OpenHealth Q&A

Get answered by medical professionals

Interpreting My Blood Test Results: Insights on Fatigue

3/26/2025, 11:10:31 AMMale25-34

I've been feeling perpetually exhausted and recently received some blood test results. I’m concerned about several indicators: my phosphate levels are elevated, lactate dehydrogenase (LDH) is significantly high, thyroid function appears to be low, and my cholesterol is also at a concerningly high level. What could these findings suggest about my health?

Chronic FatigueMuscle WeaknessThyroid Problems

Answers (1)

Cony

3/26/2025, 11:10:55 AM

OpenHealth AI

Your blood test results show several areas of concern that could explain your persistent fatigue. Here’s a breakdown of those indicators:

  1. Elevated Phosphate Levels: High phosphate levels can indicate kidney issues, but they may also be related to dietary factors or hormonal imbalances.

  2. High Lactate Dehydrogenase (LDH): Elevated LDH can be a sign of tissue damage or other conditions like liver disease, anemia, or certain cancers. It’s a general marker that requires further investigation in context with other symptoms and tests.

  3. Low Thyroid Function (Hypothyroidism): This could significantly contribute to fatigue, as the thyroid regulates your metabolism and energy levels. Symptoms of hypothyroidism include fatigue, weight gain, cold intolerance, and depression.

  4. High Cholesterol: High cholesterol levels may increase risk for heart disease but can also relate to dietary choices and lifestyle factors. It doesn’t directly cause fatigue, but poor cardiovascular health can lead to low energy levels.

Next Steps:

  1. Monitor Your Symptoms: Keep a daily log of how you feel, noting your energy levels, any additional symptoms (like weight changes or mood swings), and dietary habits. This information will be useful for further assessments.

  2. Focus on Nutrition: Aim to eat a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Reducing processed foods and sugars can positively affect overall health, including managing cholesterol levels.

  3. Exercise: Incorporate light to moderate physical activity into your routine, such as walking or gentle yoga. Exercise can help improve energy levels and overall well-being.

  4. Stay Hydrated: Ensure that you drink enough water throughout the day. Dehydration can contribute to fatigue.

  5. Sleep Hygiene: Prioritize good sleep by establishing a regular sleep schedule and creating a restful sleep environment.

  6. Consider Monitoring Your Thyroid: Since low thyroid function can lead to significant fatigue, you might want to get more specific tests (like TSH and Free T4) to understand your thyroid health better.

Conclusion:

Fatigue can stem from a complex interplay of various factors as indicated by your test results. Paying attention to your lifestyle and symptoms in the coming weeks will be vital. If fatigue persists or worsens, consider looking into further evaluations that focus on endocrine function and other underlying causes related to your blood test results.

Your health is important, and addressing these factors can lead to noticeable improvements in your energy levels. Please reach out if you need more specific information or support regarding any of these steps.

Related Questions

Struggling with Fatigue and Low Spirits

I am a 27-year-old male whose first language is not English. A psychologist with two decades of experience in autism has diagnosed me with this condition. I previously took olanzapine, which caused an unusually long sleep of 20 hours during my first dose; however, I’ve stopped using it since then. While I was taking a sublingual form of vitamin B12 (methylcobalamin) at a dosage of 1000 mcg, my serum level registered at 290 pg/mL. This led to an unexpected surge of energy accompanied by feelings of anxiety and restlessness that I couldn't quite articulate, lasting for over six hours. I suspect that I might have a particularly sensitive nervous system. I'm contemplating whether to resume my B12 supplementation, as well as starting vitamin D3 at a dose of 2000 IU. Prior to taking D3, I found my levels to be very low, around 15 pg, though I can't recall the European unit it corresponds to at the moment. Additionally, my TSH level has been measured at 4, and I've been diagnosed with Hashimoto's disease. I’m currently at a loss as to why I continue to experience fatigue and a low mood. Does anyone have suggestions or insights that could help?

Chronic FatigueVitamin DeficiencyThyroid Problems
Male25-34
1 hour ago

Chronic Leg Discomfort Since Childhood

I am a 14-year-old female who has experienced persistent discomfort in my legs for as long as I can recall, and the cause remains unclear. The maximum duration I can manage to walk without feeling faint is around 10 minutes, while I can only walk for about 5 minutes without needing to pause. Even when I’m at rest, I feel a dull ache in my legs, despite the rest of my body feeling relaxed. This discomfort predominantly occurs around my joints, particularly my knees and ankles, although my calves also become tender with minimal exertion. My feet tend to be perpetually cold, rarely warming up even when the rest of my body does. During my menstrual periods, I find it extremely difficult to walk, often having to hold onto walls just to navigate short distances. I've always maintained a healthy weight and I don't consider myself unhealthy overall. The only medical condition I’ve been officially diagnosed with is autism, although I'm unsure if this has any relevance to my symptoms.

Chronic FatigueMuscle WeaknessDehydration
Male25-34
5 hours ago

Seeking Help for My 5-Year-Old Son with Autism and Constipation Issues

Hello, I am reaching out regarding my 5-year-old son who is non-verbal and has autism. He also shows signs of ADHD, although this has not yet been officially diagnosed. Typically, he is very energetic, cheerful, and expressive. He thrives in his school environment, where he is supported by a wonderful team of special education teachers. He doesn’t take any regular medications, except for melatonin to assist with his sleep. Recently, on December 19th, he developed a rash while at school, which resembled hives on his neck, face, and feet, with accompanying swelling in his hands. By the time we went to urgent care, the rash had disappeared, and he was given Benadryl. Unfortunately, the rash recurred a couple of times at home, though we only administered Benadryl on two occasions. Following this, during Christmas break, I noticed he became increasingly emotional, crying daily, appearing more fatigued, and having less energy overall, although he was usually still able to be comforted. I visited the pediatrician twice during this period, and lab tests came back normal, except for a positive COVID-19 result. The doctor prescribed guanfacine and clonidine for him (I apologize if I spelled those incorrectly), but I chose not to give him these medications since they weren't intended for behavioral issues. When school resumed, for the most part, he seemed to manage well until last week when he experienced another rash episode at school, occurring twice. I decided to try a non-drowsy allergy medication for him, but his emotional state deteriorated again, leading him to cry throughout the school day. His teachers expressed concern, stating that he appeared to be in discomfort, which they confirmed is not related to behavioral issues. At home, he has been very upset and inconsolable. As a result, I took him to the hospital yesterday. They sedated him for a head CT and abdominal ultrasound, both of which showed no abnormalities. They prescribed Miralax and suggested looking into ABA therapy since his autism diagnosis may automatically point to behavioral factors, which frustrated me. Today, he has spent the entire day crying and has remained in bed, clearly exhausted. I am administering the Miralax, and he seems visibly uncomfortable, but he hasn't had a bowel movement yet. His last stool was two days ago, and only a tiny amount has come out since then. I’m uncertain if the rash and his current symptoms are related to constipation or if I am missing a more serious issue entirely. This is very distressing. We have a dental appointment scheduled for Tuesday to rule out any dental issues, our fourth visit with the pediatrician on Wednesday, and a phone consultation with an allergist also on Wednesday. I would greatly appreciate any insights or questions I should bring up during our pediatrician visit, as well as any tips or suggestions. I'm feeling quite desperate for help. Thank you!

Chronic FatigueMuscle WeaknessBurnout
Male25-34
7 hours ago

Unexplained Discomfort

I’m a 45-year-old woman, a non-smoker, weighing 245 pounds. My only medical concerns include acid reflux, allergies, and De Quervain’s syndrome affecting my right wrist. Currently, I’m focused on losing weight and have successfully shed 30 pounds so far. I take a daily regimen of Omeprazole and Zyrtec. I’m attempting to articulate the nature of my discomfort, which has been somewhat challenging. The sensation tends to appear in random areas of my body. At the moment, I feel it in my left arm, but I've also experienced it in my thighs, legs, and hands. This odd sensation occurs irregularly for one to two days, then recedes for a month or even longer before reappearing. The discomfort resembles a mild burning feeling under the skin—a persistent yet not intensely painful sensation. It’s more bothersome than painful, as I am acutely aware of it when it arises. During these episodes, I find it uncomfortable for clothing to touch the affected area, and I often prefer cooler temperatures, which seem to alleviate the sensation. This has been an ongoing issue for about a year now. Has anyone else gone through something similar? I’ve refrained from consulting a physician as it’s difficult to describe, and the discomfort isn't severe or constant enough to warrant medical attention.

Chronic FatigueMuscle WeaknessDehydration
Male25-34
11 hours ago

18 Years Old, Assigned Female at Birth: Seeking Clarity from My Doctor

I feel quite foolish expressing my concerns here, but I visited my family physician today, and she seemed completely stumped regarding my situation. To be honest, I didn’t anticipate much support; my previous reluctance to seek medical advice has been significant this year—only going for essential vaccinations or infections. As a result, I’m not entirely certain how to interpret my symptoms, which, while concerning, I’ve managed to endure. For the past three weeks, I have been overwhelmed by exhaustion. Most days after class, I find it nearly impossible not to take a lengthy nap, typically around three to four hours. This fatigue is disrupting my studies; I frequently miss morning classes due to waking up utterly drained, feeling as though I’ve hardly rested at all. My eyes persistently ache, accompanied by a sense of constant pressure. I’m acutely aware of their discomfort. Additionally, I’ve noticed an increase in nosebleeds recently, which I rationalize as normal since I suspect it’s broken; however, the frequency over the last couple of weeks has seemed unusual. Yesterday, I noticed a change for the first time: my skin appeared almost translucent. Although my pale complexion typically explains some transparency, my legs looked unexpectedly so. Moreover, I often feel either too cold or too warm, with rarely any comfortable middle ground. At one point, I stood up and experienced a near-fainting spell. I generally love food, but my appetite has considerably diminished. I notice hunger pangs, yet the desire to eat is virtually nonexistent. I intend to consult another physician soon since I'm concerned about these symptoms and hoping for some insight regarding what might be going on with my health. :')

Chronic FatigueMuscle WeaknessAnemia
Male25-34
14 hours ago