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Weird stuff on Blood test

Hey guys just got my blood test back and have some stuff I've never heard.

Hemoglobin: 12.8
Hematocrit: 37.5
RBC: 4.5 million
WBC: 2,200

Everything else is ok except for some things that are observed in my blood test like: Schistocyte, Traget Cell, Ovalocytes, Anisocytosis, and Poikilocytosis.

Also this other tests:

T3: 4.76
T4: >24.86
TSH Ultrasensitive: <0.01

What does this all mean. Do I have anemia? cause I feel very tired the whole day.
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1491755 tn?1333201362
TY Trinity 4.  This ride is and continues to be a non-stop education.
Helpful - 0
179856 tn?1333547362
You are hyper right now but most typically because of type of treatment you are on you will at some point turn hypo - at least that is what mostly happens. That is why I was assuming at some point you would be put on synthroid. In the three weeks I had to wait when I was 0.00TSH to get my nuclear imaging scan - when I had the test done I was changed to 6.2 which is hypo.  Again because of the treatment is why you got this and why this is the usual course of what happens.  It is not typical regular thyroid dysfunction.

you can wait until your doctor comes in next week but I would make an appointment with him right now or call and find out who the endocronologist is that you should be talking to.

Hyper is more dangerous than hypo.  You should google Graves Disease (hyper) and Hashimoto (hypo) to see what they are about.

Mine never went back to normal after treatment and I remain on synthroid to this day and always will.  Although they say most people will regain the use of their thyroid after treatment I rarely have seen that to be true on the forum and that is the only reference point I can really speak from.

It is an autoimmune disease and for some reason your body believes that your thyroid is bad and wants to kill it off. If you stay hyper most likely eventually they will remove your thyroid and put you on synthroid. That is what happened to the two people I knew best in the real world who had Graves Disease (hyper).

But most of us eventually on tx go hypo.

I hope that makes sense to you.
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Avatar universal
T3, T4 and TSH are all like this because of my treatment with HepC. Is this normal. My doctor is out of town and coming next week. Is this very bad or can I wait.

What can happen to me because of this results of thyroid problems. When I'm off the treatment I'm guessing it will get back to normal.

SHould I see a doctor right away or is it normal because of my treatment.
Helpful - 0
Avatar universal
Adult males: 14-18 gm/dl
Adult women: 12-16 gm/dl
Men after middle age: 12.4-14.9 gm/dl
Women after middle age: 11.7-13.8 gm/dl

Depending on where yo's Hgb started out it could be considered low for him but typically with antiviral therapy hgb drops lower than 12.8 which is a very good indicator the serum ribavirin levels are adequate.
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1491755 tn?1333201362
Wouldn't an HGB of 12.8 be considered low ? The references on my labs are 14.1 - 18.3.
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Avatar universal
Is that TSH accurate as in that's how it shows on your test results?  If so, your TSH is incredibly low and as nygirl says, requires immediate attention.  Did your doctor not say anything about that?  Mine was .02 when I went hyperthyroid and that was very low.  My doctor put me on beta blockers immediately until I could get to an endocrinologist. My hands had become noticeably shaky and my equilibrium was off noticeably as well.   You won't be put on synthroid unless you go hypothyroid and you are not hypo, you are hyper.  It can be dangerous to be hyperthyroid if left untreated.  I would talk to your doctor about that immediately and if he's not familiar with TSH readings, then ask him to consult with an endocrinologist.
Helpful - 0
Avatar universal
"what about this:

Schistocyte, Traget Cell, Ovalocytes, Anisocytosis, and Poikilocytosis."

As Suzie mentioned these different shapes, sizes and split red blood cells. They are abnormal because the ribavirin is interrupting the production process of the red blood cells. I have the same things on all my CBCs. It is my understanding that this is a normal reaction to taking ribavirin and will return to normal when you complete treatment.

- Dave
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Avatar universal
Just as an add on to my last post.

I have been on synthroid for many years to control thyroid function

However my condition is the opposite to yours,I have an underactive thyroid(hypothyroid) so the synthroid is replacing the hormone, however with hyper   I am not sure the treatment would be the same. Obviously an endo  would know and I agree you should see one asap.

Hope that helps and good luck!
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Avatar universal
T3: 4.76
T4: >24.86
TSH Ultrasensitive: <0.01

The normal reference range for TSH .3 to 4.7 and T4 free is 9.1 to 23.8

You do seem to be fairly significantly  hyperthyroid, which in itself may cause  symptoms such as heart palpitations ,sweating unexplained weight loss,intolerance to heat,as well as some others.

I have been on  synthroid for many years to control thyroid function and keeps things in check very well, with very few if any side effects if the dose is kept at the correct level .
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179856 tn?1333547362
TSH Ultrasensitive: <0.01

You are hyperthyroid and need to be seen by an endocronologist asap.  Normal TSH would be about a 2 as you can see you are no where near 2.0.  It is typical however on treatment to go hyper and then flip flop to hypo. That is what happened to me. They will give you a nuclear imaging scan to determine exactly how your thyroid is doing and then most likely prescribe you Synthroid a thyroid hormone replacement which will control your TSH.
Helpful - 0
Avatar universal
Those just describe the shapes and sizes of the white and red cells. Nothing to worry about at all.
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Avatar universal
what about this:

Schistocyte, Traget Cell, Ovalocytes, Anisocytosis, and Poikilocytosis.

Helpful - 0
Avatar universal
You are no where close to being anemic.  Actually, when I see normal hgb levels with someone this far into treatment it makes me uncomfortable.  My hgb never really dropped and I didn't SVR after 72 weeks of treatment.

Whites are acceptable.  Don't know anything about thyroid tests.

Treatment = fatigue with or without anemia.  That's just the way it rolls.

Trinity
Helpful - 0
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