1 Patient Report

Specimen ID: 289-059-8991-0 Acct #: 12502800 Phone: (847) 222-9546 Rte: 31

Control ID: B0095212223
DHA Laboratory
HILNER, KEN 411 E. Business Center Dr Ste 107
10200 BIG CANOE Mount Prospect IL 60056
BIG CANOE GA 30143
(678) 232-2574

Patient Details Specimen Details Physician Details

DOB: 07/21/1946 Date collected: 10/16/2019 1303 Local Ordering: D JOCKERS
Age(y/m/d): 073/02/25 Date received: 10/16/2019 Referring:
Gender: M SSN: Date entered: 10/16/2019 ID: 14430073
Patient ID: 33626DRJ Date reported: 10/20/2019 1606 ET NPI: 1003051327
General Comments & Additional Information
Clinical Info: DO NOT BILL PATIENT. BIL
Clinical Info: L ACCOUNT 125
Alternate Control Number: B0095212223 Alternate Patient ID: Not Provided
Total Volume: Not Provided Fasting: Yes
Ordered Items
CBC With Differential/Platelet; Comp. Metabolic Panel (14); Urinalysis, Routine; Lipid Panel w/ Chol/HDL Ratio; Thyroid Panel With
TSH; Iron and TIBC; Hemoglobin A1c; Thyroxine (T4) Free, Direct, S; Folate (Folic Acid), Serum; Testosterone, Serum; Plasma Zinc;
Vitamin A, Serum; Reverse T3, Serum; Calcitriol(1,25 di-OH Vit D); Vitamin D, 25-Hydroxy; Fructosamine; Lipoprotein (a); C-Reactive
Protein, Cardiac; Homocyst(e)ine; Uric Acid; LDH; GGT; Triiodothyronine (T3); Sedimentation Rate-Westergren; Thyroglobulin Antibody;
Vitamin B12; Magnesium; Copper, Serum; Fibrinogen Activity; Insulin; Ferritin, Serum; Thyroid Peroxidase (TPO) Ab; Triiodothyronine
(T3), Free; PTH, Intact; Venipuncture
TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB
CBC With Differential/Platelet
WBC 6.5 x10E3/uL 3.4 - 10.8 01
RBC 4.55 x10E6/uL 4.14 - 5.80 01
Hemoglobin 14.7 g/dL 13.0 - 17.7 01
Hematocrit 44.3 % 37.5 - 51.0 01
MCV 97 fL 79 - 97 01
MCH 32.3 pg 26.6 - 33.0 01
MCHC 33.2 g/dL 31.5 - 35.7 01
RDW 13.6 % 12.3 - 15.4 01
Platelets 297 x10E3/uL 150 - 450 01
Neutrophils 67 % Not Estab. 01
Lymphs 25 % Not Estab. 01
Monocytes 6 % Not Estab. 01
Eos 2 % Not Estab. 01
Basos 0 % Not Estab. 01
Neutrophils (Absolute) 4.4 x10E3/uL 1.4 - 7.0 01
Lymphs (Absolute) 1.6 x10E3/uL 0.7 - 3.1 01
Monocytes(Absolute) 0.4 x10E3/uL 0.1 - 0.9 01
Eos (Absolute) 0.2 x10E3/uL 0.0 - 0.4 01
Baso (Absolute) 0.0 x10E3/uL 0.0 - 0.2 01
Immature Granulocytes 0 % Not Estab. 01
Immature Grans (Abs) 0.0 x10E3/uL 0.0 - 0.1 01

Comp. Metabolic Panel (14)

Date Issued: 10/20/19 1606 ET FINAL REPORT Page 1 of 5

This document contains private and confidential health information protected by state and federal law. 1995-2019 Laboratory Corporation of America Holdings
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1 Patient Report
Patient: HILNER, KEN Specimen ID: 289-059-8991-0
DOB: 07/21/1946 Patient ID: 33626DRJ Control ID: B0095212223 Date collected: 10/16/2019 1303 Local

TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

Glucose 116 High mg/dL 65 - 99 01
BUN 19 mg/dL 8 - 27 01
Creatinine 1.05 mg/dL 0.76 - 1.27 01
eGFR If NonAfricn Am 70 mL/min/1.73 >59
eGFR If Africn Am 81 mL/min/1.73 >59
BUN/Creatinine Ratio 18 10 - 24
Sodium 144 mmol/L 134 - 144 01
Potassium 4.8 mmol/L 3.5 - 5.2 01
Chloride 103 mmol/L 96 - 106 01
Carbon Dioxide, Total 28 mmol/L 20 - 29 01
Calcium 10.1 mg/dL 8.6 - 10.2 01
Protein, Total 7.2 g/dL 6.0 - 8.5 01
Albumin 5.2 High g/dL 3.5 - 4.8 01
Globulin, Total 2.0 g/dL 1.5 - 4.5
A/G Ratio 2.6 High 1.2 - 2.2
Bilirubin, Total 0.6 mg/dL 0.0 - 1.2 01
Alkaline Phosphatase 56 IU/L 39 - 117 01
AST (SGOT) 20 IU/L 0 - 40 01
ALT (SGPT) 6 IU/L 0 - 44 01

Urinalysis, Routine
Urinalysis Gross Exam 01
Specific Gravity 1.027 1.005 - 1.030 01
pH 5.0 5.0 - 7.5 01
Urine-Color Yellow Yellow 01
Appearance Clear Clear 01
WBC Esterase Negative Negative 01
Protein Negative Negative/Trace 01
Glucose Negative Negative 01
Ketones Negative Negative 01
Occult Blood Negative Negative 01
Bilirubin Negative Negative 01
Urobilinogen,Semi-Qn 0.2 mg/dL 0.2 - 1.0 01
Nitrite, Urine Negative Negative 01
Microscopic Examination 01
Microscopic not indicated and not performed.

Lipid Panel w/ Chol/HDL Ratio

Cholesterol, Total 239 High mg/dL 100 - 199 01
Triglycerides 44 mg/dL 0 - 149 01
HDL Cholesterol 85 mg/dL >39 01
VLDL Cholesterol Cal 9 mg/dL 5 - 40
LDL Cholesterol Calc 145 High mg/dL 0 - 99

Date Issued: 10/20/19 1606 ET FINAL REPORT Page 2 of 5

This document contains private and confidential health information protected by state and federal law. 1995-2019 Laboratory Corporation of America Holdings
If you have received this document in error, please call 205-581-3500 All Rights Reserved - Enterprise Report Version: 1.00
1 Patient Report
Patient: HILNER, KEN Specimen ID: 289-059-8991-0
DOB: 07/21/1946 Patient ID: 33626DRJ Control ID: B0095212223 Date collected: 10/16/2019 1303 Local

TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

T. Chol/HDL Ratio 2.8 ratio 0.0 - 5.0
Please Note: 01
T. Chol/HDL Ratio
Men Women
1/2 Avg.Risk 3.4 3.3
Avg.Risk 5.0 4.4
2X Avg.Risk 9.6 7.1
3X Avg.Risk 23.4 11.0

Thyroid Panel With TSH

TSH 1.640 uIU/mL 0.450 - 4.500 01
Thyroxine (T4) 6.4 ug/dL 4.5 - 12.0 01
T3 Uptake 27 % 24 - 39 01
Free Thyroxine Index 1.7 1.2 - 4.9

Iron and TIBC

Iron Bind.Cap.(TIBC) 457 High ug/dL 250 - 450
UIBC 298 ug/dL 111 - 343 01
Iron 159 ug/dL 38 - 169 01
Iron Saturation 35 % 15 - 55

Hemoglobin A1c
Hemoglobin A1c 5.9 High % 4.8 - 5.6 01
Please Note: 01
Prediabetes: 5.7 - 6.4
Diabetes: >6.4
Glycemic control for adults with diabetes: <7.0

Thyroxine (T4) Free, Direct, S

T4,Free(Direct) 1.27 ng/dL 0.82 - 1.77 01

Folate (Folic Acid), Serum

Folate (Folic Acid), Serum >20.0 ng/mL >3.0 01
Note: 01
A serum folate concentration of less than 3.1 ng/mL is
considered to represent clinical deficiency.

Testosterone, Serum 601 ng/dL 264 - 916 01

Adult male reference interval is based on a population of
healthy nonobese males (BMI <30) between 19 and 39 years old.
Travison, et.al. JCEM 2017,102;1161-1173. PMID: 28324103.

Plasma Zinc 115 ug/dL 56 - 134 02

Detection Limit = 5

Vitamin A, Serum
Vitamin A 69.9 High ug/dL 22.0 - 69.5 02
Reference intervals for vitamin A determined from LabCorp internal

Date Issued: 10/20/19 1606 ET FINAL REPORT Page 3 of 5

This document contains private and confidential health information protected by state and federal law. 1995-2019 Laboratory Corporation of America Holdings
If you have received this document in error, please call 205-581-3500 All Rights Reserved - Enterprise Report Version: 1.00
1 Patient Report
Patient: HILNER, KEN Specimen ID: 289-059-8991-0
DOB: 07/21/1946 Patient ID: 33626DRJ Control ID: B0095212223 Date collected: 10/16/2019 1303 Local

TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

studies. Individuals with vitamin A less than 20 ug/dL are considered
vitamin A deficient and those with serum concentrations less than
10 ug/dL are considered severely deficient.
This test was developed and its performance characteristics
determined by LabCorp. It has not been cleared or approved
by the Food and Drug Administration.
A
Reverse T3, Serum 13.7 ng/dL 9.2 - 24.1 02

Calcitriol(1,25 di-OH Vit D) 55.5 pg/mL 19.9 - 79.3 02

Vitamin D, 25-Hydroxy 63.1 ng/mL 30.0 - 100.0 01

Vitamin D deficiency has been defined by the Institute of
Medicine and an Endocrine Society practice guideline as a
level of serum 25-OH vitamin D less than 20 ng/mL (1,2).
The Endocrine Society went on to further define vitamin D
insufficiency as a level between 21 and 29 ng/mL (2).
1. IOM (Institute of Medicine). 2010. Dietary reference
intakes for calcium and D. Washington DC: The
National Academies Press.
2. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al.
Evaluation, treatment, and prevention of vitamin D
deficiency: an Endocrine Society clinical practice
guideline. JCEM. 2011 Jul; 96(7):1911-30.

Fructosamine 346 High umol/L 0 - 285 01

Published reference interval for apparently healthy subjects
between age 20 and 60 is 205 - 285 umol/L and in a poorly
controlled diabetic population is 228 - 563 umol/L with a
mean of 396 umol/L.

Lipoprotein (a) 17.4 nmol/L <75.0 02

Note: Values greater than or equal to 75.0 nmol/L may
indicate an independent risk factor for CHD,
but must be evaluated with caution when applied
to non-Caucasian populations due to the
influence of genetic factors on Lp(a) across
ethnicities.

C-Reactive Protein, Cardiac <0.15 mg/L 0.00 - 3.00 01

Relative Risk for Future Cardiovascular Event
Low <1.00
Average 1.00 - 3.00
High >3.00

Homocyst(e)ine 13.0 umol/L 0.0 - 15.0 01

Uric Acid
Uric Acid 3.9 mg/dL 3.7 - 8.6 01
Please Note: 01
Therapeutic target for gout patients: <6.0
Date Issued: 10/20/19 1606 ET FINAL REPORT Page 4 of 5
This document contains private and confidential health information protected by state and federal law. 1995-2019 Laboratory Corporation of America Holdings
If you have received this document in error, please call 205-581-3500 All Rights Reserved - Enterprise Report Version: 1.00
1 Patient Report
Patient: HILNER, KEN Specimen ID: 289-059-8991-0
DOB: 07/21/1946 Patient ID: 33626DRJ Control ID: B0095212223 Date collected: 10/16/2019 1303 Local

TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAB

LDH 167 IU/L 121 - 224 01

GGT 15 IU/L 0 - 65 01

Triiodothyronine (T3) 96 ng/dL 71 - 180 01

Sedimentation Rate-Westergren
2 mm/hr 0 - 30 01

Thyroglobulin Antibody <1.0 IU/mL 0.0 - 0.9 01

Thyroglobulin Antibody measured by Beckman Coulter Methodology

Vitamin B12 1200 pg/mL 232 - 1245 01

Magnesium 2.3 mg/dL 1.6 - 2.3 01

B
Copper, Serum 64 Low ug/dL 72 - 166 02
Detection Limit = 5

Fibrinogen Activity 234 mg/dL 193 - 507 01

Insulin 5.8 uIU/mL 2.6 - 24.9 01

Ferritin, Serum 90 ng/mL 30 - 400 01

Thyroid Peroxidase (TPO) Ab 23 IU/mL 0 - 34 01

Triiodothyronine (T3), Free 3.1 pg/mL 2.0 - 4.4 01

PTH, Intact 42 pg/mL 15 - 65 01

Comments:
A This test was developed and its performance characteristics determined by
LabCorp. It has not been cleared or approved by the Food and Drug
Administration.
B This test was developed and its performance characteristics determined by
LabCorp. It has not been cleared or approved by the Food and Drug
Administration.

01 MB LabCorp Birmingham Dir: Brian Ragland, MD

1801 First Avenue South, Birmingham, AL 35233-1935
02 BN LabCorp Burlington Dir: Sanjai Nagendra, MD
1447 York Court, Burlington, NC 27215-3361
For inquiries, the physician may contact Branch: 800-597-8026 Lab: 205-581-3500

Date Issued: 10/20/19 1606 ET FINAL REPORT Page 5 of 5

This document contains private and confidential health information protected by state and federal law. 1995-2019 Laboratory Corporation of America Holdings
If you have received this document in error, please call 205-581-3500 All Rights Reserved - Enterprise Report Version: 1.00