Your Health Check Report: Key Insights and Recommendations - Family Medicine

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Health Check Report


Height: 173.1 cm, Weight: 73.2 kg.
Below are the results from the company health check in September 2023, with red flags noted in the report provided in October.
I would like to inquire about the doctor's recommendations and understand my health status.
Thank you.
Body Mass Index (BMI): 24.43
Complete Blood Count (CBC):
- Red Blood Cells (RBC): 4.47 million/uL (normal range: 4.5–5.9) (for ages >6 years)
- Eosinophils: 6.4% (normal range: 0–5) (for ages >6 years)
Metabolic Panel:
- Low-Density Lipoprotein Cholesterol (LDL-C): 133 mg/dL (optimal level: <100)
- Total Cholesterol: 203 mg/dL (optimal level: <200)
Cancer Screening:
- Cytokeratin Fragment 21-1 (CYFRA21-1): 4.53 ng/mL (normal level: <=3.3)

Ding Xiansheng, 30~39 year old female. Ask Date: 2023/10/23

Dr. Chen Bozhang reply Family Medicine


It is recommended to bring your health check-up report to the family medicine outpatient consultation.
Thank you.

Reply Date: 2023/10/23

More Info


Based on your health check report from September 2023, there are several key findings that warrant attention. Let's break down the results and provide insights into what they mean for your health, along with recommendations for managing any potential issues.


Key Findings:
1. Eosinophils (EOSINOPHIL): Your eosinophil count is at 6.4%, which is above the normal range (0-5%). Eosinophils are a type of white blood cell involved in the body's immune response, particularly in allergic reactions and parasitic infections. An elevated eosinophil count can indicate allergies, asthma, or other inflammatory conditions. It may be beneficial to consult with an allergist or immunologist to explore potential underlying causes.

2. Low-Density Lipoprotein Cholesterol (LDL-C): Your LDL cholesterol level is 133 mg/dL, which is above the recommended level of less than 100 mg/dL. Elevated LDL cholesterol is a significant risk factor for cardiovascular diseases, including heart attacks and strokes. It is advisable to adopt lifestyle changes such as a heart-healthy diet, regular physical activity, and possibly medication if recommended by your healthcare provider.

3. Total Cholesterol: Your total cholesterol level is 203 mg/dL, which is slightly above the desirable level of less than 200 mg/dL. While this is not as critical as the LDL level, it still indicates a need for monitoring and potential lifestyle adjustments to lower your overall cholesterol levels.

4. CYFRA21-1 (Cytokeratin Fragment 21-1): Your CYFRA21-1 level is 4.53 ng/mL, exceeding the normal threshold of 3.3 ng/mL. This biomarker is often used in the assessment of lung cancer and other malignancies. While an elevated level does not confirm cancer, it does warrant further investigation, especially if you have risk factors or symptoms. A consultation with an oncologist or pulmonologist may be necessary for further evaluation.


Recommendations:
1. Dietary Changes: Focus on a diet low in saturated fats and cholesterol. Incorporate more fruits, vegetables, whole grains, and lean proteins. Foods rich in omega-3 fatty acids, such as fish, can help improve lipid profiles.

2. Regular Exercise: Aim for at least 150 minutes of moderate-intensity aerobic activity each week. Exercise can help lower LDL cholesterol and improve overall cardiovascular health.

3. Monitor Eosinophil Levels: If you have symptoms such as asthma, allergies, or unexplained rashes, consider seeing a specialist to evaluate the cause of the elevated eosinophils.

4. Follow-Up Testing: Given the elevated CYFRA21-1 level, it is crucial to follow up with your healthcare provider for additional tests, which may include imaging studies or further blood tests to rule out malignancies.

5. Regular Health Check-Ups: Schedule regular check-ups to monitor your cholesterol levels, eosinophil count, and any other relevant health markers. This will help in early detection and management of potential health issues.

6. Stress Management: Consider incorporating stress-reducing activities such as yoga, meditation, or mindfulness practices into your routine, as stress can impact overall health and exacerbate certain conditions.


Conclusion:
Your health check report indicates some areas that require attention, particularly concerning cholesterol levels and the elevated CYFRA21-1 marker. By making lifestyle changes, seeking appropriate medical advice, and maintaining regular health check-ups, you can effectively manage your health and reduce the risk of potential complications. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific health needs.

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