# Blood test results, explained

> Find a test from your lab report to see what a healthy number is and what to do if yours is high or low.

Biomarkers with a written guide link to its Markdown version. Web page: https://picardo.health/guides/biomarkers

## Not sure which test you need?

### Tired all the time

Low iron, low B12 and an underactive thyroid are common, treatable causes.

Usually tested: [Ferritin](https://picardo.health/guides/biomarkers/ferritin.md), [Hemoglobin](https://picardo.health/guides/biomarkers/hemoglobin.md), [TSH](https://picardo.health/guides/biomarkers/tsh.md), [Vitamin B12](https://picardo.health/guides/biomarkers/vitamin-b12.md), [Vitamin D](https://picardo.health/guides/biomarkers/vitamin-d.md) and [HbA1c](https://picardo.health/guides/biomarkers/hba1c.md).

Which tests, and why: [Blood tests for tiredness](https://picardo.health/guides/blood-tests-for/tiredness.md)

### Heart disease in the family

A standard cholesterol test misses some inherited risk. ApoB and Lp(a) show more of it.

Usually tested: [ApoB](https://picardo.health/guides/biomarkers/apob.md), [Lp(a)](https://picardo.health/guides/biomarkers/lipoprotein-a.md), [LDL cholesterol](https://picardo.health/guides/biomarkers/ldl-cholesterol.md), [hs-CRP](https://picardo.health/guides/biomarkers/hs-crp.md) and [HbA1c](https://picardo.health/guides/biomarkers/hba1c.md).

Which tests, and why: [Blood tests for heart disease in the family](https://picardo.health/guides/blood-tests-for/heart-disease-in-the-family.md)

### Blood sugar creeping up

Find out if you’re in the prediabetes range, with a rough read on insulin resistance.

Usually tested: [HbA1c](https://picardo.health/guides/biomarkers/hba1c.md), [Fasting glucose](https://picardo.health/guides/biomarkers/fasting-glucose.md), [Fasting insulin](https://picardo.health/guides/biomarkers/fasting-insulin.md), [HOMA-IR](https://picardo.health/guides/biomarkers/homa-ir.md) and [Triglycerides](https://picardo.health/guides/biomarkers/triglycerides.md).

Which tests, and why: [Blood tests for prediabetes](https://picardo.health/guides/blood-tests-for/prediabetes.md)

### Trying to get pregnant

No blood test can tell you if you’ll get pregnant. These give a baseline for your egg supply, check your cycle hormones and thyroid, and show whether you ovulate.

Usually tested: [AMH](https://picardo.health/guides/biomarkers/amh.md), [FSH](https://picardo.health/guides/biomarkers/fsh.md), [LH](https://picardo.health/guides/biomarkers/lh.md), [Estradiol](https://picardo.health/guides/biomarkers/estradiol.md), [TSH](https://picardo.health/guides/biomarkers/tsh.md) and Progesterone.

Which tests, and why: [Fertility blood tests](https://picardo.health/guides/blood-tests-for/fertility.md)

### Just had a baby

Pregnancy and birth can leave you low on iron, and the thyroid can go off balance in the year after. One blood draw checks both.

Usually tested: [Ferritin](https://picardo.health/guides/biomarkers/ferritin.md), [Hemoglobin](https://picardo.health/guides/biomarkers/hemoglobin.md), [TSH](https://picardo.health/guides/biomarkers/tsh.md), [Vitamin B12](https://picardo.health/guides/biomarkers/vitamin-b12.md) and [Vitamin D](https://picardo.health/guides/biomarkers/vitamin-d.md).

Which tests, and why: [Blood tests after having a baby](https://picardo.health/guides/blood-tests-for/postpartum.md)

### Low testosterone, for men

Testosterone alone isn’t the whole story. LH and SHBG show why it’s low and how much your body can use.

Usually tested: [Total testosterone](https://picardo.health/guides/biomarkers/testosterone.md), [Free testosterone](https://picardo.health/guides/biomarkers/free-testosterone.md), [SHBG](https://picardo.health/guides/biomarkers/shbg.md), [LH](https://picardo.health/guides/biomarkers/lh.md) and [TSH](https://picardo.health/guides/biomarkers/tsh.md).

Which tests, and why: [Blood tests for low testosterone](https://picardo.health/guides/blood-tests-for/low-testosterone.md)

## Browse by body system

### Heart and blood vessels

The cholesterol particles and inflammation that build plaque in arteries.

- [ApoB](https://picardo.health/guides/biomarkers/apob.md): How many plaque-building particles you have
- [Lp(a)](https://picardo.health/guides/biomarkers/lipoprotein-a.md): An inherited particle that raises heart risk
- [LDL cholesterol](https://picardo.health/guides/biomarkers/ldl-cholesterol.md): The main cholesterol behind plaque
- [HDL cholesterol](https://picardo.health/guides/biomarkers/hdl-cholesterol.md): Cholesterol carried away from your arteries
- [Triglycerides](https://picardo.health/guides/biomarkers/triglycerides.md): Blood fats that rise with sugar and alcohol
- [Total cholesterol](https://picardo.health/guides/biomarkers/total-cholesterol.md): All the cholesterol in your blood
- [Non-HDL cholesterol](https://picardo.health/guides/biomarkers/non-hdl-cholesterol.md): The cholesterol in every plaque-building particle
- [LDL particle number](https://picardo.health/guides/biomarkers/ldl-particle-number.md): How many LDL particles you have
- [hs-CRP](https://picardo.health/guides/biomarkers/hs-crp.md): Low-grade inflammation linked to heart risk
- [ApoA-1](https://picardo.health/guides/biomarkers/apoa1.md): The main protein on HDL particles
- [Homocysteine](https://picardo.health/guides/biomarkers/homocysteine.md): An amino acid that rises when B12 or folate is low

### Blood sugar and metabolism

How well your body handles sugar, years before diabetes shows up.

- [HbA1c](https://picardo.health/guides/biomarkers/hba1c.md): Average blood sugar over three months
- [Fasting glucose](https://picardo.health/guides/biomarkers/fasting-glucose.md): Blood sugar after an overnight fast
- [Fasting insulin](https://picardo.health/guides/biomarkers/fasting-insulin.md): An early sign of insulin resistance
- [HOMA-IR](https://picardo.health/guides/biomarkers/homa-ir.md): An insulin resistance score from glucose and insulin
- [Uric acid](https://picardo.health/guides/biomarkers/uric-acid.md): A waste product that causes gout when high
- [LP-IR](https://picardo.health/guides/biomarkers/lp-ir.md): An insulin resistance score from a cholesterol test

### Liver

Enzymes and proteins that show liver strain and how well it works.

- [ALT](https://picardo.health/guides/biomarkers/alt.md): The enzyme most specific to liver damage
- [AST](https://picardo.health/guides/biomarkers/ast.md): An enzyme from liver and muscle
- [GGT](https://picardo.health/guides/biomarkers/ggt.md): A liver enzyme that rises with alcohol
- [ALP](https://picardo.health/guides/biomarkers/alp.md): An enzyme from liver and bone
- [Bilirubin](https://picardo.health/guides/biomarkers/bilirubin.md): Waste pigment used to assess liver function and bile flow
- [Albumin](https://picardo.health/guides/biomarkers/albumin.md): The main protein the liver makes
- [Total protein](https://picardo.health/guides/biomarkers/total-protein.md): All the protein in your blood

### Kidneys

How well your kidneys filter, and the earliest signs of damage.

- [Creatinine](https://picardo.health/guides/biomarkers/creatinine.md): Muscle waste the kidneys filter out
- [eGFR](https://picardo.health/guides/biomarkers/egfr.md): How well your kidneys filter
- [BUN](https://picardo.health/guides/biomarkers/bun.md): Protein waste the kidneys clear
- [Cystatin C](https://picardo.health/guides/biomarkers/cystatin-c.md): Kidney filtration marker less affected by muscle mass than creatinine
- [Urine albumin-to-creatinine ratio](https://picardo.health/guides/biomarkers/urine-albumin-creatinine-ratio.md): Early kidney damage, from a urine sample

### Thyroid

Tests for an underactive or overactive thyroid.

- [TSH](https://picardo.health/guides/biomarkers/tsh.md): The first test for thyroid function
- [Free T4](https://picardo.health/guides/biomarkers/free-t4.md): Main thyroid hormone, converted into the more active T3
- [Free T3](https://picardo.health/guides/biomarkers/free-t3.md): Active thyroid hormone that regulates metabolism and energy use
- [TPO antibodies](https://picardo.health/guides/biomarkers/tpo-antibodies.md): A marker of autoimmune thyroid disease
- [Thyroglobulin antibodies](https://picardo.health/guides/biomarkers/thyroglobulin-antibodies.md): A second autoimmune thyroid marker

### Hormones

Sex hormones, fertility and the stress hormone cortisol.

- [Total testosterone](https://picardo.health/guides/biomarkers/testosterone.md): All the testosterone in your blood
- [Free testosterone](https://picardo.health/guides/biomarkers/free-testosterone.md): The testosterone your body can use
- [SHBG](https://picardo.health/guides/biomarkers/shbg.md): The protein that binds sex hormones
- [Estradiol](https://picardo.health/guides/biomarkers/estradiol.md): The main estrogen
- Progesterone: Rises after ovulation, so it shows whether you ovulated
- [FSH](https://picardo.health/guides/biomarkers/fsh.md): A brain hormone that drives egg and sperm production
- [LH](https://picardo.health/guides/biomarkers/lh.md): A brain hormone that triggers ovulation and testosterone
- [DHEA-S](https://picardo.health/guides/biomarkers/dhea-s.md): An adrenal hormone that falls with age
- [PSA](https://picardo.health/guides/biomarkers/psa.md): A prostate protein used in cancer screening
- [Free PSA](https://picardo.health/guides/biomarkers/free-psa.md): Helps read a borderline PSA
- [AMH](https://picardo.health/guides/biomarkers/amh.md): An estimate of egg reserve
- [Cortisol](https://picardo.health/guides/biomarkers/cortisol.md): The main stress hormone

### Blood and iron

Red cells, white cells, platelets and your iron stores.

- [Ferritin](https://picardo.health/guides/biomarkers/ferritin.md): How much iron you have in store
- [Serum iron](https://picardo.health/guides/biomarkers/serum-iron.md): Iron in your blood right now
- [TIBC](https://picardo.health/guides/biomarkers/tibc.md): How much iron your blood can carry
- [Transferrin saturation](https://picardo.health/guides/biomarkers/transferrin-saturation.md): How full your iron carriers are
- [Hemoglobin](https://picardo.health/guides/biomarkers/hemoglobin.md): Carries oxygen; low levels mean anemia
- [Hematocrit](https://picardo.health/guides/biomarkers/hematocrit.md): The share of blood made of red cells
- [MCV](https://picardo.health/guides/biomarkers/mcv.md): Average red blood cell size
- [RDW](https://picardo.health/guides/biomarkers/rdw.md): How much red cell size varies
- [Platelet count](https://picardo.health/guides/biomarkers/platelets.md): Cells that help blood clot
- [White blood cell count](https://picardo.health/guides/biomarkers/white-blood-cells.md): Cells that fight infection
- [Neutrophil count](https://picardo.health/guides/biomarkers/neutrophils.md): White cells that fight bacterial infections
- [Lymphocyte count](https://picardo.health/guides/biomarkers/lymphocytes.md): White cells that fight viruses

### Vitamins and minerals

Vitamins that often run low, and the salts your nerves and muscles need.

- [Vitamin D](https://picardo.health/guides/biomarkers/vitamin-d.md): How much vitamin D you have stored
- [Vitamin B12](https://picardo.health/guides/biomarkers/vitamin-b12.md): Needed for nerves and red blood cells
- [Folate](https://picardo.health/guides/biomarkers/folate.md): A B vitamin for cell growth
- [Magnesium](https://picardo.health/guides/biomarkers/magnesium.md): A mineral for muscles, nerves and heart rhythm
- [Sodium](https://picardo.health/guides/biomarkers/sodium.md): The main salt in blood, set by fluid balance
- [Potassium](https://picardo.health/guides/biomarkers/potassium.md): A salt your heart and muscles depend on
- [Calcium](https://picardo.health/guides/biomarkers/calcium.md): Calcium in your blood, set by the parathyroid glands

## Next steps

- **Already have results?** Ask Picardo about them. The app explains what each one means, and a physician can follow up if you want. [Ask about your results](https://app.picardo.health/auth)
- **Not tested yet?** Base Core Annual, $213.25 It covers most of the markers in this guide from one blood draw, with results in 2 to 3 days. [See all lab panels](/labs)
