Personalized Recommendations and Patient Routing

PATIENT PROFILE
Gender: Male
Age: 42 years
Complaints: Rapid fatigue, heaviness after eating, poor sleep, excess weight in the abdominal area.

COMPLETE BLOOD COUNT
Hemoglobin (HGB): 148 g/L (Norm: 130 – 160)
Erythrocytes (RBC): 5.1 x10^12/L (Norm: 4.0 – 5.5)
Hematocrit (HCT): 44 % (Norm: 39 – 49)
Platelets (PLT): 240 x10^9/L (Norm: 180 – 320)
Leukocytes (WBC): 7.2 x10^9/L (Norm: 4.0 – 9.0)
ESR: 8 mm/h (Norm: 2 – 15)
Eosinophils: 6.5 % (Norm: 1 – 5)

BIOCHEMICAL ANALYSIS
Glucose (fasting): 6.1 mmol/L (Norm: 3.3 – 5.9)
Insulin: 14.5 mcIU/mL (Norm: 2.6 – 10.0)
Glycated Hemoglobin: 5.8 % (Norm: < 6.0)
Total Protein: 72 g/L (Norm: 66 – 87)
Total Bilirubin: 15.0 µmol/L (Norm: 3.4 – 17.1)
ALT: 35 U/L (Norm: < 41)
AST: 28 U/L (Norm: < 40)
Total Cholesterol: 6.8 mmol/L (Norm: < 5.2)
LDL (Bad Cholesterol): 4.2 mmol/L (Norm: < 3.0)
HDL (Good Cholesterol): 0.9 mmol/L (Norm: > 1.0)
Triglycerides: 2.1 mmol/L (Norm: < 1.7)
Uric Acid: 410 µmol/L (Norm: 202 – 416)
Ferritin: 35 µg/L (Norm: 30 – 400)
Homocysteine: 14 µmol/L (Norm: 5 – 12)

HORMONES AND VITAMINS
TSH (Thyroid Stimulating Hormone): 2.1 mIU/L (Norm: 0.4 – 4.0)
Vitamin D (25-OH): 19 ng/mL (Norm: 30 – 100)

📋 PATIENT MEMO

1. Summary
Test results indicate metabolic disorders: the body is having difficulty processing carbohydrates and fats. This explains your complaints of excess weight, fatigue, and heaviness after eating. Significant Vitamin D deficiency and risk factors for vascular health were also identified. The situation is not critical but requires planned medical correction and lifestyle changes to prevent the development of diabetes and heart problems.

2. Interpretation of Key Indicators
Glucose and Insulin (elevated): Your cells "hear" insulin commands poorly and do not let glucose inside to produce energy. Instead, energy is stored as fat. This condition is called insulin resistance.
Lipid Profile (cholesterol and triglycerides): There are many "bad" fats and few "good" ones in the blood. This creates a risk of plaque formation in blood vessels.
Homocysteine (elevated): An amino acid, an excess of which can damage the inner wall of blood vessels, making them vulnerable.
Vitamin D (deficiency): Low levels of this vitamin increase fatigue, lower immunity, and slow down metabolism.

3. Routing (Your Steps)
Doctor Visit: Book an appointment with a general practitioner or endocrinologist within 1–2 weeks.
Topics for Discussion:
— Selection of therapeutic dosage of Vitamin D.
— Necessity of taking B vitamins (to lower homocysteine).
— Nutrition strategy to lower insulin and weight.
Additional Examination (as agreed with the doctor): Ultrasound of abdominal organs (liver/gallbladder), Vitamins B9 and B12.

4. Alarming Symptoms ("Red Flags")
If you notice the following symptoms, seek medical help immediately:
— Pressing, squeezing pain or burning behind the breastbone (especially during exertion).
— Sudden severe shortness of breath or lack of air at rest.
— Sharp, unquenchable thirst combined with very frequent urination.
— Sudden weakness in an arm or leg, speech impairment, or facial asymmetry.

⚠️ Attention: This document is for informational purposes only and helps structure test data. It is not a diagnosis and does not replace a doctor's consultation.