Clinical Snapshot
Priority Concerns
- Homocysteine 29.52 µmol/L (ref <16.2) — nearly 2× upper limit; major CV & neurological risk
- LDL Cholesterol 178 mg/dL — significantly above optimal target of <100 mg/dL
- Reverse T3 25.6 ng/dL (ideal <15) — blocking active thyroid receptors
Watch Closely
- Vitamin D 25.9 ng/mL (ideal >50) — clinically insufficient
- Testosterone Total 462 ng/dL — mid/low-normal for age 29
- TSH 2.907 — slightly above functional midpoint; monitor with RT3
- BUN 8.68 mg/dL (ref 9–23) — suggests low protein intake
Normal / Stable
- HbA1c 4.94%, Triglycerides 92 mg/dL — excellent metabolic control
- Liver, kidney, iron panels — all within normal limits
- CBC, PSA, Rheumatoid Factor — all normal