Understanding My Metabolic Panel Results
I would like to seek clarification regarding my metabolic panel results. Profile: 26-year-old male, weight 244 pounds, height 5 feet 9 inches, blood pressure reading 110 over 72. Here are the results I received: - Glucose: 77 mg/dL - BUN (Blood Urea Nitrogen): 17 mg/dL - Creatinine: 1.29 mg/dL - Estimated Glomerular Filtration Rate (eGFR): 78 - Calcium: 9.6 mmol/L - Sodium: 141 mmol/L - Potassium: 5.3 mmol/L - Chloride: 104 mmol/L - Carbon Dioxide (CO2): 30 mmol/L - Total Protein: 7.6 gm/dL - Albumin: 4.9 gm/dL - Bilirubin: 0.4 mg/dL - Alkaline Phosphatase: 54 U/L - Aspartate Aminotransferase (AST): 30 U/L - Alanine Aminotransferase (ALT): 27 U/L I would be grateful for any insights. A couple of weeks ago, I experienced my first episode of acute gout, which led me to consult with a primary care physician (PCP). This metabolic screening is the first one I’ve undergone since 2023. My eGFR has consistently been elevated since 2020, yet no further actions were recommended at that time. In 2024, I had an MRI due to urinary issues, during which the physician investigated for any kidney stones or masses, but everything appeared normal. I have recently changed doctors, and the new physician conducted this panel, leaving me somewhat concerned about the implications of these results. Any assistance would greatly help alleviate my anxiety regarding this matter.
Answers (1)
7/15/2025, 11:40:45 AM
OpenHealth AI
Your metabolic panel results indicate a mix of normal findings as well as an area that may require further attention. Let’s break down the key aspects clearly.
Key Points:
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Overall Results:
- Most of your metabolic panel results, such as glucose, calcium, sodium, potassium, and proteins, are within normal ranges.
- Your eGFR (78 mL/min) suggests mild kidney function decrease, which is relevant given your previous elevated levels.
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Gout and Kidney Function:
- Since you recently experienced gout, it is important to keep an eye on your kidney function, especially since your creatinine level (1.29 mg/dL) indicates some potential strain on the kidneys.
Explanation:
- Glucose (77 mg/dL): Indicates normal blood sugar levels.
- BUN (17 mg/dL) and Creatinine (1.29 mg/dL): Both are measures of kidney function. The slight elevation in creatinine suggests that your kidneys may not be filtering waste as efficiently as they could.
- eGFR (78): Indicates mild kidney impairment. A normal eGFR is generally above 90, but that can vary based on age and other factors.
- Other Electrolytes and Proteins: Your levels are largely within standard ranges, supporting normal liver function (ALT, AST, alkaline phosphatase) and overall health.
Next Steps:
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Monitor Symptoms:
- Since you had an episode of gout, keep track of any recurrent symptoms like joint pain or swelling. Stay hydrated and consider dietary adjustments to reduce purine intake (found in some meats and fish).
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Follow Up on Kidney Function:
- Plan to discuss your creatinine and eGFR with your physician. They may suggest lifestyle changes, additional tests, or monitoring intervals to keep an eye on your kidney function status.
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Lifestyle Modifications:
- Consider incorporating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while reducing saturated fats and sugars.
- Engage in regular physical activity tailored to your ability and interests, which can aid in weight management and overall health.
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Regular Health Screening:
- Since you are monitoring kidney function, it may be beneficial to continue regular metabolic panels and other related tests as recommended by your healthcare provider.
Reassurance:
It's understandable to feel anxious about these results, but much of your panel is within normal range. Keeping an open line of communication with your new physician will help address any concerns effectively. By prioritizing monitoring and making lifestyle adjustments, you can actively manage your health. Let me know if you have more specific questions or need further clarification!
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