It might signify a biliary tree obstruction, cholestasis, and damage to the hepatic cells The patient might have the Dubin-Johnson syndrome which is characterized by an increase of direct bilirubin in the liver When it's too low Low levels of direct bilirubin are usually not a cause of concern. These levels might be temporarily lowered by caffeine consumption or barbiturates 7. Bilirubin, total Normal values 0-1.0 mg/dl for men and women This is the total amount of bilirubin enzymes in your body, including direct and indirect ones. Low levels of total bilirubin are not a problem in most cases. You should see a doctor when these levels are elevated as they can signify different types of damages to your organs. When its too high It might be a sign of neonatal physiological jaundice High levels might be caused by damage to the hepatic cells caused by toxins or inflammation It might be a sign of biliary tree obstruction 8. Calcium Normal values 5-10.5 mg/dl for men and women Calcium is one of the most important minerals in the body. It's directly involved in the mineralization and growth of bones and it ensures that teeth remain in good condition. When it's too high This might be a sign of hyperparathyroidism, bone disorders, malignant disease such as metastatic carcinoma of breast and kidney, etc Your blood might contain too much vitamin D which leads to intoxication Acromegaly or dehydration When it's too low It might be a sign of hypoparathyroidism or chronic kidney failure Might be caused by a deficiency of vitamin D or magnesium The patient might have acute pancreatitis, anemia or problems with the pituitary gland 9. Carbon dioxide, total Normal values 24-30 mmol/liter for men and women Carbon dioxide is a byproduct of the food metabolization process. This gas is released into the bloodstream when cells are broken down in simpler substances. The blood full of carbon dioxide returns to the lungs where this gas is eliminated through respiration. When it's too high It might be a sign of respiratory acidosis resulted from a poor gas exchange in the body Can also be caused by metabolic acidosis, especially if it's accompanied by multiple episodes of vomiting When it's too low It might signify tubular acidosis of the kidneys Might be a sign of loss of alkaline fluids through the intestines or compensated respiratory alkalosis 10. Chloride Normal values 100-108 mmol/liter for men and women Chloride forms when the element chlorine gains an electron. This is an important electrolyte that helps to maintain cell homeostasis or balance. When it's too high It might be caused by metabolic acidosis, especially when it's accompanied by loss of fluids caused by diarrhea It can also be caused by severe dehydration or a problem with the kidneys such as renal tubular acidosis or acute renal failure Hyperparathyroidism can also cause chloride levels to increase When it's too low It might be caused by too much vomiting or prolonged episodes of diarrhea Low levels can also be caused by gastric problems such as gastric suction or gastric secretion Excessive sweating or respiratory acidosis can also make the chloride levels drop significantly 11. Cholesterol Normal values for men and women The ideal level is less than 200 mg/dl The upper limit is 200-239 mg/dl High is anything above 239 mg/dl Cholesterol is one of the most popular substances tested by patients all over the world. This substance lines up the interior of your blood vessels and arteries. It's necessary for making new cells, but too much of it can be a problem. Cholesterol is made by the liver, but it can also be taken from foods. When it's too high It might be a sign of prostate or pancreas dysfunction, but it can also be caused by gout, hypothyroidism, chronic renal failure or extrahepatic cholestasis Can be caused by alcoholism or anorexia nervosa as well as acute intermittent porphyria Might facilitate the development of atherosclerosis that can lead to various cardiovascular diseases When it's too low This might signify lipoprotein deficiency or the necrosis of liver cells Can also be caused by malabsorption of nutrients as well as malnutrition It might be associated with mental retardation, rheumatoid arthritis or obstructive lung disease 12. Creatinine Normal levels 6-1.5 mg/dl for men and women Creatinine is a byproduct of creatine and it's produced by the muscles, especially after a strenuous workout. It's eliminated from the body by kidneys through urine. When it's too high Too much creatinine in the body might be a sign of renal failure or kidney dysfunction Hyperthyroidism can also be a cause of too much creatinine building up in the body as well as acromegaly Eating too many meals containing meat can increase the level of creatine and creatinine in the body When it's too low This might be a sign of excessive muscle loss, probably caused by muscular dystrophy It can also be a sign of liver problems or a lack of protein in your diet