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

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[quote=Anonymous][quote=Anonymous]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. 
[/quote]

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. [/quote]

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