How to Understand the CBC Blood Test Panel

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Nelson Vergel

Founder, ExcelMale.com

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Have you ever wondered what the numbers and complicated words on your blood tests mean? In this video, we will discuss the complete blood count, a test that provides information about the types and amounts of different blood cells in the blood. We will talk about the role of red blood cells, white blood cells, and other types of blood cells and how changes in their levels can affect the body.

What is a CBC Blood Test Panel or Complete Blood Count?


It is a panel to test for the functional status of your bone marrow to generate different types of normal blood cells. These include red blood cells, white blood cells, and platelets. They all have essential jobs to do in the body to keep us alive and healthy.

Abnormally high or low counts may indicate the presence of different disorders, including some serious ones, such as anemia, abnormalities in the immune system and the clotting mechanisms, and even leukemia. It is done before any surgical operations and during chemotherapy for cancer treatment.



RBC or red blood cell count.


The normal range is 4.14 to 5.8 million per microliter. Red blood cells carry and transport oxygen to all the cells in your body to make energy. A low count can indicate anemia with a symptom of chronic fatigue.



Hematocrit.


Hematocrit can also be used to indicate the amount of red blood cells. The normal hematocrit level is 37.5 to 51%. It is the red blood cell fraction of the whole blood.



Hemoglobin.


Hemoglobin binds oxygen in the red blood cell and is another parameter that is used to test for the quality and quantity of red blood cells. Normal hemoglobin levels are 12.6 to 17.7 grams per deciliter.



White blood cell count.


The normal range is 3.8 to 10.8 thousand per microliter. They include the immune cells that make up your immune system to protect you against disease-causing germs. A low count can make you more susceptible to infections. A high count can suggest ongoing infection, allergic reaction, or even leukemia. In this case, further tests will be done to identify the cause.



Platelet count.


The normal range is 140 to 415 million per deciliter. The level changes quickly. Platelets are essential for blood clotting. A low level can result in abnormal bleeding with observable symptoms of abnormal bruises.



Differential count of blood cells.


This test identifies and characterizes the various types of blood cells done under the microscope. A change in the distribution of various cell types or the presence of abnormal-looking cells helps the diagnosis of certain disease states, such as infection, anemia, allergy, and leukemia or blood cancer among others. It may also be used to see if treatment for any of these conditions is working.



A normal white blood cell differential is as follows. Neutrophils, they make up the bulk of the white blood cell population. The normal range is 40 to 60%. They are the first responders to infection or inflammation. Lymphocytes, they are the backbone of your immune system. The normal range is 20 to 40%. Monocytes, they are an important component of your immune system. The normal range is 4 to 8% eosinophils; they are associated with allergy. The normal range is 1 to 4%.



There are many other tests that can screen for health or disease of other parts of your body. They can be done when called for or when deemed useful. Discuss it with your doctor.



To recap, a blood test is an extremely useful and convenient tool to give you a good idea of the general state of your health. It will provide you with early warnings of potential disease and disorders so that they can be treated more effectively at an earlier stage of the sickness. It is important for you to have a comprehensive blood test done to get normal base sign values for future reference. Repeat the test regularly to track the trend of any changes. Discuss the frequency of specific tests with your healthcare provider.



Understanding your blood tests and tracking the changes regularly will help you to maintain your health and to detect or treat diseases early. It is your body, and therefore, your responsibility to take care of it.




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Defy Medical TRT clinic doctor
I am wondering why my doctors office ask me to do another blood dump when my HCT is 50.4 and RBC are a high normal? 3 months ago my HCT was 50.9 so it has not gone up but slightly down and is definitely not over 51%.
 
Fun factoid...using my typical tortured approach I submitted two samples to Quest for CBC at the same blood draw.


Sample 1
1694525598571.png


Sample 2

1694525627100.png


This gives you an idea on the variance on an individual sample submitted to the same lab.

You can see Hgb results the same. Hct difference is 1.6%. IIRC when I dug into this a few years ago the machine precision on Hct measurement can be up to +/- 2% relative (maybe it was 1.5%); I'll see if I can find where I posted that).

My plasma viscosity must be decent. My blood looked very low viscosity flowing into the vial. Almost water like.
 
Last edited by a moderator:
I am wondering why my doctors office ask me to do another blood dump when my HCT is 50.4 and RBC are a high normal? 3 months ago my HCT was 50.9 so it has not gone up but slightly down and is definitely not over 51%.
Congrats. We are about the same. I am using aspirin 160 mg/day and 6000 FU nattokinase (just added in). Running 180 mg/week TC right now. Appears my RBC/Hct response has definitely saturated at these higher Test doses along with the aspirin use.
 
Last edited by a moderator:
Fun factoid...using my typical tortured approach I submitted two samples to Quest for CBC at the same blood draw.


Sample 1
View attachment 36732

Sample 2

View attachment 36733

This gives you an idea on the variance on an individual sample submitted to the same lab.

You can see Hgb results the same. Hct difference is 1.6%. IIRC when I dug into this a few years ago the machine precision on Hct measurement can be up to +/- 2% relative (maybe it was 1.5%; I'll see if I can find where I posted that).

My plasma viscosity must be decent. My blood looked very low viscosity flowing into the vial. Almost water like.
WOW! The HCT is a pretty significant difference. +/- 2% is a big difference. Hey, I jacked the nattokinase up to 10,500fu.

Here is mine

CBC (INCLUDES DIFF/PLT)
Analyte Value
WHITE BLOOD CELL COUNT - 9.4 Reference Range: 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT - 5.66 Reference Range: 4.20-5.80 Million/uL
HEMOGLOBIN - 16.8 Reference Range: 13.2-17.1 g/dL
HEMATOCRIT - 50.4 H Reference Range: 38.5-50.0 %
MCV - 89.0 Reference Range: 80.0-100.0 fL
MCH - 29.7 Reference Range: 27.0-33.0 pg
MCHC - 33.3 Reference Range: 32.0-36.0 g/dL
RDW - 12.5 Reference Range: 11.0-15.0 %
PLATELET COUNT- 281 Reference Range: 140-400 Thousand/uL
MPV - 10.2 Reference Range: 7.5-12.5 fL

I am not so sure I need to bother dumping blood.

TESTOSTERONE, TOTAL, MALES (ADULT), IA - 783 Reference Range: 250-827 ng/dL
ESTRADIOL - 24 Reference Range: < OR = 39 pg/mL
 
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