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2 Lab Testing Worksheets / Page 2 Definitions s refer to the laboratory values that are generally associated with absence of disease. Values higher or lower indicate deviation from the standard norm and can indicate disease. s are those that are associated with absence of disease and lower risk for illness. s* are those that reflect low to zero risk for disease and denote optimal wellness and healthy aging. *s that are highlighted denote Optimal SI Units and are ONLY TO BE USED OUTSIDE OF THE UNITED STATES. = Optimal SI Units. Only Use Outside of the U.S. Disclaimer Standard laboratory reference values are based on population statistics for people who are generally healthy and with an absence of quantifiable disease. However, true health is not just the absence of disease but a state of optimal wellness. The information in this course and reference sheet is for educational purposes only. It is meant to as a guide towards health and does not replace the evaluation by and advice of a qualified licensed healthcare professional. For detailed interpretation of your blood tests, consult with your physician.

3 Lab Testing Worksheets / Page 3 Complete Blood Count Panel with Differential WBC x 10 3 /µl /L RBC, male x 10 3 /µl RBC, female x 10 3 /µl Hemoglobin g/dl Hematocrit % MCV fl MCH pg RDW % Platelets x 10 3 /µl /L Neutrophils x 10 3 /µl /L Lymphocytes x 10 3 /µl /L Monocytes x 10 3 /µl Eosinophils x 10 3 /µl /L Basophils x 10 3 /µl Immature Granulocytes x 10 3 /µl

4 Lab Testing Worksheets / Page 4 Comprehensive Chemistry Panel Glucose mg/dl mmol/l BUN 5-26 mg/dl mmol/l Creatinine mg/dl egfr Greater than 59 greater than 60 BUN/Creatine Ratio N/A Sodium mmol/l Potassium mmol/l Chloride mmol/l Carbon Dioxide mmol/l Calcium mg/dl mmol/l Total Protein g/dl g/l Albumin g/dl g/l Globulin g/dl A/G Ratio

5 Lab Testing Worksheets / Page 5 Comprehensive Chemistry Panel (cont...) Bilirubin mg/dl Alkaline Phosphatase IU/L µkat/l AST 0-40 IU/L ALT 0-40 IU/L Healthy Lipid Panel Total Cholesterol (TC) Triglycerides (TG) HDL LDL TC/HDL TG/HDL mg/dl mg/dl mg/dl mg/dl None < 200 < 100 > 60 < 100 < 3.5 < mmol/l < 50 <.57 mmol/l > 65 > 1.68 mmol/l < 70 < 1.81 mmol/l < 2.5 < 2.5 < 2.0 <.87 LDL/HDL < 2.0 < 2.0 < 2.0

6 Lab Testing Worksheets / Page 6 Inflammation Marker Panel Sedimentation Rate Cardiac CRP mg/l < 1.0 < 1.0 Homocysteine µmol µmol/l Healthy Thyroid Panel TSH mu/l mu/l T4, total mcg/dl nmol/l T4, free ng/dl pmol/l T3, total ng/dl nmol/l T3, free pg/ml pmol/l T3, uptake % T3, reverse

7 Lab Testing Worksheets / Page 7 Healthy Male Hormone Panel Estradiol (E2) pg/ml < 40 < pmol/l LH miu/ml Testosterone ng/dl nmol/l Free Testosterone pg/ml pmol/l DHT ng/dl nmol/l DHEA-S mcg/dl µg/l Cortisol 5-29 mcg/dl nmol/l PSA ng/ml µg/l

8 Lab Testing Worksheets / Page 8 Healthy Female Hormone Panel Estradiol (E2) pg/ml (age-matched ) Progesterone ng/ml (age-matched ) women under 50: women over 50: nmol/l LH miu/ml (age-matched ) FSH miu/ml (age-matched ) women under 50: women over 50: IU/L Testosterone 6-82 ng/dl nmol/l DHEA-S mcg/dl (age-matched ) µg/l Cortisol 5-29 mcg/dl nmol/l

9 Lab Testing Worksheets / Page 9 Growth Hormone Markers IGF ng/ml µg/l IGFBP mg/l Healthy Glucose Metabolic Panel Glucose Hemoglobin A1c Insulin mg/dl % µiu/ml mmol/l pmol/l

10 Additional Panel Values / Page 10 Healthy Nutrient Panel Folic Acid (Folate) ng/ml > 3.0 > 6.8 nmol/l Iron, Adult Female µg/dl µmol/l Iron, Adult Male µg/dl µmol/l Vitamin B pg/ml pmol/l Vitamin C mg/dl µmol/l Vitamin D, 25-Hydroxy ng/ml nmol/l

11 Additional Panel Values / Page 11 Healthy Vegan-Vegetarian Profile Plus COMPLETE BLOOD COUNT and CHEMISTRY PANEL Folic Acid (Folate) ng/ml > 3.0 > 6.8 nmol/l Iron, Adult Female µg/dl µmol/l Iron, Adult Male µg/dl µmol/l Vitamin B pg/ml pmol/l Vitamin C mg/dl µmol/l Vitamin D, 25-Hydroxy ng/ml nmol/l Ferritin, Male ng/ml pmol/l Ferritin, Female ng/ml pmol/l Methylmalonic Acid nmol/l Homocysteine µmol µmol/l 1 Deficiencies of cobalamin (vitamin B12) or folate are common conditions that predispose for anemia and chronic diseases. An elevated concentration of methylmalonic acid in plasma/serum is an indicator of cobalamin deficiency, whereas an increased concentration of total homocysteine in plasma occurs with deficiency of both cobalamin and folate. The biomarkers methylmalonic acid and homocysteine are therefore complementary. Ueland PM, Schneede J. Measurement of methylmalonic acid, homocysteine and methionine in cobalamin and folate deficiencies and homocysteinuria. Tidsskr Nor Laegeforen Mar 13;128(6): There is no gold standard for establishing optimal s for Methylmalonic Acid (MMA). However, since levels above the reference establishes vitamin B12 deficiency, it s reasonable to assume that levels between 75 and 300 are more optimal.

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