Read your numbers like a researcher.
Plain-English explainers for 35 biomarkers — what each one measures, what the printed reference ranges actually mean, what the research literature looks at when they shift, and which compounds in our catalogue have studies in the same area.
Thyroid
- TSH 4.5 mIU/L
TSH at 4.5 mIU/L sits at the top edge of most printed reference ranges (typically 0.4–4.0). What that number indicates physiologically, why "high-normal" matters, and what the research literature looks at when this pattern appears.
- Free T3 low, TSH normal
Free T3 below the reference range with a normal TSH suggests your body isn't converting T4 into the active T3 hormone efficiently. The research literature on conversion problems and what they look like.
- Reverse T3 elevated
Reverse T3 above the typical range — particularly with normal TSH and low-normal free T3 — is the textbook fingerprint of a thyroid 'conversion problem.' What the research literature looks at.
- TPO antibodies elevated
Anti-thyroid peroxidase (anti-TPO) antibodies above ~35 IU/mL indicate autoimmune thyroid attack — typically Hashimoto thyroiditis. What the literature shows on prevalence, progression, and management.
Lipid panel
- ApoB 90 mg/dL
ApoB measures the count of atherogenic lipoprotein particles. An ApoB of 90 mg/dL is above the optimal threshold most cardiology research sets (~80). Why ApoB beats LDL-C and how to interpret your number.
- Lp(a) 75 nmol/L
Lipoprotein(a) at 75 nmol/L is above the threshold most cardiology research uses for elevated cardiovascular risk. Lp(a) is largely genetic — what the number means and the current research on it.
Metabolic
- HOMA-IR 2.5
HOMA-IR is a calculated index from fasting glucose × fasting insulin. A HOMA-IR of 2.5 sits at the threshold most metabolic research uses for early insulin resistance, often years before HbA1c shifts.
- Fasting insulin 12
Fasting insulin of 12 µIU/mL is above the optimal threshold most metabolic research uses (~8). What it indicates, why doctors miss it, and the research literature on early insulin resistance.
- HbA1c 5.7%
HbA1c at 5.7% is the formal threshold the ADA uses to define prediabetes — meaning your average blood glucose has been elevated over the past 2–3 months. What the number means and the research literature on intervention.
- Fasting glucose 100
Fasting glucose at 100 mg/dL (5.6 mmol/L) sits exactly at the ADA threshold for impaired fasting glucose. What it indicates, why it precedes HbA1c shifts, and the research-literature interpretation.
Vitamins & minerals
- Vitamin D 25 ng/mL
25-hydroxyvitamin D at 25 ng/mL meets the standard "sufficient" threshold but sits well below where most contemporary research suggests optimal vitamin D status. What that means and how to interpret your number.
- Vitamin B12 300 pg/mL
Vitamin B12 at 300 pg/mL passes most lab reference ranges but lies in the symptomatic 'grey zone' that the contemporary research literature treats as functionally deficient. What MMA and homocysteine add to the picture.
- Magnesium RBC
Serum magnesium catches only frank deficiency; RBC magnesium reflects tissue stores and identifies functional deficiency the standard test misses. What the literature says.
- Folate low
Low serum folate (or RBC folate) impairs methylation, drives homocysteine elevation, and produces megaloblastic anaemia in concert with B12. The MTHFR variant matters.
Liver
Complete blood count
- RDW 14.5%
Red cell distribution width at 14.5% is at the top of the standard reference range. Recent research has identified RDW as one of the strongest single-marker predictors of all-cause mortality — well beyond what its anaemia-screening role suggests.
- Ferritin 30 ng/mL
Serum ferritin of 30 ng/mL in a woman is at the bottom of standard reference ranges and well below the symptom threshold most research uses. Why low-normal ferritin causes hair loss, fatigue, and exercise intolerance.
- Ferritin elevated
Elevated ferritin in men splits between two main causes: iron overload (haemochromatosis, transfusion) and inflammation (acute-phase response). Differential diagnosis matters.
Hormones
- DHEA-S 80 µg/dL
Dehydroepiandrosterone sulphate at 80 µg/dL in a man in his 40s is below the typical age-matched range. What DHEA-S measures, why the literature treats it as a global endocrine marker, and what its decline means.
- Total T 450 ng/dL
Total testosterone of 450 ng/dL in a 35-year-old man is technically inside the standard reference range but well below the age-matched mean. What the number means without free T and SHBG context — and what a deeper read tells you.
- SHBG low (male)
Sex hormone binding globulin below the male reference range is a strong signal of insulin resistance and metabolic syndrome — and it makes total testosterone readings deeply misleading. What the literature says.
- AM cortisol elevated
Morning serum cortisol above the standard reference range is associated in the research literature with chronic stress, sleep disruption, and metabolic dysregulation — the question is which.
- Prolactin elevated (male)
Elevated prolactin in men suppresses the gonadal axis (low testosterone, low libido) and can indicate a pituitary adenoma. The research literature on what to investigate.
- Estradiol high (male)
Elevated estradiol in men frequently accompanies higher testosterone or testosterone-replacement therapy via aromatase activity. What the research literature shows on healthy ranges and when it crosses into a problem.
- AMH low
Anti-Müllerian hormone reflects ovarian reserve — the remaining pool of follicles. A low AMH for your age range indicates diminished ovarian reserve.
- IGFBP-3 low
Insulin-like growth factor binding protein 3 binds and modulates IGF-1. Low IGFBP-3 alongside low IGF-1 indicates GH-axis suppression; differential diagnosis matters.
- Testosterone elevated
Total testosterone above ~1000 ng/dL in a man is meaningfully above the population's 95th percentile and almost always indicates exogenous source rather than endogenous overproduction.
- Estradiol low (male)
Estradiol below ~20 pg/mL in men is consistently associated in research literature with worse bone, libido, lipid, and cognitive endpoints — including in TRT users on aromatase inhibitors.
- Cortisol PM low
Evening cortisol typically drops to <5 µg/dL — but a flattened diurnal rhythm (low AM, low PM) is associated in research literature with HPA-axis dysregulation rather than 'adrenal fatigue.'
- DHT elevated
Dihydrotestosterone is the most potent androgen — produced peripherally from testosterone via 5α-reductase. Elevated DHT may reflect high T, increased 5α-reductase activity, or both.
Inflammation
- Homocysteine 12
Homocysteine at 12 µmol/L is above the optimal threshold for cardiovascular and cognitive endpoints. With an MTHFR variant, the conversion of homocysteine to methionine is impaired. The research literature on what this means and how to interpret it.
- hs-CRP 2.5 mg/L
High-sensitivity C-reactive protein at 2.5 mg/L sits in the 'intermediate cardiovascular risk' category most cardiology research uses. What it measures, what drives it, and how to interpret your number.
Kidney
- Sodium 132 mmol/L
Serum sodium at 132 mmol/L sits below the standard reference range. Causes range from over-hydration to medication effects to hormonal dysregulation; assessment depends on volume status.
- Potassium 5.2 mmol/L
Serum potassium at 5.2 mmol/L is just above the standard reference range. Most often haemolysis artefact; persistent elevation merits cardiac and renal workup.
- ARR elevated
An elevated aldosterone-renin ratio is the screening test for primary aldosteronism — a more common cause of hypertension than typically appreciated.
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