Personal Wellness Report

Better Health. Better Future.
Better You.
Test1, here is your Blueprint for Wellness MyHealth Profile™. Knowing
your results will help you build a better future.
Printed on 1/7/2014
Blueprint for Wellness, Quest Diagnostics, the associated logo, and all associated Quest Diagnostics marks are the
registered trademarks of Quest Diagnostics. All third party marks — ® and ™ — are the property of their respective
owners. © 2000­2013 Quest Diagnostics Incorporated. All rights reserved.
Dear Test1,
On the following pages you will find:
Welcome Letter
Your Health
Your Results
Your Wellness
Summary Report
Congratulations, Test1, on completing your Blueprint for Wellness biometric screening!
It’s good to know your health status and specific areas you can improve it. Good health
is important to you, to your family, and to your future, and we applaud you for taking a
positive step toward improving it, and your well being.
That’s why we created this comprehensive, easy­to­read profile. It includes new insight
to your risk of Metabolic Syndrome, your results from a variety of tests we ran on your
screening sample, and a new medical Summary Page for you to share with your doctor.
You have probably heard a great deal about obesity and the risks it poses. To raise its
visibility and better educate individuals about the effects of obesity we are introducing
wellness screening participants to Metabolic Syndrome. When three or more of these
factors fall outside defined ranges, an individual has a much greater chance of
developing heart disease, diabetes, stroke and other health problems. For example,
someone with Metabolic Syndrome is two times as likely to develop heart disease, and
five times as likely to develop diabetes as someone without it.
Please pay special attention to your risk of Metabolic Syndrome and note that it may vary
from your clinical risk status which is communicated later in the report. This occurs when
your results do not fall in the optimal range, but do not qualify you as “at risk” for
Metabolic Syndrome.
Thank you for learning more about your health, and for taking steps to improve it!
Test1, as you begin your journey to better
health, one of the first steps is to know your
strengths and weaknesses. That information is
provided in this report and was gathered from
your health questionnaire and your laboratory
results. The combination of this data gives you
the first glimpse of your overall health state
and helps determine action items for
maintaining and improving your health.
First review your health quotient score and
explanation. After the explanation, you will see
the first of your results and your level of risk
associated with those results. As you go
through your MyHealth Profile more
information on these results will be provided.
Health Quotient Score
Test1, your Health Quotient Score is created based on your responses from the Blueprint for Wellness® Health Questionnaire and your
screening results. The Health Quotient Score is like a test grade that is driven by modifiable risks or behaviors that put you at risk for chronic
conditions. Just like a test, a higher score means you have less risk and a higher level of well­being and a lower score suggests you may be at a
higher risk for developing a chronic illness.
Throughout this report you will find helpful tips to improve your score and improve your health. The reference resources for the optimal ranges
on this page are the:
* American Diabetes Association
** National Cholesterol Education Program
Current Quality of Health
1
100
78
OPTIMAL
BLOOD PRESSURE
ELEVATED RISK
HIGH RISK
105/65 64 mg/dL
18.0 100 mg/dL
40 mg/dL
44 mg/dL (calc)
< 120/80
Your Aug­12 reading: 120/100
GLUCOSE
65­99 = Normal Fasting Result*
100­125 = Risk for Pre­Diabetes
>125 = Risk for Diabetes
Your Aug­12 reading: 90 mg/dL
BMI
18.5­24.9
Your Aug­12 reading: 30.4
CHOLESTEROL, TOTAL
< 200 = Desirable**
200­239 = Borderline High
> 239 = High
Your Aug­12 reading: 190 mg/dL
HDL CHOLESTEROL
< 40 = Low**
> 59 = Desirable
Your Aug­12 reading: 60 mg/dL
LDL­CHOLESTEROL
< 100 = Optimal**
100­129 = Near Optimal
130­159 = Borderline High
> 159 = High
Your Aug­12 reading: 102 mg/dL (calc)
TRIGLYCERIDES
80 mg/dL
1.0 mg/L
< 150 = Normal**
150­199 = Borderline High
> 199 = High
Your Aug­12 reading: 145 mg/dL
CARDIO CRP
< OR = 3.0
Your Aug­12 reading: 2.8 mg/L
Metabolic Syndrome
Based on your screening results you have passed 4 out of 5 metabolic
syndrome criteria which means you are at a lower risk for heart disease,
diabetes and stroke than someone not passing 3 out of 5.
Metabolic Syndrome
Risk Factor
Your Target
Your Value
What Does It Mean
18.0
Excess weight, as
measured by BMI (Body
Mass Index), and is
calculated by dividing
weight in pounds by height
in inches squared. The
World Health Organization
states that a BMI >30 is
one of the risks for
Metabolic Syndrome.
80
Triglycerides are a type of
fat found in the blood. High
triglycerides increase the
chance of developing heart
disease.
105 / 65
Blood pressure is the force
of blood pushing against
the artery walls as the
heart pumps blood. High
blood pressure can
damage the heart and lead
to other health problems
such as heart disease and
stroke.
Blood Glucose:
Less than 100 mg/dL
64
Glucose, also called blood
sugar, is what the body
uses for energy. High
glucose may be a sign of
diabetes and affects
kidney functions.
HDL Cholesterol:
Greater than or equal to
50 mg/dL
40
A high level of HDL is good
because HDL is the type
of cholesterol that helps to
remove cholesterol from
the arteries. A low HDL
cholesterol level can lead
to the development of heart
disease.
Body Mass Index:
Less than 30
Triglycerides:
Less than 150 mg/dL
Blood Pressure:
Less than 130 systolic
and Less than 85
diastolic mmHg
Understanding Your Tests
The goal of the Blueprint for Wellness is to
identify health risks and to supply you with
the information you need to manage your
health successfully. Clinical laboratory
testing gives you an important insight into
what is happening within your body. Your
personalized report gives insight into
needed actions to try to control and/or
minimize harmful effects to your health.
In the following pages you will see a
summary of your laboratory test results
grouped by body system. All of the results
are followed by a detailed explanation of
each clinical test performed.
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
Heart Tests
The heart is a muscular organ located in the chest that pumps blood throughout the body. The heart
and blood vessels comprise the cardiovascular system. In spite of the fact that all of the body's blood
flows through it, the heart needs to be supplied with blood by its own set of blood vessels. These blood
vessels, called coronary arteries, deliver the oxygen that allows the heart to perform its functions. When
a disease known as atherosclerosis reduces the blood flow from the coronary arteries to the heart, it
can cause chest pain, also known as angina. If the blood flow is severely reduced, it can cause a heart
attack which may lead to death of some of the heart muscle and tissue.
80 mg/dL Reference Range <150 Your Aug­12 reading: 145 mg/dL
TRIGLYCERIDES
Triglycerides are fats composed of fatty acids and glycerol. Triglycerides combine with proteins to form
particles called lipoproteins that transport fats through the bloodstream. These lipoproteins carry
triglycerides from the liver to other parts of the body that need this energy source. Triglycerides then
return to the liver where they are removed from the body. The level of triglycerides in your blood can
indicate how efficiently your body processes the fat in your diet.
Your result falls within the normal Reference Range.
80 mg/dL
100 mg/dL Reference Range 125­200 Your Aug­12 reading: 190 mg/dL
CHOLESTEROL, TOTAL
High cholesterol may put you at risk for heart disease or stroke. Elevated cholesterol levels can be
caused by diets high in cholesterol and saturated fats. Genetics or medical conditions such as diabetes,
hypothyroidism, kidney disease, liver disease or pregnancy can also raise the amount of cholesterol in
your blood. A low cholesterol measurement is one that falls below the range where you are considered
at risk for cardiovascular (heart and blood vessel) disease. Decreased levels of cholesterol can indicate
malnutrition, intestinal malabsorption, hyperthyroidism, chronic anemia, liver disease or other medical
conditions.
Your result falls below the normal Reference Range. Always seek the advice of your doctor or qualified
healthcare provider if you have any questions about your result.
100 mg/dL
40 mg/dL Reference Range > OR = 46 Your Aug­12 reading: 60 mg/dL
HDL CHOLESTEROL
Elevated high density lipoprotein (HDL) cholesterol is associated with decreased risk of heart disease.
Unlike other cholesterol levels, the HDL cholesterol test result is best if it is high. Levels may increase with
regular exercise. A low level of HDL cholesterol can be associated with increased risk for heart disease.
Genetic factors or conditions including liver disease, malnutrition or hyperthyroidism may decrease HDL
cholesterol levels. Smoking and drinking alcohol may also decrease your HDL cholesterol level.
This result is associated with a high risk of coronary heart disease. Always seek the advice of your
doctor or qualified healthcare provider if you have any questions about your result.
40 mg/dL
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
44 mg/dL (calc) Reference Range <130 Your Aug­12 reading: 102 mg/dL (calc)
LDL­CHOLESTEROL
Elevated low density lipoprotein (LDL) cholesterol is associated with an increased risk of heart disease.
LDL cholesterol often increases with a diet high in cholesterol and saturated fats. For many people, their
LDL cholesterol test is based on heredity. Lifestyle choices including diet and many medications are
effective in lowering the LDL cholesterol level.
Your result is associated with a low risk of coronary heart disease. You should be aware it is also
important to consider other factors including smoking, diabetes, blood pressure, family history and the
results of other tests in assessing your risk for coronary heart disease. Always seek the advice of your
doctor or qualified healthcare provider if you have any questions about your result.
44 mg/dL (calc)
2.5 (calc) Reference Range < OR = 5.0 Your Aug­12 reading: 3.2 (calc)
CHOL TO HDLC RATIO
The total cholesterol/HDL cholesterol ratio is a calculation obtained by dividing the total cholesterol level
by the HDL cholesterol level and is another indicator of heart disease risk. A ratio of 5.0 or less is
associated with a lower risk of heart disease. A ratio of less than 3.5 is highly desirable.
This result is associated with the lowest risk of coronary heart disease.
2.5 (calc)
1.0 mg/L Reference Range < OR = 3.0 Your Aug­12 reading: 2.8 mg/L
CARDIO CRP
CRP stands for “C­reactive protein” which is made by the liver in response to infection, tissue injury or
inflammation. Even low values, previously regarded as normal, have been shown to be a risk factor for
atherosclerosis (fatty deposits lining the walls of blood vessels). Results of this test can help predict your
risk of developing atherosclerotic heart disease. Build up of these fatty deposits can cause chest pain,
called angina, and eventually lead to a heart attack. Your risk increases with increasing levels of CRP. A
desirable cardio CRP is less than 1 mg/L. Increased heart disease risk is associated with cardio CRP
levels exceeding 3 mg/L with levels between 1 and 3 mg/L suggesting average risk. When a cardio
CRP result is greater than 10.0 mg/L, risk analysis may be confused by a recent infection or illness. If this
is noted, wait at least two weeks after resolution of any infection or illness and have another test
performed. Menstrual periods may cause an elevation in cardio CRP.
Your result falls within the normal Reference Range.
1.0 mg/L
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
Thyroid Tests
The thyroid is a small, butterfly­shaped gland located in the lower part of the front of the neck. This gland
releases hormones into the blood stream. The levels of thyroid in the blood affect heart rate, muscle
strength, bowel function, fat metabolism, energy level, hair growth, and mood. Unexplained weight loss
or gain, heart palpitations, brittle hair and nails and fatigue are a few symptoms of thyroid issues.
0.70 mIU/L Reference Range 0.40­4.50 Your Aug­12 reading: 4.00 mIU/L
TSH, 3RD GENERATION with reflex
The thyroid gland produces hormones that regulate or affect many bodily functions. Thyroid stimulating
hormone (TSH) is the hormone which controls the thyroid gland function. An excess or deficiency of this
hormones can affect energy levels, mood, and many functions. When the thyroid gland fails, due to
primary disease of the thyroid, TSH levels increase. This condition is called primary hypothyroidism
meaning low functioning of the thyroid. In contrast, when the thyroid gland is overactive and producing
too much thyroid hormone, the TSH level decreases. This is called primary hyperthyroidism, meaning
excessive functioning of the thyroid. Both hypothyroidism and hyperthyroidism can be detected by the
TSH test. For pregnant women the reference ranges are: First trimester 0.26­2.66
Second trimester 0.55­2.73
Third trimester 0.43­2.91
Your test indicated an appropriate level of TSH, a result that is usually not associated with thyroid
disorders. With aging, thyroid function decreases and TSH levels increase.
0.70 mIU/L
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
Kidney Tests
The kidneys' main function is to eliminate metabolic waste products and to maintain balance of sodium,
potassium, chloride, water and many other vital elements in the body. Blood flows into the kidneys
where over one million small "filters" serve to remove these waste products and form urine. The kidneys
are also important in the maintenance of blood pressure and in the production of a hormone that
stimulates production of red blood cells.
0.4 mg/dL Reference Range 0.50­1.05 Your Aug­12 reading: 1.0 mg/dL
CREATININE
Creatinine is derived from muscles and released into the blood. It is removed from the body by the
kidneys. When the creatinine level is elevated, a decrease in kidney function is suggested.
A low value is usually of no clinical significance. Always seek the advice of your doctor or qualified
healthcare provider if you have any questions about your result.
0.4 mg/dL
116 mL/min/1.73m2 Reference Range > OR = 60 Your Aug­12 reading: 63
mL/min/1.73m2
EGFR (ESTIMATED GLOMERULAR FILTRATION RATE)
Creatinine is not sensitive to early renal damage since it varies with age, gender and ethnic background.
The impact of these variables can be reduced by an estimation of the glomerular filtration rate (eGFR)
using an equation that includes serum creatinine, age and gender.
An eGFR >= 60 sixty indicates an appropriate level of creatinine, a result that is usually not associated
with kidney disorders.
116
mL/min/1.73m2
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
Bone Tests
The normal adult skeleton is made up of 206 bones. Bone is composed of specialized cells and
proteins as well as a hard mineral substance made of calcium phosphate and calcium carbonate.
Bone serves as a reservoir of calcium for the body. The bone marrow located in the center of many
bones produces the red blood cells, white blood cells, and platelets that circulate in our bloodstream.
8.4 mg/dL Reference Range 8.6­10.4 Your Aug­12 reading: 9.0 mg/dL
CALCIUM
Calcium is one of the most important elements in the body, essential for maintenance and repair of bone
and teeth, heart function and blood clotting. Ninety­nine percent of the calcium in your body is contained
in your bones—only one percent is in the blood. Low levels of calcium in the blood are associated with
malnutrition, eating disorders, secondary to some medications, and abnormalities with absorption of
vitamin D, low parathyroid gland function, and advanced kidney disease. High levels can be caused by
bone disease, excessive use of antacids and milk, cancer, excessive vitamin D and some hormone
disorders. An abnormal calcium level should be evaluated by your healthcare provider.
A low value can indicate inadequate absorption, malnutrition, vitamin D deficiency or low albumin
(protein). Always seek the advice of your doctor or qualified healthcare provider if you have any
questions about your result.
8.4 mg/dL
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
Pancreas Tests
The pancreas is an organ that is part of both the digestive and endocrine (controls hormone levels and
helps to regulate the body) systems. The pancreas is located beside the stomach and is made up of
two major types of tissues. One tissue produces hormones such as insulin (regulates glucose levels),
and the other tissue produces enzymes that aid in the digestion of food.
64 mg/dL Reference Range 65­99 Your Aug­12 reading: 90 mg/dL
GLUCOSE
Glucose is the chief source of energy for all cells in the body. The test measures the concentration of
glucose in your blood to screen for problems with the way your body processes sugar. A high level can
indicate a condition where the body is not correctly using or producing insulin, the hormone that enables
your body to use glucose. A glucose level above the reference range is called hyperglycemia and can
suggest the possibility of diabetes. Stress from surgery or trauma, renal failure, pancreatitis, steroid
therapy and other conditions may also increase blood glucose levels. A glucose level below the
reference range is called hypoglycemia. Increased levels of insulin, hypothyroidism, liver disease and
other conditions may contribute to low blood glucose. Certain medicines such as steroids, insulin and
propranolol may also lower blood glucose.
A decreased level of glucose is called hypoglycemia, or low blood sugar, which can prevent your body
from functioning properly. Certain conditions such as liver disease and hypothyroidism can contribute to
low glucose levels. Medications such as insulin may also lower blood glucose. Always seek the advice
of your doctor or qualified healthcare provider if you have any questions about your result. If you have
diabetes, you should seek medical attention so that your doctor can evaluate possible adjustments to
your therapy to better manage your glucose levels.
64 mg/dL
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
3.5 % of total Hgb Reference Range <5.7 Your Aug­12 reading: 5.1 % of total
Hgb
HEMOGLOBIN A1c
Hemoglobin A1c measures the average amount of blood sugar (glucose) level for the past two to three
months. The blood level of glucose is tightly controlled by hormones, especially insulin produced by the
pancreas. Consistently, high blood glucose is typically observed in individuals with uncontrolled diabetes
or undiagnosed diabetes. In people with diabetes, insulin is either less effective or not produced in
sufficient quantity thus making it harder to manage the amount of sugar passing through the blood. A1c Level Interpretation:
4.0­5.6% Consistent with absence of diabetes. If you have diabetes, you may be at high risk of
hypoglycemia (low glucose level). 5.7­6.4% Consistent with prediabetes. If you have diabetes, consistent with very good control.. 6.5­6.9% Consistent with diabetes, if confirmed on repeat testing. Suggest confirmation with repeat
measurement with your physician. If you have diabetes, consistent with good control.
7.0­8.0% Consistent with diabetes, if confirmed on repeat testing. Suggest confirmation with repeat
measurement with your physician. If you have diabetes, consistent with moderately poor control that may
benefit from modified medical management.
>8.0% Consistent with diabetes, if confirmed on repeat testing. Suggest confirmation with repeat
measurement with your physician. If you have diabetes, consistent with poorly controlled diabetes that
needs modified medical management.
The test results are reported as a percentage, representing the percentage of total hemoglobin that is
bound to glucose in your blood. For non­diabetics, the optimal value is less than 5.7%. In people being
treated for diabetes, a value of 7% or less is the target for diabetes in control. The ADA recommends that
action be taken when hemoglobin A1c results are over 8%. Always seek the advice of your doctor or
qualified healthcare provider if you have any questions about your result.
3.5 % of total Hgb
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
Liver Tests
The liver is the body's chief "chemical factory" and performs many varied and complex tasks. The liver
produces certain proteins such as albumin and the proteins that are involved in blood clotting. The liver
also produces about half of the total cholesterol in the body (the other half comes from food). The liver
filters blood from all over the body. Enzymes in the liver neutralize harmful or toxic substances such as
alcohol or many medications which are then eliminated in either bile or blood. The liver also serves as
a storage site for sugars and lipids, which can be released when needed.
6.0 g/dL Reference Range 6.1­8.1 Your Aug­12 reading: 7.0 g/dL
PROTEIN, TOTAL
Total protein has two main components—albumin and globulin. The body’s protein is derived from
ingested food and therefore is influenced by the quality of diet, as well as by liver and kidney function.
A low total protein is seen in pregnancy, acute burns, severe dietary deficiency, chronic liver disease,
and in kidney disease. Always seek the advice of your doctor or qualified healthcare provider if you have
any questions about your result.
6.0 g/dL
3.4 g/dL Reference Range 3.6­5.1 Your Aug­12 reading: 4.0 g/dL
ALBUMIN
Albumin is the largest portion of total blood protein. Decreased blood albumin may indicate many
disorders including poor nutrition and advanced liver disease. Modest decreases in albumin may be
seen in people with low thyroid gland function and protein­losing conditions.
A low level of albumin can be caused by malnutrition, excess body water, pregnancy, liver disease, and
kidney disease, severe injury such as burns or major bone fractures, and prolonged blood loss. Always
seek the advice of your doctor or qualified healthcare provider if you have any questions about your
result.
3.4 g/dL
2.6 g/dL (calc) Reference Range 1.9­3.7 Your Aug­12 reading: 3.0 g/dL (calc)
GLOBULIN
Globulin is not measured directly. It is calculated as the difference between the total protein and the
albumin levels. The globulins are a group of about 60 different proteins that are part of the immune
system, which help to fight or prevent infections. They also play an important role in blood clotting, and
serve as carrier proteins for hormones.
Your result falls within the normal Reference Range and indicates an albumin level not associated with a
disease state.
2.6 g/dL (calc)
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
1.3 (calc) Reference Range 1.0­2.5 Your Aug­12 reading: 1.3 (calc)
ALBUMIN/GLOBULIN RATIO
An alternative way to tell if the albumin or globulin levels in the blood are abnormal is to compare the level
of albumin to the level of globulin. If both the albumin and globulin results fall within the specified
reference ranges, then a high or low A/G ratio result is not generally considered significant. A high
globulin level and low albumin/globulin ratio may suggest high production of globulin that may be due to
chronic infections, autoimmune disease, multiple myeloma, and other medical conditions.
Your result falls within the normal Reference Range and indicates a ratio level not associated with a
disease state.
1.3 (calc)
0.1 mg/dL Reference Range 0.2­1.2 Your Aug­12 reading: 1.0 mg/dL
BILIRUBIN, TOTAL
Bilirubin is the main pigment in bile and a major product of normal red cell breakdown. It is helpful in
evaluating liver function, various anemias and in evaluating jaundice, yellowing of the skin.
A low value is usually of no clinical significance. Always seek the advice of your doctor or qualified
healthcare provider if you have any questions about your result.
0.1 mg/dL
0.1 mg/dL Reference Range < OR = 0.2 Your Aug­12 reading: 0.0 mg/dL
BILIRUBIN, DIRECT
Direct bilirubin is a specific form of bilirubin that is formed in the liver and excreted in the bile. Normally
very little of this form of bilirubin is found in the blood. However, in liver disease, this form of bilirubin leaks
into the blood so a high level of direct bilirubin may indicate a problem with the liver cells.
Your result falls within the normal Reference Range.
0.1 mg/dL
32 U/L Reference Range 33­130 Your Aug­12 reading: 50 U/L
ALKALINE PHOSPHATASE
Alkaline phosphatase is an enzyme found primarily in bone and the liver. Elevated levels may indicate
the presence of bone or liver disorders. It is commonly increased when the bile duct is blocked as may
be caused by gallstones. The enzyme activity also increases following fractures and in growing children
and pregnant women.
A low value is usually of no clinical significance. Always seek the advice of your doctor or qualified
healthcare provider if you have any questions about your result.
32 U/L
3 U/L Reference Range 3­70 Your Aug­12 reading: 50 U/L
GGT
Gamma­glutamyl transferase (GGT) is produced in highest concentration within bile ducts in the liver and
can be used as an indicator of liver disease. It may also rise with alcohol consumption and certain
medications.
Your result falls within the normal Reference Range.
3 U/L
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
9 U/L Reference Range 10­35 Your Aug­12 reading: 30 U/L
AST
Aspartate aminotransferase (AST) is an enzyme found in the liver and in cardiac and skeletal muscle.
AST may rise in liver, heart, and muscle disorders. It can also rise following strenuous, prolonged
exercise.
A low value is usually of no clinical significance. Always seek the advice of your doctor or qualified
healthcare provider if you have any questions about your result.
9 U/L
5 U/L Reference Range 6­29 Your Aug­12 reading: 35 U/L
ALT
Alanine aminotransferase (ALT) is an enzyme produced primarily in the liver, skeletal and heart muscle.
ALT is present in the liver in a higher concentration than AST and is more specific for differentiating liver
injury from muscle damage. ALT rises in the instance of liver disease.
A low value is usually of no clinical significance. Always seek the advice of your doctor or qualified
healthcare provider if you have any questions about your result.
5 U/L
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
Other Tests
2.3 mg/dL Reference Range 2.5­7.0 Your Aug­12 reading: 4.0 mg/dL
URIC ACID
Uric acid is one of the byproducts from the breakdown of cells. A high level of uric acid in your blood may
cause gout, arthritis or kidney stones. Kidney disease, stress, alcohol and certain diuretics may also
raise the uric acid level. High uric acid levels should be evaluated by your health care provider, whereas
low values are not generally considered significant.
Your result falls outside of the normal Reference Range. Always seek the advice of your doctor or
qualified healthcare provider if you have any questions about your result. Always seek the advice of your
doctor or qualified healthcare provider if you have any questions about your result.
2.3 mg/dL
36 mcg/dL Reference Range 40­160 Your Aug­12 reading: 150 mcg/dL
IRON, TOTAL
The body must have iron to make hemoglobin and to help transfer oxygen to the muscles. If the body is
low in iron, all body cells, particularly muscles in adults and brain cells in children, do not function up to
par. On the other hand too much iron in the body can cause injury to the heart, pancreas, joints,
testicles, ovaries, and other organs and tissues. Iron excess is found in the hereditary disease called
hemochromatosis which occurs in about 3 out of every 1000 people. Any value outside the specified
reference range should be evaluated by your healthcare provider.
Your low value may be consistent with iron deficiency. Iron deficiency often causes a decrease in
hemoglobin­rich red blood cells, a condition known as iron deficiency anemia. A low result may also be
seen in other types of anemias associated with chronic diseases, such as rheumatoid arthritis. Always
seek the advice of your doctor or qualified healthcare provider if you have any questions about your
result.
36 mcg/dL
211 mcg/dL Reference Range 250­450 Your Aug­12 reading: 350 mcg/dL
IRON BINDING CAPACITY
Iron is best interpreted with the total iron binding capacity (TIBC). The TIBC reflects the total capacity of the
blood to carry iron. The percent saturation is the ratio of the iron to TIBC. It is a reflection of remaining
capacity to carry iron.
Your low value of iron/TIBC percent saturation is consistent with iron deficiency. Iron deficiency often
causes a decrease in hemoglobin­rich red blood cells, a condition known as iron deficiency anemia. A
low result may also be seen in other types of anemias associated with chronic diseases, such as
rheumatoid arthritis. Always seek the advice of your doctor or qualified healthcare provider if you have
any questions about your result.
211 mcg/dL
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
17 % (calc) Reference Range 15­50 Your Aug­12 reading: 43 % (calc)
% SATURATION
Transferrin percent saturation (% Saturation) is obtained by comparing the iron level to the TIBC level. It is
a simple way to compare the amount of iron in the blood to the capacity of the blood to transport iron. The
calculated ratio sometimes highlights an abnormality that is not obvious by reviewing the individual test
results.
Your results fall within the normal Reference Range.
17 % (calc)
9 ng/mL Reference Range 10­232 Your Aug­12 reading: 150 ng/mL
FERRITIN
Ferritin, another protein, is the best indicator of the amount of uncommitted iron reserve that the body has
in storage and is useful in the diagnosis of hypochromic microcytic anemia (low red blood cell count
associated with small red blood cells).
A low ferritin value indicates decreased iron reserves and is consistent with iron deficiency, especially
when the iron/TIBC percent saturation is also low. Always seek the advice of your doctor or qualified
healthcare provider if you have any questions about your result.
9 ng/mL
3.7 Thousand/uL Reference Range 3.8­10.8 Your Aug­12 reading: 8.0 Thousand/uL
WHITE BLOOD CELL COUNT
White blood cells (WBCs) are the body's protectors. Each of the five varieties of WBCs plays its own
specific role in defending your body against illness or injury. WBCs are larger than red blood cells
(RBCs), but there are fewer of them. When you have an infection, increased numbers of WBCs are sent
from the bone marrow and bloodstream to attack the cause of the infection. Examples of conditions that
cause an increased number of WBCs include appendicitis, pregnancy, and leukemia. Strenuous
exercise, emotional distress and anxiety can also cause a mild to modest increased WBC count. Slightly
low WBC counts may be your natural level. A low WBC count makes it harder for your body to fight off
infection. People with a very low WBC count are more likely to catch colds or other infectious diseases.
Low WBC counts may be seen in overwhelming infections like mumps, lupus, cirrhosis of the liver and
cancer.
People with a very low WBC count are more likely to catch colds or other infectious diseases. Low WBC
counts may be seen in overwhelming infections like mumps, lupus, cirrhosis of the liver and cancer. In
addition, radiation therapy and certain types of drug therapy tend to lower the WBC count. Always seek
the advice of your doctor or qualified healthcare provider if you have any questions about your result.
3.7 Thousand/uL
3.75 Million/uL Reference Range 3.80­5.10 Your Aug­12 reading: 4.80 Million/uL
RED BLOOD CELL COUNT
This is a count of the actual number of red blood cells (RBCs) per unit of blood. The RBC count is used
to aid in the diagnosis of anemia or other conditions that affect red blood cells.
A decreased RBC count can be associated with anemia, excessive bleeding, kidney disease, cirrhosis,
pregnancy or excess body fluids. Low counts can also result from bone marrow failure. Always seek the
advice of your doctor or qualified healthcare provider if you have any questions about your result.
3.75 Million/uL
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
11.1 g/dL Reference Range 11.7­15.5 Your Aug­12 reading: 14.8 g/dL
HEMOGLOBIN
Hemoglobin is an iron­containing protein found in red blood cells (RBCs), enabling the cells to carry
oxygen and carbon dioxide in the blood. Measuring hemoglobin gives a picture of the ability of the blood
to carry oxygen to every cell of your body. A low hemoglobin level may indicate anemia. Hemoglobin
increases with altitude adaptation. In general, women have lower hemoglobin values than men.
Decreased hemoglobin can be due to anemia, excess body fluid, bleeding, kidney disease, cirrhosis or
pregnancy. Always seek the advice of your doctor or qualified healthcare provider if you have any
questions about your result.
11.1 g/dL
34.0 % Reference Range 35.0­45.0 Your Aug­12 reading: 45.0 %
HEMATOCRIT
This screening measures how much of your blood is made of red blood cells (RBCs). A hematocrit
measurement is useful in identifying anemia, the presence of liver disease, bleeding disorders and red
cell production within the circulatory system. Hematocrit increases with altitude adaptation or dehydration.
Women generally have lower hematocrit values than men.
Decreased levels may suggest anemia, excess body fluids, cirrhosis, bleeding, kidney disease, arthritis
or lupus. A low hematocrit is usually associated with a low red blood cell count. It can also result from a
high total blood volume, such as occurs during pregnancy, or due to an extremely high white blood cell
count. Always seek the advice of your doctor or qualified healthcare provider if you have any questions
about your result.
34.0 %
90.7 fL Reference Range 80.0­100.0 Your Aug­12 reading: 93.8 fL
MCV
Mean corpuscular volume (MCV) is a measurement of the average size of your red blood cells (RBCs).
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. 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 or the hereditary disease, thalassemia.
Your result falls within the normal Reference Range.
90.7 fL
29.6 pg Reference Range 27.0­33.0 Your Aug­12 reading: 30.8 pg
MCH
Mean corpuscular hemoglobin (MCH) is a calculation of the amount of oxygen­carrying hemoglobin
inside your red blood cells (RBCs). 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 cells­which suggest macrocytic
anemia. A low MCH indicates that you have a decreased level of oxygen­carrying protein in your red
blood cells. Decreases can be associated with certain types of anemia. 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.
Your result falls within the normal Reference Range.
29.6 pg
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
32.6 g/dL Reference Range 32.0­36.0 Your Aug­12 reading: 32.9 g/dL
MCHC
Mean corpuscular hemoglobin concentration (MCHC) is the calculation of the percentage of oxygen­
carrying hemoglobin in the individual red blood cells (RBCs). A high MCHC indicates an increased level
of hemoglobin in your RBCs. Increased MCHC is usually a technical rather than a medical issue. A high
level may be caused by distortions in the shape of your RBCs caused by problems in collection,
transport or storage of the blood sample. A low MCHC indicates a decreased level of hemoglobin in your
RBCs. Decreases can be associated with certain types of anemia, such as iron­deficiency or the
hereditary disease, thalassemia.
Your result falls within the normal Reference Range.
32.6 g/dL
10.5 % Reference Range 11.0­15.0 RDW
Red cell distribution width (RDW) is a calculation of the variation in the size of your red blood cells
(RBCs).
Your result falls outside of the normal Reference Range. Always seek the advice of your doctor or
qualified healthcare provider if you have any questions about your result.
10.5 %
135 Thousand/uL Reference Range 140­400 Your Aug­12 reading: 275
Thousand/uL
PLATELET COUNT
Platelets are the smallest type of cell found in the blood. Platelets help stop bleeding after an injury by
gathering around the injury site, plugging the hole in the bleeding vessel and helping the blood to clot
more quickly. Platelet counts may be done if you are prone to bruising or if you are about to have
surgery. The platelet count may change with bleeding disorders, heart disease, diabetes and
inflammatory disorders.
Low platelet counts can be associated with anemia, excessive bleeding, Grave’s disease, lupus,
genetic disorders or infection. Platelet counts may decrease before menstruation. Chemotherapy can
lower platelet counts due to its destruction of bone marrow, where platelets are made. Medications such
as heparin, acetaminophen, aspirin, histamine­2 blockers (such as cimetidine and ranitidine), thiazide
diuretics and sulfonamides may also decrease platelets. Always seek the advice of your doctor or
qualified healthcare provider if you have any questions about your result.
135 Thousand/uL
2590 cells/uL Reference Range 1500­7800 ABSOLUTE NEUTROPHILS
Neutrophilic granulocytes (“neutrophils”) are the most abundant white blood cell. Neutrophils are an
essential component of the immune system. They respond to bacterial infections and other types of
inflammation. In an infection, neutrophils seep out of the blood vessels in response to factors released
as sites of infection. The predominant cells in pus that we observe in a wound are neutrophils.
There is a low likelihood of an acute infection because the number of neutrophils typically increases in
the presence of an acute infection, especially of bacterial origin. Always seek the advice of your doctor or
qualified healthcare provider if you have any questions about your result.
2590 cells/uL
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
370 cells/uL Reference Range 850­3900 ABSOLUTE LYMPHOCYTES
Lymphocytes are the second most common white blood cell (WBC). Lymphocytes are divided into larger
cells that are also known as natural killer lymphocytes and smaller cells known as B and T lymphocytes.
Natural killer cells are important in our immune system to defend against tumors and viral infections.
They respond to alterations in the surface of tumor cells and infected cells. B and T lymphocytes adapt to
infected cells by either a cellular response mediated by T lymphocytes or antibodies mediated by B
lymphocytes.
The lymphocyte count can be low when the immune system cannot respond to an infection. For
example, in human immunodeficiency virus (HIV) infection, the virus infects a sub­type of the T
lymphocytes and the lymphocyte count may be low. Always seek the advice of your doctor or qualified
healthcare provider if you have any questions about your result.
370 cells/uL
185 cells/uL Reference Range 200­950 ABSOLUTE MONOCYTES
Monocytes, like the other white blood cells (WBCs), originate in the bone marrow, the complex spaces
within many of our larger bones. Monocytes are responsible for eating foreign intruders (phagocytosis)
and killing infected cells. Monocytes are important in triggering atherosclerosis that affects our arteries
and can lead to heart disease and stroke.
185 cells/uL
370 cells/uL Reference Range 15­500 ABSOLUTE EOSINOPHILS
Eosinophilic granulocytes (“eosinophils”) are part of our immune system’s response to infection including
from parasites. Eosinophils, along with basophils and mast cells, are important in allergic responses and
in asthma.
A parasitic infection or moderate to severe allergic reaction of asthmatic symptoms is unlikely. In these
medical conditions, the eosinophil count is typically increased to greater than 500 cells per microliter with
the count somewhat correlated to the severity of disease. Always seek the advice of your doctor or
qualified healthcare provider if you have any questions about your result.
370 cells/uL
185 cells/uL Reference Range 0­200 ABSOLUTE BASOPHILS
Basophilic granulocytes (“basophils”) are the least common of the five white blood cell types. When
activated, basophils secrete or release many compounds including histamine and interleukin­4. Both
compounds are important in the allergic response.
Your result falls within the normal Reference Range.
185 cells/uL
The following results are an evaluation of your health risk status. This may differ from your risk status for
Metabolic Syndrome. This section reviews each health risk against a range that doctors use to assess
the results.
23 in Reference Range M: <=40 F: <=35 Your Aug­12 reading: 34 in
Waist Circumference ­ Inches
Excess weight as measured by BMI, is not the only risk to your health, so is the location of fat on your
body. If you carry fat mainly around your waist, you are more likely to develop health problems than if you
carry fat mainly in your hips and thighs. This is true even if your BMI falls within the normal range. Women
with a waist measurement of more than 35 inches (88 cm) or men with a waist measurement of more
than 40 inches (102 cm) may have a higher disease risk than people with smaller waist measurements
because of where their fat lies.
23 in
18.0 Reference Range 18.5­24.9 Your Aug­12 reading: 30.4
BMI
Body mass index (BMI) is an indication of body size and by association, body fat. It is calculated by
multiplying your weight in pounds by 703, then dividing by height in inches squared. Normal values are
between 18.5 and 24.9.
18.0
105/65 Reference Range < 120/80 Your Aug­12 reading: 120/100
BLOOD PRESSURE
Hypertension, commonly referred to as high blood pressure, is a medical condition in which the blood
pressure is chronically elevated. Hypertension has been associated with a high risk of heart attack or
stroke.
A normal value for systolic blood pressure is <120.
Pre­hypertension 120­139
Stage 1 Hypertension 140­159
Stage 2 Hypertension >= 160
A normal value for diastolic blood pressure is < 80.
Pre­hypertension 80­89
Stage 1 Hypertension 90­99
Stage 2 Hypertension >= 100
Table from The American Heart Association (www.heart.org).
105/65
There are many factors that contribute to your overall well­being,
good health and a better you. On the next few pages you will see
some specific issues that should be addressed. Also throughout
your journey you must also remember about the simple, basic
steps that add up to a healthier lifestyle such as:
Weight Management
Stress Reduction
Good Nutrition
Regular Exercise
Test1, here are some steps to help improve your health.
Based on your information, the below three issues are important areas that you should focus on. While you may have more than three risk
factors, these three are the most important for you to take action upon. It is strongly recommended that you talk to your doctor about these
suggestions and steps you can take for better health in the future.
OPTIMAL
ELEVATED RISK
HIGH RISK
1 . Exercise
Not being physically active increases your risk for obesity, high cholesterol, high blood pressure, and cardiovascular
disease.
Action Plan
Being physically active not only helps you maintain a healthy weight, but regular physical activity leads to a healthy heart, healthy bones
and muscles. With so many positive side affects, it is astounding that only one quarter of the U.S. population takes part in regular physical
activity. Taking part in physical activity means working hard enough to raise your heart rate and break a sweat, yet still being able to hold
a conversation. According to the American Heart Association (AHA) and the American College of Sports Medicine (ACSM), you should
take part in physical activity for 30 minutes a day five days a week. Also you should take part in eight to ten strength training exercises at
least two times a week.
http://www.cdc.gov/physicalactivity
2 . Preventive Screenings
Staying up to date with your preventive screenings will help you understand your health status and can save your life.
Action Plan
Do you know your cholesterol and glucose values? If you answered no, you are likely out of compliance with the national guidelines for
preventive screenings. Taking part in preventive screenings is one of your first defenses against cancer, heart disease, diabetes and
other debilitating conditions. In the following pages of this report there is a listing of preventive screenings that are tailored to you. Be sure
to review your recommended screenings and talk with your doctor about meeting the recommended guidelines.
http://healthfinder.gov/FindServices
3 . Self­Care
Proper self­care is making the right decisions about managing your health.
Action Plan
Being a wise consumer with your health and wellness is the definition of proper self­care. Repeated trips to the doctor or emergency
room can be avoided by referring to a self­care resource. Self­care books and websites are handy resources for routine household
illnesses and injuries.
http://www.healthierus.gov
Manage Your Weight
Whether you are at your ideal weight or considered overweight, weight management is important.
Successfully managing your weight plays a large role in managing your cholesterol, triglycerides, and risk for conditions such as metabolic
syndrome, cardiovascular disease and diabetes. Always remember that you are an example for children and friends. You can help them stay at
their ideal weight by guiding them to eat healthy low fat food and spend time together playing games that are physically active or taking walks
together.
Manage Your Stress
Stress can be the catalyst for high blood pressure and even heart disease.
Everyone benefits from learning how to manage stressful times. Some of the signs and symptoms of stress issues are lack of concentration,
irritability, anger, overeating, and sleep difficulties. There are some very simple things you can do to help manage the tough situations that cause
stress, such as finding the positive side of things or lightening the difficult situation by using humor.
Eat Healthier Foods
Here are a couple of great tips to help you practice good nutrition.
1. Keep an eye on your portions: Think about using a snack size zip lock bag when taking food to the office or giving food to children. The snack
size is the correct portion for most foods. 2. Stay away from processed foods: If you cannot say or read all of the ingredients in the product, don't buy it.
Get Physically Active
Having trouble fitting exercise in? Here are some tips.
1. Make time during your favorite TV shows: How about walking on a treadmill, biking, or lifting weights while watching your shows? 2. Make your chores count: If you mow the yard or mop the floor, do your chores at a little faster pace than normal to get your heart rate up. 3. Use time with family wisely: When having family time, take a walk together or plan family activities that include physical activity. Not only is this
good for you, but it will set a great example for the rest of your family.
Test1, below is your Pyramid Food Intake Pattern Calorie Levels
18
19­20
21­25
26­30
31­35
36­40
41­45
46­50
51­55
56­60
61­65
66­70
71­75
76+
1800
2000
2000
1800
1800
1800
1800
1800
1600
1600
1600
1600
1600
1600
2000
2200
2200
2000
2000
2000
2000
2000
1800
1800
1800
1800
1800
1800
2400
2400
2400
2400
2200
2200
2200
2200
2200
2200
2000
2000
2000
2000
*Calorie levels are based on the Estimated Energy Requirements and activity levels from the
Institute of Medicine Dietary Reference Intakes Maximum Report, 2003
Sedentary ­ Participating in less than 30
minutes of moderate physical* activity in
addition to daily activity.
Moderate Activity ­ Participating in at least
30 minutes, up to 60 minutes a day of
moderate physical* activity in addition to daily
activity. Moderate Physical Activity: Activities that use large muscle groups
such as brisk walking, cycling, swimming
Active ­ Participating in 60 or more minutes a
day of moderate physical* activity in addition to
daily activity.
Preventive Screenings
Being healthy also requires you to be responsible for taking care of yourself. According to your age and gender, there are several preventive
screenings you should consider. Use this information to help stay on the road to good health. It’s also always important to schedule regular
checkups with your doctor.
Heart Health Blood pressure measurement (US Preventative Services Task Force,
2007)
Lipid Panel (Cholesterol) test
(U.S. Preventive Services Task Force,
2008)
At least every two years*
USPSTF recommends screening for
high blood pressure in adults age ≥
18 yr
At least every two years*
USPSTF recommends screening for
high blood pressure in adults age ≥
18 yr
At least every two years*
USPSTF recommends screening for
high blood pressure in adults ages ≥
18 yr
At Least every two years*
USPSTF recommends screening for
high blood pressure in adults ages
≥18 yr
USPSTF recommends screening
ages 20­45 yr for lipid disorders if at
increased risk for coronary heart
disease
USPSTF recommends screening
ages 20­45 yr for lipid disorders if at
increased risk for coronary heart
disease. USPSTF strongly
recommends screening ages ≥ 45 yr.
USPSTF strongly recommends
screening ages ≥45 yr.
USPSTF strongly recommends
screening ages ≥ 45 yr.
At age 45 and older if you have any
of the following risk factors:*
­ Family history of high cholesterol ­ Premature heart disease in a first­
degree relative (such as a parent or
sibling)†
­ Diabetes
­ Smoker or former smoker
­ High blood pressure
­ BMI ≥ 30
At age 45 and older if you have any
of the following risk factors:* ­ Family history of high cholesterol ­ Premature heart disease in a first­
degree relative (such as a parent or
sibling)†
­ Diabetes
­ Smoker or former smoker
­ High blood pressure
­ BMI ≥ 30
Otherwise every five years*
Otherwise every five years*
Starting at age 20­45, if:
­ Family history of high cholesterol ­ Premature heart disease in a first­
degree relative (such as a parent or
sibling)†
­ Diabetes ­ Smoker or former smoker ­ High blood pressure ­ BMI ≥ 30
At age 45 and older if you have any
of the following risk factors:* ­ Family history of high cholesterol ­ Premature heart disease in a first­
degree relative (such as a parent or
sibling)†
­ Diabetes ­ Smoker or former smoker ­ High blood pressure
­ BMI ≥ 30 Otherwise every five years*
Diabetes Blood glucose test (American Diabetes Association, 2006)
Reproductive Health Pap test and Pelvic Exam Screen every three years for type 2
diabetes in adults with sustained blood
pressure >135/80 mm Hg.
Screen every three years for type 2
diabetes in adults with sustained blood
pressure >135/80 mm Hg.
Screen every three years for type 2
diabetes in adults with sustained blood
pressure >135/80 mm Hg.
Screen every three years for type 2
diabetes in adults with sustained blood
pressure >135/80 mm Hg.
In persons with BP < 135/80 mm Hg,
Discuss with your doctor or nurse.
In persons with BP < 135/80 mm Hg,
Discuss with your doctor or nurse.
In persons with BP < 135/80 mm Hg,
Discuss with your doctor or nurse.
In persons with BP < 135/80 mm Hg,
Discuss with your doctor or nurse.
Every1­2 years if you have been
sexually active or are older than 21*
Every 1­3 years Every 1­3 years
USPSTF strongly recommends
screening for cervical cancer in
women who have been sexually
active and have a cervix
USPSTF strongly recommends
screening for cervical cancer in
women who have been sexually
active and have a cervix
USPSTF recommends against
routinely screening women older than
age 65 yr for cervical cancer if they
have had adequate recent screening
with normal Pap smears and are not
otherwise at high risk for cervical
cancer*
Every Year*
Every Year*
Every Year*
Self breast exams are optional,
however, these exams can help you
discover cancer early which makes it
easier to treat. If you notice any
change, tell you doctor or nurse.*
Self breast exams are optional,
however, these exams can help you
discover cancer early which makes it
easier to treat. If you notice any
change, tell you doctor or nurse.*
Self breast exams are optional,
however, these exams can help you
discover cancer early which makes it
easier to treat. If you notice any
change, tell you doctor or nurse.*
No requirement unless high risk (For
example: first degree relatives who
have had colorectal adenomas or
cancer; specific inherited syndromes,
the Lynch syndrome, history of
colorectal polyps; chronic
inflammatory bowel disease.)
No requirement unless high risk (For
example: first degree relatives who
have had colorectal adenomas or
cancer; specific inherited syndromes,
the Lynch syndrome, history of
colorectal polyps; chronic
inflammatory bowel disease.)
USPSTF recommends screening for
colorectal cancer using FOBT/FIT,
sigmoidoscopy, or colonoscopy in
adults, beginning at age 50 years and
continuing until age 75 years.
USPSTF recommends screening for
colorectal cancer using FOBT/FIT,
sigmoidoscopy, or colonoscopy in
adults, beginning at age 50 years and
continuing until age 75 years.
FOBT/FIT: Every Year* or
Colonoscopy or Sigmoidoscopy:
Every 10 years*
FOBT/FIT: Every Year* or
Colonoscopy or Sigmoidoscopy:
Every 10 years
Every Year*
Every Year*
Every Year*
Every Year*
(U.S. Preventive Services Task Force,
2012)
Breast Health Breast Self Exam (American Cancer Society, 2007) U.S. Preventive Services Task Force
(2009)
Colorectal Health Fecal occult blood test/Fecal
Immunochemical Test (FOBT/FIT) (U.S. Preventive Services Task Force,
2006) Colonoscopy or Sigmoidoscopy It is up to you to decide if you want to
start regular screening
mammography before the age of 50
yr. Discuss with your doctor or nurse.
Self breast exams are optional,
however, these exams can help you
discover cancer early which makes it
easier to treat. If you notice any
change, tell you doctor or nurse.*
(U.S. Preventive Services Task Force,
2006)
Immunization Flu Shot (Centers for Disease Control and
Prevention, 2006)
* Discuss with your Doctor or nurse. † Before age 55 in men and 65 in women
Test1, your medical summary report is below. Be sure to share this information with your doctor. At Quest Diagnostics, we take our commitment
to your good health far beyond the laboratory. That's why we apply our ideals of quality, service and innovation to other aspects of health care
through our Blueprint for Wellness service offering. As the leader in laboratory diagnostics, we believe that diagnosis is just one step to wellness.
Helping you understand and prevent disease is our priority.
Test1 questdgx: 57 yrs. old | 65 Inches | Female | 108 lbs.
Screening Results from: 07/19/2013
07/18/2013
08/03/2012
80 mg/dL
145
100 mg/dL
190
40 mg/dL
60
44 mg/dL (calc)
102
2.5 (calc)
3.2
1.0 mg/L
2.8
0.70 mIU/L
4.00
0.4 mg/dL
1.0
116 mL/min/1.73m2
63
8.4 mg/dL
9.0
64 mg/dL
90
3.5 % of total Hgb
5.1
6.0 g/dL
7.0
Heart Tests
TRIGLYCERIDES
Reference Range <150
CHOLESTEROL, TOTAL
Reference Range 125­200
HDL CHOLESTEROL
Reference Range > OR = 46
LDL­CHOLESTEROL
Reference Range <130
CHOL TO HDLC RATIO
Reference Range < OR = 5.0
CARDIO CRP
Reference Range < OR = 3.0
Thyroid Tests
TSH, 3RD GENERATION with reflex
Reference Range 0.40­4.50
Kidney Tests
CREATININE
Reference Range 0.50­1.05
EGFR (ESTIMATED GLOMERULAR
FILTRATION RATE)
Reference Range > OR = 60
Bone Tests
CALCIUM
Reference Range 8.6­10.4
Pancreas Tests
GLUCOSE
Reference Range 65­99
HEMOGLOBIN A1c
Reference Range <5.7
Liver Tests
PROTEIN, TOTAL
Reference Range 6.1­8.1
ALBUMIN
Reference Range 3.6­5.1
GLOBULIN
Reference Range 1.9­3.7
ALBUMIN/GLOBULIN RATIO
Reference Range 1.0­2.5
BILIRUBIN, TOTAL
Reference Range 0.2­1.2
BILIRUBIN, DIRECT
Reference Range < OR = 0.2
ALKALINE PHOSPHATASE
Reference Range 33­130
GGT
Reference Range 3­70
AST
Reference Range 10­35
ALT
Reference Range 6­29
3.4 g/dL
4.0
2.6 g/dL (calc)
3.0
1.3 (calc)
1.3
0.1 mg/dL
1.0
0.1 mg/dL
0.0
32 U/L
50
3 U/L
50
9 U/L
30
5 U/L
35
2.3 mg/dL
4.0
36 mcg/dL
150
211 mcg/dL
350
17 % (calc)
43
9 ng/mL
150
3.7 Thousand/uL
8.0
3.75 Million/uL
4.80
11.1 g/dL
14.8
34.0 %
45.0
90.7 fL
93.8
29.6 pg
30.8
32.6 g/dL
32.9
Other Tests
URIC ACID
Reference Range 2.5­7.0
IRON, TOTAL
Reference Range 40­160
IRON BINDING CAPACITY
Reference Range 250­450
% SATURATION
Reference Range 15­50
FERRITIN
Reference Range 10­232
WHITE BLOOD CELL COUNT
Reference Range 3.8­10.8
RED BLOOD CELL COUNT
Reference Range 3.80­5.10
HEMOGLOBIN
Reference Range 11.7­15.5
HEMATOCRIT
Reference Range 35.0­45.0
MCV
Reference Range 80.0­100.0
MCH
Reference Range 27.0­33.0
MCHC
Reference Range 32.0­36.0
RDW
Reference Range 11.0­15.0
PLATELET COUNT
Reference Range 140­400
ABSOLUTE NEUTROPHILS
Reference Range 1500­7800
10.5 %
135 Thousand/uL
2590 cells/uL
275
ABSOLUTE LYMPHOCYTES
Reference Range 850­3900
ABSOLUTE MONOCYTES
Reference Range 200­950
ABSOLUTE EOSINOPHILS
Reference Range 15­500
ABSOLUTE BASOPHILS
Reference Range 0­200
Waist Circumference ­ Inches
Reference Range M: <=40 F: <=35
BMI
Reference Range 18.5­24.9
BLOOD PRESSURE
Reference Range < 120/80
370 cells/uL
185 cells/uL
370 cells/uL
185 cells/uL
23 in
34
18.0
30.4
105/65
120/100
Laboratory Notes (Lab Testing Performed at Quest Diagnostics)
Desirable range <100 mg/dL for patients with CHD or|diabetes and <70 mg/dL for diabetic patients with|known heart disease.|
For patients >49 years of age, the reference limit|for Creatinine is approximately 13% higher for people|identified as African­American.|
Fasting reference interval|
Therapeutic target for gout patients: <6.0 mg/dL|
Average relative cardiovascular risk according to|AHA/CDC guidelines.|For ages >17 Years:|cCRP mg/L Risk According to AHA/CDC Guidelines|<1.0 Lower relative cardiovascular risk.|1.0­3.0 Average relative cardiovascular risk.|3.1­10.0 Higher relative cardiovascular risk.|Consider retesting in 1 to 2 weeks to|exclude a benign transient elevation|in the baseline CRP value secondary|to infection or inflammation.|>10.0 Persistent elevation, upon retesting,|may be associated with infection and|inflammation.|
Decreased risk of diabetes|<5.7 Decreased risk of diabetes|5.7­6.0 Increased risk of diabetes|6.1­6.4 Higher risk of diabetes|> or = 6.5 Consistent with diabetes|These Reference Intervals are supported by the|current "Standards of Medical Care in Diabetes"|published in January of the current year in|Diabetes Care, the Journal of the American|Diabetes Association.