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Laboratory Report #32

Date

Collection Date: June 26, 2024
Report Date: June 29, 2024

Laboratory

Labcorp

Ordering Physician

Dr. Billy R. Boring, Jr.

Report Type

Comprehensive Health Evaluation and Inflammatory Monitoring Panel

Laboratory testing included:

  • Complete Blood Count (CBC) with Differential
  • Comprehensive Metabolic Panel (CMP)
  • Urinalysis
  • Lipid Panel
  • Iron and TIBC
  • Vitamin B12 and Folate
  • Free T4
  • TSH
  • Cortisol
  • Magnesium
  • Zinc
  • Ferritin
  • C-Reactive Protein (CRP)

Original Report

PDF: Labcorp – June 26, 2024

Purpose of Testing

This comprehensive laboratory evaluation was performed approximately six months after the November 2023 recovery evaluation. The primary purposes were:

  • Monitor recurrence of anemia.
  • Assess inflammatory activity.
  • Evaluate nutritional status.
  • Monitor cardiovascular risk factors.
  • Review kidney, thyroid, metabolic, and organ function.

This report is especially important because it documents the period after beginning the strict carnivore diet on January 1, 2024. The results show both positive improvements and areas requiring continued physician discussion.

Major Findings

1. Complete Blood Count (CBC)

Results
TestResultInterpretation
WBC4.8 ×10³/µLNormal
RBC3.71 ×10⁶/µLLow
Hemoglobin11.2 g/dLLow
Hematocrit35.4%Low
MCV95 fLNormal
Platelets191 ×10³/µLNormal
Interpretation

This report documents a recurrence of mild normocytic anemia.

Hemoglobin Trend
DateHemoglobin
June 202312.3
July 202311.8
September 202311.3
November 202313.1
June 202411.2

The anemia pattern remains:

  • Normocytic (MCV 95)
  • Mild
  • Isolated to red blood cells

White blood cells and platelets remain normal, suggesting no evidence of generalized bone marrow suppression.

The historical chart on page 5 clearly demonstrates the return of the lower hemoglobin trend.

2. White Blood Cell Differential

Findings
  • WBC: 4.8 (Normal)
  • Neutrophils: 42%
  • Lymphocytes: 31%
  • Monocytes: 7%
  • Eosinophils: 19%
  • Absolute eosinophils: 0.9 ×10³/µL (High)
Interpretation

A significant new finding is the elevation of eosinophils.

Possible associations include:

  • Allergic conditions
  • Medication reactions
  • Environmental exposures
  • Certain inflammatory conditions
  • Parasitic infections (depending on clinical circumstances)

This finding should be discussed with your physicians, especially given your history of inflammatory illness and prior mast cell evaluation.

3. Iron Evaluation

Results
TestResult
Iron121 µg/dL
TIBC251 µg/dL
Iron Saturation48%
Ferritin152 ng/mL
Interpretation

Iron status remains excellent.

Findings demonstrate:

  • Adequate iron availability.
  • Normal-to-high iron saturation.
  • Strong iron storage levels.

These results again argue against iron deficiency as the cause of anemia.

4. Vitamin Status

Vitamin B12

Result

  • 1,208 pg/mL
Folate

Result

  • 11.9 ng/mL
Interpretation

Vitamin levels remain adequate.

There is no laboratory evidence that anemia is caused by:

  • Vitamin B12 deficiency
  • Folate deficiency

5. Inflammatory Marker

C-Reactive Protein (CRP)

Result

  • 2 mg/L

Reference Range:

  • 0–10 mg/L
Interpretation

This is an excellent finding.

Compared with:

  • October 2021: CRP 32 mg/L
  • July 2022: CRP 6 mg/L
  • June 2024: CRP 2 mg/L

The current value demonstrates:

  • No significant active systemic inflammation.
  • Continued resolution of the inflammatory illness.
  • Excellent inflammatory control.

6. Kidney Function

Results
  • BUN: 40 mg/dL (High)
  • Creatinine: 0.92 mg/dL
  • eGFR: 81 mL/min/1.73 m²
  • BUN/Creatinine Ratio: 43 (High)
Interpretation

Kidney filtration remains excellent.

However, the elevated BUN and BUN/Creatinine ratio deserve attention.

Possible contributors include:

  • High protein intake
  • Increased dietary meat consumption
  • Relative dehydration
  • Fasting state

Given your strict carnivore diet, this finding is particularly relevant for discussion with Dr. Yoo and future physicians.

7. Lipid Panel

Results
TestResult
Total Cholesterol220 mg/dL
LDL Cholesterol136 mg/dL
HDL Cholesterol75 mg/dL
Triglycerides50 mg/dL
Interpretation

The lipid profile shows improvement.

Compared with November 2023:

MarkerNov 2023Jun 2024
Total Cholesterol249220
LDL151136
HDL8875
Triglycerides6050

Positive findings:

  • LDL decreased.
  • Triglycerides remain exceptionally low.
  • HDL remains strong.

The LDL level remains the primary cardiovascular discussion point.

8. Thyroid Function

Results
  • Free T4: 1.31 ng/dL
  • TSH: 0.819 μIU/mL
Interpretation

Thyroid replacement remains effective.

TSH is toward the lower end of normal, which should continue to be monitored given your age and cardiovascular history.

9. Nutritional Minerals

Results
Magnesium
  • 2.0 mg/dL
Zinc
  • 107 µg/dL
Interpretation

Both mineral levels are within normal ranges.

10. Urinalysis

Findings

Normal:

  • No protein
  • No glucose
  • No blood
  • No ketones
  • Negative infection markers
Interpretation

Urinalysis remains reassuring with no evidence of kidney damage or urinary abnormalities.

Overall Interpretation

The June 2024 laboratory evaluation provides a very important picture of your health after six months of strict carnivore eating.

Major Positive Findings

✅ CRP remains very low, showing excellent inflammatory control.
✅ Kidney filtration remains strong.
✅ Lipid profile improved compared with November 2023.
✅ Triglycerides remain exceptionally low.
✅ Iron, B12, and folate status remain adequate.
✅ Thyroid replacement remains effective.

Areas Requiring Discussion

⚠ Persistent mild normocytic anemia.
⚠ Elevated eosinophils.
⚠ Elevated BUN/BUN-creatinine ratio.
⚠ Continued LDL elevation.

Longitudinal Significance

This report contributes to:

  • CBC Trend Table
  • Hemoglobin Trend Table
  • Inflammatory Marker Trend Table
  • Lipid Trend Table
  • Kidney Function Trend Table
  • Thyroid Trend Table
  • Nutritional Status Trend Table
  • Section 3.7 – History of Systemic Inflammatory Illness
  • Section 6 – Lifestyle & Health Goals

Clinical Importance

⭐⭐⭐⭐⭐ Major Lifestyle Transition Report

This report is especially valuable because it represents the first comprehensive laboratory evaluation after your January 2024 dietary transition.

It establishes a new baseline:

Before Carnivore Diet

  • Hemoglobin fluctuated.
  • LDL elevated.
  • A1c periodically elevated.
  • Inflammatory illness history present.

After Six Months Carnivore Diet

  • CRP very low.
  • Triglycerides extremely low.
  • LDL improved.
  • Glucose remained excellent.
  • Persistent anemia requires evaluation.

Key Findings

  • Hemoglobin: 11.2 g/dL (Low)
  • CRP: 2 mg/L
  • Ferritin: 152 ng/mL
  • LDL: 136 mg/dL
  • HDL: 75 mg/dL
  • Triglycerides: 50 mg/dL
  • Creatinine: 0.92 mg/dL
  • eGFR: 81
  • BUN: 40 mg/dL (High)
  • Eosinophils: 19% / 0.9 absolute (High)

Related Reports

  • November 13, 2023 – Comprehensive Recovery Evaluation
  • September 12, 2023 – Anemia Evaluation
  • October 13, 2021 – Peak Inflammatory Illness Evaluation
  • CRP Trend Table
  • CBC Trend Table
  • Lipid Trend Table
  • Cardiologist Consultation Summary (2026)
  • Rheumatology Consultation Summary (2026)

Navigation

Observation

This report is one of the most valuable additions to your Health Inventory because it captures the first measurable effects of your major lifestyle change beginning January 1, 2024.

The most striking finding is the contrast between:

  • Inflammation: excellent (CRP 2)
  • Metabolic markers: improved
  • Cardiovascular markers: mixed but improving
  • Blood counts: anemia returned

For future physician discussions, this report creates a focused set of questions:

  1. Why does normocytic anemia continue despite excellent iron, B12, and folate status?
  2. What is the significance of persistent eosinophilia?
  3. Is the elevated BUN expected with a high-protein carnivore diet?
  4. How should LDL be interpreted in the context of very low triglycerides and low inflammation?

This is exactly the type of information your Health Inventory was designed to preserve and organize.