Section 7.1 Laboratory

Laboratory Report #33

Date

Collection Date: August 12, 2024
Report Date: August 13, 2024

Laboratory

Labcorp

Ordering Physician

Dr. Billy R. Boring, Jr.

Report Type

Follow-up CBC and Metabolic Monitoring Evaluation

Laboratory testing included:

Complete Blood Count (CBC) with Platelets (No Differential)
Hemoglobin A1c

Original Report

PDF: Labcorp – August 12, 2024

One-Page Summary

Purpose of Testing

This focused laboratory evaluation was performed approximately six weeks after the comprehensive June 2024 laboratory study. The purpose was to reassess two important areas:

Persistent mild normocytic anemia
Glucose/metabolic improvement following dietary changes

The report provides an important follow-up point after the June 2024 findings. It shows that the anemia remained stable without further decline and that metabolic control continued to improve significantly.

Major Findings

1. Complete Blood Count (CBC)

Results

Test	Result	Interpretation
WBC	5.2 ×10³/µL	Normal
RBC	3.71 ×10⁶/µL	Low
Hemoglobin	11.3 g/dL	Low
Hematocrit	36.1%	Low
MCV	97 fL	Normal
MCH	30.5 pg	Normal
MCHC	31.3 g/dL	Slightly Low
RDW	13.0%	Normal
Platelets	197 ×10³/µL	Normal

Interpretation

The CBC demonstrates persistent but stable mild normocytic anemia.

Comparison with June 26, 2024:

Marker	June 2024	August 2024
RBC	3.71	3.71
Hemoglobin	11.2	11.3
Hematocrit	35.4%	36.1%
MCV	95	97
Platelets	191	197

The important observation is that the anemia did not worsen.

The pattern remains:

Mild
Normocytic
Stable
Isolated to red blood cells

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

Historical Hemoglobin Trend

The Labcorp historical chart on page 2 illustrates the longer-term pattern:

Date	Hemoglobin
July 2023	11.8
September 2023	11.3
November 2023	13.1
June 2024	11.2
August 2024	11.3

Interpretation of Trend

The chart demonstrates:

A temporary recovery in November 2023.
Return of anemia in June 2024.
Stability through August 2024.

This suggests a recurring pattern rather than a rapidly progressive decline.

2. Hemoglobin A1c

Result

Hemoglobin A1c

5.4%

Reference Range:

4.8–5.6%

Interpretation

This is an excellent metabolic finding.

Trend:

Date	A1c
January 2022	5.6%
December 2022	5.7%
June 2023	5.6%
September 2023	5.8%
August 2024	5.4%

The A1c has returned to the normal range and represents the lowest value in the recent trend.

This improvement is consistent with the major dietary changes beginning January 2024.

Overall Interpretation

This August 2024 follow-up report provides two important conclusions:

1. Hematologic Status

The anemia remains present but stable.

Hemoglobin improved slightly from 11.2 → 11.3 g/dL.
Hematocrit improved from 35.4% → 36.1%.
Platelets and WBC remain normal.

There is no evidence in this report of rapid progression.

2. Metabolic Health

Glucose regulation continues to improve.

Hemoglobin A1c decreased to 5.4%.
This is the best A1c value documented in the available recent trend.

Longitudinal Significance

This report contributes to:

CBC Trend Table
Hemoglobin Trend Table
Hematocrit Trend Table
Platelet Trend Table
Hemoglobin A1c Trend Table
Lifestyle & Diet Impact Timeline
Medical History Timeline

Clinical Importance

⭐⭐⭐⭐ Stability Confirmation Report

This report is important because it answers two questions raised by the June 2024 laboratory evaluation:

Question 1:

Is the anemia getting worse?

Answer:
No. It remained essentially unchanged.

Question 2:

Are metabolic improvements continuing?

Answer:
Yes. A1c improved to 5.4%.

Key Findings

Hemoglobin: 11.3 g/dL (Low)
Hematocrit: 36.1% (Low)
RBC: 3.71 ×10⁶/µL (Low)
MCV: 97 fL (Normal)
WBC: 5.2 ×10³/µL (Normal)
Platelets: 197 ×10³/µL (Normal)
Hemoglobin A1c: 5.4% (Normal)

Related Reports

June 26, 2024 – Comprehensive Health Evaluation
November 13, 2023 – Recovery Evaluation
September 12, 2023 – Anemia Evaluation
July 19, 2023 – CBC Follow-up
CBC Trend Table
Hemoglobin Trend Table
Metabolic Health Trend Table

Navigation

Previous Report: June 26, 2024 – Comprehensive Health Evaluation
Next Report: November 12, 2024 – Laboratory Evaluation
Return to Laboratory Library
Return to Health Inventory

Observation

This small but focused report is valuable because it confirms a pattern that is becoming clearer in your Health Inventory:

The inflammatory markers and metabolic markers are improving, while the anemia remains an isolated issue.

The combination of:

Normal iron stores
Normal B12 and folate
Normal kidney function
Very low CRP
Stable CBC pattern

suggests that the anemia deserves continued observation but is not currently accompanied by signs of active systemic illness.

The most encouraging finding is the continued metabolic improvement:

A1c 5.8% (September 2023)
A1c 5.4% (August 2024)

This provides a measurable laboratory marker of the positive impact of your lifestyle changes.