10 years of bloodwork, one living dashboard · Jul 2016 — Mar 2026
35
Parameters Tracked
12
Currently Abnormal
23
Normalised
259
Total Readings
7
Categories
✦ AI Health Overview
Your bloodwork over the past decade reveals three core, interconnected issues that need focused attention: chronic iron deficiency that hasn't resolved despite 8 years of awareness, elevated cardiovascular risk markers (Lp(a), homocysteine, and CRP forming a triple threat), and a persistent immune/inflammatory shift since 2021.
1. Chronic Iron Deficiency — The Central Problem
Your ferritin has been critically low (4.4–15.8 ng/mL) across every single test for 8 years, despite the issue being known. This isn't just low iron — it's near-depleted iron stores. This drives your persistently low MCV, MCH, and iron saturation, meaning your red blood cells are smaller and carry less oxygen than they should. The fact that ferritin hasn't improved despite awareness strongly suggests an absorption issue — possible causes include low stomach acid, celiac disease, H. pylori infection, or chronic gut inflammation.
2. Elevated Cardiovascular Risk Markers
You carry a triple threat for heart health: elevated Lipoprotein(a) (consistently 44–61 mg/dL, genetic and hard to modify), persistently high homocysteine (15–25 µmol/L, driven by suboptimal B12 and folate), and chronic low-grade inflammation (CRP hovering at 2–4 mg/L). Individually each is a moderate risk factor; together they compound significantly. Your LDL is only borderline elevated, but in this context even borderline LDL matters more.
3. Immune & Inflammatory Shift
Since 2021, your white blood cell differential has flipped from neutrophil-dominant to lymphocyte-dominant (47–53%), your IgE remains elevated (indicating allergic tendency), and CRP stays above optimal. This pattern suggests your immune system is chronically activated — possibly from allergies, subclinical infections, gut permeability, or autoimmune tendency.
The Good News
Vitamin D has finally normalised (35.4 ng/mL) after years of severe deficiency. Folate has recovered. Testosterone rebounded from a critically low 188 to 525 ng/dL. Hemoglobin and hematocrit are stable. These show your body responds well when the right interventions are applied consistently.
Action Points
Investigate iron malabsorption urgently — Get tested for H. pylori, celiac antibodies (tTG-IgA), and consider a gastroscopy. 8 years of failed oral iron repletion isn't normal. Discuss IV iron infusion with your doctor as a bridge while the root cause is found.
Lower homocysteine with active B vitamins — Start methylfolate (800–1000 mcg), methylcobalamin/B12 (1000–2000 mcg sublingual), and P5P/B6 (50 mg) daily. Recheck in 3 months — target homocysteine below 10 µmol/L.
Consult a cardiologist about Lp(a) — Since Lp(a) is genetic and consistently elevated, discuss whether PCSK9 inhibitors or high-dose niacin are appropriate for your risk profile. Combine with aggressive LDL management (target <100).
Get allergy workup — Your elevated IgE and lymphocyte-dominant pattern warrant specific IgE panel testing to identify triggers (environmental, food). Managing allergies may reduce the overall inflammatory burden.
Monitor insulin resistance — HOMA-IR of 2.86 is an early warning. Prioritise regular exercise (both resistance and cardio), reduce refined carbs, increase fibre intake. Recheck in 6 months.
Maintain Vitamin D at 40–60 ng/mL — Don't stop supplementation now that it's normalised. Continue current dose and recheck annually.
♥
Cardiac Health
4 parameters
HDL Cholesterol
≥ 39.9 mg/dL
52.0
Mar-2026
✦ AI Insight
Generally healthy (44–54 mg/dL). The single dip to 38 in Feb-2018 may have been diet/exercise related. Keep HDL above 40 with regular aerobic exercise and healthy fats.
LDL Cholesterol
≤ 100.0 mg/dL
87.0
Mar-2026
✦ AI Insight
Borderline elevations (101–103 mg/dL) in recent years. Given your elevated Lp(a) and homocysteine, even borderline LDL adds to cardiac risk. Aim for <100 through diet, and discuss statin consideration with your cardiologist.
Homocysteine
3.7 – 13.9 µmol/L
18.7
Mar-2026
✦ AI Insight
Persistently elevated (15–25 µmol/L) since 2017 is a significant cardiovascular risk factor. Directly linked to your low B12 and folate levels. Supplementing with methylfolate + methylcobalamin (active B12) + B6 should help bring this down.
Lipoprotein (a)
≤ 30.0 mg/dL
56.6
Mar-2026
✦ AI Insight
Consistently elevated at 44–61 mg/dL (normal <30). Lp(a) is largely genetic and doesn't respond well to diet/exercise. This is an independent cardiac risk factor. Discuss with a cardiologist — PCSK9 inhibitors or niacin may be options.
🔬
Blood Count (CBC)
13 parameters
Hemoglobin
13.0 – 17.0 g/dL
13.2
Mar-2026
✦ AI Insight
Your hemoglobin dipped significantly in 2016 (10.8 g/dL) likely due to iron deficiency, but has stabilised in the 13–14 range since. The latest 13.2 is borderline — ensure adequate iron, B12, and folate intake to prevent further decline.
RBC Count
4.5 – 5.5 ×10⁶/µL
5.1
Mar-2026
✦ AI Insight
Occasional mild elevations suggest your body compensates for lower hemoglobin per cell (low MCH). This is a classic pattern in iron-deficiency or thalassemia trait. Not concerning on its own but warrants iron panel monitoring.
Hematocrit (HCT)
40.0 – 50.0 %
42.5
Mar-2026
✦ AI Insight
Low HCT readings in 2016 and 2018 correlated with low iron stores. Has normalised since, indicating improved but still marginal iron status. Stay consistent with iron supplementation.
MCV
83.0 – 101.0 fL
83.5
Mar-2026
✦ AI Insight
Persistently low MCV (microcytic pattern) across most readings strongly suggests either iron deficiency anaemia or thalassemia minor trait. Consider a haemoglobin electrophoresis test if not already done to differentiate the two.
MCH
27.0 – 32.0 pg
26.0
Mar-2026
✦ AI Insight
Chronically low MCH means each red blood cell carries less hemoglobin than ideal. This is the hallmark of iron deficiency. Directly tied to your persistently low ferritin — fixing iron stores should improve MCH over time.
MCHC
31.5 – 34.5 g/dL
31.1
Mar-2026
✦ AI Insight
Occasional low MCHC readings reinforce the iron-deficiency picture. The recent 31.1 g/dL dip suggests iron stores are still not optimal despite supplementation efforts.
RDW-CV
11.5 – 14.0 %
13.3
Mar-2026
✦ AI Insight
Elevated in 2016 when anaemia was worst, now normalised. This is a good sign — it means your red blood cells are more uniform in size, indicating stable (though marginal) iron levels.
WBC Count
4.0 – 10.0 ×10³/µL
8.1
Mar-2026
✦ AI Insight
Generally normal. The single spike in Dec-2016 (10.6) was likely infection-related and transient. No action needed.
Neutrophils %
40.0 – 80.0 %
45.0
Mar-2026
✦ AI Insight
Recent decline in neutrophil percentage (33–45%) with corresponding lymphocyte rise suggests a shift in immune balance. Could be viral exposure, chronic allergic response, or simply your baseline. Worth monitoring if it continues dropping.
Lymphocytes %
20.0 – 40.0 %
47.1
Mar-2026
✦ AI Insight
Persistently elevated since 2021 (47–53%). This lymphocyte-predominant pattern can be seen with chronic allergic conditions (matches your elevated IgE), viral infections, or can be a normal variant. Monitor but likely benign.
Abs Lymphocyte Count
1.0 – 3.0 ×10³/µL
3.8
Mar-2026
✦ AI Insight
Consistently above normal since 2017. Combined with elevated IgE, this points to an active immune/allergic component. Consider allergy testing and management if not already done.
Abs Basophil Count
0.02 – 0.1 ×10³/µL
0.0
Mar-2026
✦ AI Insight
Slightly low in the latest reading but clinically insignificant on its own. Basophils fluctuate and isolated low values rarely indicate pathology.
Plateletcrit (PCT)
0.19 – 0.39 %
0.3
Nov-2019
✦ AI Insight
Mildly elevated once (0.42%). Isolated finding with no clinical significance. No action needed.
⚡
Iron & Minerals
5 parameters
Ferritin
22.0 – 322.0 ng/mL
6.5
Mar-2026
✦ AI Insight
Critically and persistently low ferritin (4.4–15.8 ng/mL) across 8 years despite awareness is concerning. Oral iron may not be absorbing well — consider IV iron infusion, and investigate for causes of poor absorption (celiac, H. pylori, gut issues).
Iron (Serum)
65.0 – 175.0 µg/dL
68.0
Mar-2026
✦ AI Insight
Frequently below normal. Combined with rock-bottom ferritin and low saturation, this confirms significant iron deficiency. The recent 68–80 range is better but ferritin remains depleted — the body is using iron faster than it's being stored.
Iron Saturation %
20.0 – 50.0 %
21.4
Mar-2026
✦ AI Insight
Consistently below 20% for years confirms iron-deficient erythropoiesis. Your bone marrow isn't getting enough iron to make healthy red blood cells. This is the root cause of your microcytic indices (low MCV/MCH).
Calcium
8.7 – 10.4 mg/dL
9.1
Mar-2026
✦ AI Insight
Mostly normal with one dip to 8.3 in Nov-2021. Could have been related to low Vitamin D at that time (D helps absorb calcium). Now that D is improved, calcium should remain stable.
Chloride
98.0 – 107.0 mmol/L
104.0
Mar-2026
✦ AI Insight
One mild elevation (108 mmol/L). Usually caused by dehydration or dietary salt. Clinically insignificant as an isolated finding.
🛡
Inflammation & Immunity
4 parameters
ESR
0.0 – 10.0 mm/hr
5.0
Mar-2026
✦ AI Insight
The Jan-2025 spike to 22 mm/hr was notable — could indicate transient inflammation, infection, or stress. It has now normalised to 5, which is reassuring. Keep tracking if it spikes again.
hs-CRP
0.0 – 3.0 mg/L
2.1
Mar-2026
✦ AI Insight
Hovering near the upper limit (2–3.6 mg/L) across multiple readings suggests low-grade chronic inflammation. This is a cardiovascular risk factor. Anti-inflammatory diet (omega-3s, turmeric, reduced sugar) and regular exercise can help lower it.
CRP (Quantitative)
0.0 – 3.3 mg/L
3.6
Mar-2026
✦ AI Insight
Recent readings of 3.9 and 3.6 are above normal, confirming persistent low-grade inflammation. Combined with elevated Lp(a) and homocysteine, this amplifies cardiac risk. Prioritise anti-inflammatory lifestyle changes.
Immunoglobulin E (IgE)
0.0 – 158.0 IU/mL
161.0
Mar-2026
✦ AI Insight
Elevated IgE (up to 292 IU/mL) indicates allergic tendency or atopy. If you have unexplained skin issues, respiratory symptoms, or food sensitivities, allergy-specific IgE testing can help identify triggers.
☀
Vitamins
3 parameters
Vitamin D (25-OH)
30.0 – 100.0 ng/mL
35.4
Mar-2026
✦ AI Insight
Severely deficient for years (5–15 ng/mL) and finally normalised to 35.4 in the latest reading. Whatever supplement regimen you're on is working — do not stop. Maintain 40–60 ng/mL for optimal immune and bone health.
Vitamin B12
211.0 – 911.0 pg/mL
293.0
Mar-2026
✦ AI Insight
Has been deficient or borderline multiple times. Current 293 is in range but suboptimal. Given your elevated homocysteine, aim for >500 pg/mL. Consider methylcobalamin sublingual supplements or B12 injections.
Folate (B9)
≥ 5.38 ng/mL
12.4
Mar-2026
✦ AI Insight
Deficient in 2019 and 2025, now recovered to 12.36. Folate is crucial for homocysteine metabolism and DNA repair. The recent improvement is great — maintain through leafy greens and/or methylfolate supplementation.
⚙
Metabolic Health
5 parameters
Uric Acid
3.5 – 7.2 mg/dL
6.8
Mar-2026
✦ AI Insight
Fluctuates around the upper limit with occasional spikes. Elevated uric acid increases gout and kidney stone risk. Reduce purine-rich foods (red meat, organ meat, shellfish), limit alcohol, and stay well hydrated.
HOMA IR
≤ 2.49
2.9
Mar-2026
✦ AI Insight
The recent 2.86 indicates early insulin resistance. This is a pre-diabetic signal. Focus on reducing refined carbs, increasing fibre, regular exercise, and maintaining healthy weight. Recheck in 3–6 months.
Protein Total
5.7 – 8.2 g/dL
7.3
Mar-2026
✦ AI Insight
One mild elevation (8.3 g/dL). Not clinically significant in isolation. Could reflect dehydration at the time of the test.
Globulin
2.5 – 3.8 g/dL
3.9
Dec-2018
✦ AI Insight
Elevated in 2018 readings (3.9–4.3 g/dL) which can indicate chronic inflammation or immune activation. Correlates with your elevated IgE and inflammatory markers during that period.
A/G Ratio
1.0 – 2.1
1.1
Dec-2018
✦ AI Insight
Slightly low in one reading (0.93) corresponding to elevated globulin. Not a concern if it normalises, which it likely has given more recent protein levels.
🧬
Hormones
1 parameters
Testosterone
241.0 – 827.0 ng/dL
525.7
Nov-2019
✦ AI Insight
The 2017 reading of 188 ng/dL was critically low for a male, but recovered to 525 by 2019. Low testosterone can be linked to iron deficiency, vitamin D deficiency, and poor sleep — all of which you had at the time.