Supplements causing blood work to be off?

[creepa200]

After 17 years of having no primary doctor I decided it was time to get one. I'm never really sick so I didn't feel I needed one. Lately I hit a weight loss plateau and decided to get stuff checked out. Everything came back within range except ALT and Platelet count. I'm waiting for my doctor to call back but I been googling for hours trying to see the causes.

I read that ALT can be high from working out. I did workout 12-14 hours before the doctor. Also read that creatine can affect this and I take 5g everyday.

As far as the platelet count I'm not sure what could cause that. The day before I went to the doc I had a stomach ache and literally only ate 400 calories. Not sure if being sick and low food intake could cause this.

I'm also a vegan and through google it seems vegans can have lower platelet count. I just am looking for some second opinions while I wait for my doc to get back to me.


As far as supplements I take the following:
Multivitamin
Calcium/Magnesium Complex 1100mg/500mg
Glucosamine 1000mg
MSM 1500mg
Vitamin D2 2400IU
Chromium GTF 200mcg
Creatine 5g

My test results are below.

Panel Name: Comprehensive Metabolic Panel (CMP) w/ eGFR
Test Observation Reference Interval Status Abnormal Results
Glucose 82 mg/dL 70 - 125 Final
Sodium 140 mmol/L 134 - 144 Final
Potassium 4.3 mmol/L 3.6 - 5.4 Final
Chloride 98 mmol/L 98 - 107 Final
Carbon Dioxide 30 mmol/L 22 - 33 Final
Urea Nitrogen (BUN) 16 mg/dL 6 - 25 Final
Creatinine 1.02 mg/dL 0.7 - 1.3 Final
BUN/Creatinine Ratio 15.7 Ratio 10.0 - 24.0 Final
Calcium 9.3 mg/dL 8.4 - 10.4 Final
Alkaline Phosphatase 86 U/L 38 - 134 Final
Protein, Total 7.5 g/dL 6.3 - 8.2 Final
Albumin 4.6 g/dL 3.5 - 5.0 Final
Globulin 2.9 g/dL 1.9 - 4.4 Final
Albumin/Globulin Ratio 1.6 Ratio 1.0 - 2.2 Final
Bilirubin, Total 0.9 mg/dL 0.1 - 1.3 Final
AST (SGOT) 52 U/L 17 - 59 Final
ALT (SGPT) 72 U/L 13 - 69 Final ABNORMAL : Above Normal High
eGFR 90 mL/min/(1.73m)2 > 60 Final
Fasting No UNKNOWN
Panel Name: Lipid Panel
Test Observation Reference Interval Status Abnormal Results
Cholesterol 120 mg/dL <200 Final
Triglycerides 64 mg/dL <250 Final
HDL Cholesterol 50 mg/dL >40 Final
Cholesterol/HDL Ratio 2.4 Ratio < 4.97 Final
LDL Cholesterol (Calc) 57 mg/dL <130 Final
Fasting No UNKNOWN
Panel Name: TSH (reflex FT4)
Test Observation Reference Interval Status Abnormal Results
TSH (reflex FT4) 1.34 uIU/mL 0.46 - 4.68 Final
Panel Name: CBC with Differential
Test Observation Reference Interval Status Abnormal Results
WBC 4.3 k/uL 3.8 - 11.0 Final
RBC 5.10 M/uL 4.3 - 5.8 Final
Hemoglobin 15.5 g/dL 13.0 - 17.0 Final
Hematocrit 46.3 % 39.0 - 51.0 Final
MCV 90.7 fL 80.0 - 100.4 Final
MCH 30.4 pg 26.0 - 33.4 Final
MCHC 33.5 g/dL 31.0 - 37.0 Final
RDW 12.4 % 11.5 - 14.5 Final
Platelet Count 121 k/uL 150 - 450 Final ABNORMAL : Below Normal Low
MPV 9.5 fL 7.0 - 11.0 Final
Neutrophils % 59.2 % 40 - 75 Final
Lymphocytes % 28.2 % 15 - 48 Final
Atypical Lymphocytes % 1.5 % 0 - 7 Final
Monocytes % 6.5 % 3 - 10 Final
Eosinophils % 4.3 % 0 - 7 Final
Basophils % 0.3 % 0 - 3 Final
Neutrophils, Absolute 2.52 k/uL 1.7 - 7.0 Final
Lymphocytes, Absolute 1.20 k/uL 1.0 - 3.5 Final
Atypical Lymphocytes, Absolute 0.06 k/uL 0.00 - 0.5 Final
Monocytes, Absolute 0.28 k/uL 0.2 - 0.9 Final
Eosinophils, Absolute 0.18 k/uL 0 - 0.50 Final
Basophils, Absolute 0.01 k/uL 0 - 0.2 Final

[mcal07]

Creatinine is still in range, nothing to worry about. Were you fully hydrated going in? As you said, liver values can be falsely skewed by exercise. Take two days off (a full 48 hours) prior to your next test to rule that variable out. I've seen GGT recommended as a true test of liver health, but I rarely see the option on blood work. Maybe ask your doc to include that one next time. You look perfectly healthy to me...

[creepa200]

Creatinine is still in range, nothing to worry about. Were you fully hydrated going in? As you said, liver values can be falsely skewed by exercise. Take two days off (a full 48 hours) prior to your next test to rule that variable out. I've seen GGT recommended as a true test of liver health, but I rarely see the option on blood work. Maybe ask your doc to include that one next time. You look perfectly healthy to me...

As I said I was down and out the day before. Just felt generally sick and couldn't eat. I managed to get my workout in but even that took almost double the time it should have. I'm sure my water intake was low as well. Especially with the amount you're suppose to drink when taking creatine. The morning before the doctor I managed to eat half of a clif builder bar. The day before when I was sick I literally only ate a bowl of cereal then right before bed had a protein shake and even that was forced down. I actually fell asleep with half of it in my hand my wife woke me up to finish it lol

I've been feeling better since then and now this just has me more concerned and ruining my appetite today. Been up since 8am and literally just ate my first thing at 4pm. Called the doctor back again and the nurse said he will call by 5pm. Waiting game is killer!

[creepa200]

Doctor never called me back. I called there 3 times and kept getting the "he'll call you soon" BS. I'm going ther ein the morning and grabbing my records and heading to a different doc. Any other ideas on these results?