great to see the results are in (mostly)!
so, the ESR looks low, which on the one hand is probably better than having a high ESR, but just in case, i had a quick scout on causes of low ESR:
ESRhttp://labtestsonline.org/understanding ... r/tab/test
"Although a low ESR is not usually a cause for concern, it can be seen with conditions that inhibit the normal sedimentation of RBCs, such as polycythemia, extreme leukocytosis, and some protein abnormalities. Some changes in red cell shape (such as sickle cells in sickle cell anemia) also lower the ESR."
i'd have to do more research to figure out what the protein abnormalities might be. as for changing red cell shape, one instance in which that can happen is b12 deficiency. when it gets pronounced, the mean corpuscular volume (MCV) of the red blood cells increases measurably. one of the dumb benchmarks for determining actual b12 deficiency, never mind anything else that goes wrong before it's actually causing structural change in your cells...
now as for serum urea, as much as i'd like to, i can't compare that to anything. serum uric acid has been studied in ms patients. i'd have to have a search to see if anyone has compared serum urea levels in ms patients and controls.
elevated albumin - interesting. that looks like a possible tie-in with the protein abnormalities and the low ESR. on elevated albumin:http://en.wikipedia.org/wiki/Albumin
"High albumin (hyperalbuminemia) is almost always caused by dehydration. In some cases of retinol (Vitamin A) deficiency the albumin level can be elevated to high-normal values (e.g., 4.9 g/dL). This is because retinol causes cells to swell with water (this is also the reason too much Vitamin A is toxic). ... Normal range of human serum albumin in adults (> 3 y.o.) is 3.5 to 5 g/dL."
Hyperalbuminemiahttp://en.wikipedia.org/wiki/Hyperalbum ... lbuminemia
"Typically, this condition is a sign of severe or chronic dehydration. Chronic dehydration needs to be treated with zinc as well as with water. Zinc reduces cell swelling caused by decreased intake of water (hypotonicity) and also increases retention of salt. In the dehydrated state, the body has too high an osmolarity and, it appears, discards zinc to prevent this. Zinc also regulates transport of the cellular osmolyte taurine, and albumin is known to increase cellular taurine absorption. Zinc has been shown to increase retinol (vitamin A) production from beta-carotene, and in lab experiments retinol reduced human albumin production. It is possible that a retinol (vitamin A) deficiency alone could cause albumin levels to become raised. Patients recovering from chronic dehydration may develop dry eyes as the body uses up its vitamin A store. It is interesting to note that retinol causes cells to swell with water (this is likely one reason that too much vitamin A is toxic). Hyperalbuminemia is also associated with high protein diets."
i went looking for low ESR and elevated albumin together, found this post from a couple years ago:
My blood test has been normal, the only unusual value was the low ESR of 2 mm/h, and some elevated albumin. So I've been looking further into what causes low ESR and found the following:http://forums.phoenixrising.me/index.ph ... sion.3817/
"ESRs approaching zero are characteristic of trichinosis or chronic fatigue syndrome.
Utilizing this point, if a patient is presumed to have CFS and the ESR is in the normal or elevated range, then an alternate diagnosis should be entertained.
The ESR is also low in cachexia, severe anemia, massive hepatic necrosis, DIC, polycythemia vera..." Source: Infectious Diseases, Sherwood L. Gorbach
I am wondering if others also have low ESR, and if they have done some further investigation into this."
there wasn't any useful reply to the above post, unfortunately. one thing i learned recently is that chronic fatigue syndrome is basically chronic mono or EBV. trichinosis is a parasitic infection, anemia is obvious, hepatic necrosis can be from chronic overdose of acetaminophen/paracetamol, DIC is a clotting disorder "Disseminated intravascular coagulation" which "can reduce or block blood flow through the blood vessels, which can damage the body's organs... In DIC, the increased clotting uses up platelets (PLATE-lets) and clotting factors in the blood. Platelets are blood cell fragments that stick together to seal small cuts and breaks on blood vessel walls and stop bleeding. Clotting factors are proteins needed for normal blood clotting." if it was Polycythemia vera, there would be an elevated red blood cell count.. etc.
too bad they screwed up the copper and zinc levels. your magnesium level looks good, and so does your d3. too bad about the possible skew on the d3 due to taking 5000 IU the day before, but it is what it is.
it does look like you are absorbing nutrients, so that is a definite plus. i suspect the high albumin is nothing more than a reflection of organ meat in the diet etc (because of that i am pretty much expecting the zinc to be good also).
as for the low ESR i will keep looking into that. and hopefully those test will come in soon!