Can You Please Help Me Read The Report And Advise On Medication?

Posted on Mon, 20 Jul 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 20 Jul 2020 Answered on

Mon, 18 Aug 2025 Last reviewed on

Question : Hello Dr. XXXXXXX these are my results:

• Normal results

o URINE IMMUNOFIXATION

o METHYLMALONIC ACID

o VITAMIN B9 (FOLIC ACID)

o HEMOGLOBIN EVALUATION

o SERUM PROTEIN ELECTROPHORESIS

• Abnormal results

RBC, AUTO 4.56 Mill/mcL 4.70 - 6.10 Mill/mcL

HGB 13.6 g/dL 14.0 - 18.0 g/dL

HCT, AUTO 41.2 % 42.0 - 52.0 %

• SERUM FREE KAPPA AND LAMBDA LIGHT IMMUNOGLOBULIN CHAINS. 0.19

What do you think this could be? Thank you

Answered by Dr. Indranil Ghosh (10 hours later)

Brief Answer:
These are normal

Detailed Answer:
Thanks for following up.

I would consider these results normal for any of my patients. Nothing to worry. Hemoglobin slightly low. May be just a normal variation.

Kappa/lambda ratio slightly low but no issues if the absolute values are normal.

I would just do another blood count after 3 months to see the trend.

Hope this helps.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar