“Lab results are all normal. Come back in one year”

[Anonymous]

Anonymous wrote:Normal liver enzyme results are normal. Lab result reference ranges are set to reflect population norms. This isn’t a conspiracy to make us all sick; it’s a reflection of better data and analysis. People with liver disease do not have *slightly* elevated enzymes. They have very elevated enzymes over repeated testing over time. Also, some percent of the population has elevated enzymes out of the reference range that have nothing to do with disease or liver injury. Viruses and immunizations push up enzyme readings in some folks too. Finally, if your child really had non-alcoholic fatty liver disease, Tylenol poisoning, or hepatitis, they would have other symptoms you would notice, would show up on exam, or would show in labs.

If you’re worried about A1C, you can control your child’s diet and exercise. If you’re worried about T1diabetes, trust that you’d see symptoms if your child were falling ill. I suppose you can always send a portal message to ask if re-testing in 6 months might be appropriate.

How high over 100 are your child’s triglyceride levels, and is your child older than 10? Absent other issues, like obesity, high LDL, or pancreatitis, a slightly elevated level isn’t a concern. Also most of the time slightly elevated levels are predicting future lifetime risk, not an immediate health crisis. If you are concerned, a reasonable diet at home is always the first line of defense.

Many people over-read their lab reports. Docs look not only for results outside of reference range but for pairs or groups of results that run together when there are certain illnesses or disorders in play. And normal really is normal. Despite what some websites will tell you, “low normal” and “high normal” results are not a thing unless there are accompanying symptoms.

This is very helpful and want my pediatrician told me when my DD had concerning (to me) elevated liver enzymes. Did blood work six months later and they were normal. They rise and fall as seen in her bloodwork over the years.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Normal liver enzyme results are normal. Lab result reference ranges are set to reflect population norms. This isn’t a conspiracy to make us all sick; it’s a reflection of better data and analysis. People with liver disease do not have *slightly* elevated enzymes. They have very elevated enzymes over repeated testing over time. Also, some percent of the population has elevated enzymes out of the reference range that have nothing to do with disease or liver injury. Viruses and immunizations push up enzyme readings in some folks too. Finally, if your child really had non-alcoholic fatty liver disease, Tylenol poisoning, or hepatitis, they would have other symptoms you would notice, would show up on exam, or would show in labs.

If you’re worried about A1C, you can control your child’s diet and exercise. If you’re worried about T1diabetes, trust that you’d see symptoms if your child were falling ill. I suppose you can always send a portal message to ask if re-testing in 6 months might be appropriate.

How high over 100 are your child’s triglyceride levels, and is your child older than 10? Absent other issues, like obesity, high LDL, or pancreatitis, a slightly elevated level isn’t a concern. Also most of the time slightly elevated levels are predicting future lifetime risk, not an immediate health crisis. If you are concerned, a reasonable diet at home is always the first line of defense.

Many people over-read their lab reports. Docs look not only for results outside of reference range but for pairs or groups of results that run together when there are certain illnesses or disorders in play. And normal really is normal. Despite what some websites will tell you, “low normal” and “high normal” results are not a thing unless there are accompanying symptoms.

This is very helpful and want my pediatrician told me when my DD had concerning (to me) elevated liver enzymes. Did blood work six months later and they were normal. They rise and fall as seen in her bloodwork over the years.

*what

[Anonymous]

High triglyceride and slightly elevated A1C both suggest insulin resistance. You may need to improve their diet and exercise habits. But also, as someone else suggested, puberty can cause this due to the elevated growth hormone, and age matters here.

[Anonymous]

Anonymous wrote:

+1 it does. She will probably drag her DC to 15 doctors until they can either misdiagnose DC or they do a battery of invasive tests that give DC lifelong health anxiety.

NP. My daughter's pediatrician diagnosed her with anxiety and disordered eating and referred us to a nutritionist and psychiatrist. None of this sounded right, and thank God I kept pushing, because my daughter's symptoms were caused by a cluster of autoimmune diseases, including celiac, autoimmune thyroid disease, and mast cell activation syndrome. The "anxiety" and weight loss were caused by elevated autoantibodies, which were first not tested and later dismissed. But you know, teenage girl with anxiety, fatigue, and weight loss automatically has mental health problems. No need to dig further or question anything. The pediatrician didn't even listen for hoofbeats, just assumed. I am grateful it didn't require a medical crisis (like thyroid storm) to get a diagnosis.

This is why so many people don't have confidence in their doctors.

[Anonymous]

I’d go to another pediatrician. Not all doctors are good.

[Anonymous]

OP, this is a perfect opportunity for you to make an appointment with the doctor and ask him/her to explain the results and why the results are broadly of no concern. Like PPs mentioned, doctors look at things beyond just the results, and you should be fairly confident they know a little bit more than you do from your Google search. I have had a number of concerning results, and my PCP did a good job explaining to me why he wasn’t concerned.

[Anonymous]

I appreciated the finding on sequencing.com saliva test. Just do not tell your child's doctors if you do it. They will basically accuse you of witchcraft. Honestly, it was the best test we did.