From d584fba6ac2f0d80b6bf7eee84a6a47f0091590f Mon Sep 17 00:00:00 2001
From: Hermes Agent <hermes@agent.local>
Date: Sun, 30 Aug 2026 22:08:47 +0000
Subject: [PATCH] Add lab baseline (May 2026) with plan targets

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+---
+date: 2026-05-28
+type: lab
+tags: [lab, health, baseline]
+---
+
+# Lab — 2026-05-28 (Synlab, spring baseline)
+
+> Spring 2026 baseline. Full report: PDF archived by user (labor26.pdf). Flagged + key values only.
+
+## Flagged
+
+| Test | Value | Ref | Note |
+|---|---|---|---|
+| Uric acid (húgysav) | 494 µmol/L | 208–428 | **HIGH** — alcohol/purine pattern, gout-risk zone |
+| Triglycerides | 1.80 mmol/L | <1.71 | HIGH — mild; alcohol/refined carbs |
+| HDL | 1.06 mmol/L | >1.04 | borderline low — training will push it up |
+| Total bilirubin | 31.0 µmol/L | 5–21 | HIGH — likely Gilbert's (benign); confirm with GP; alcohol spikes it |
+| Vitamin D (25OH) | 64.5 nmol/L | >75 | INSUFFICIENT (50–75 zone) — supplement 2000–4000 IU/day |
+| aTPO (thyroid antibody) | 117.1 IU/mL | <13.8 | **HIGH** — Hashimoto's marker; subclinical (TSH normal); yearly TSH monitoring |
+| Eosinophils % | 6.3% | 1–4 | mild; allergy/smoking pattern (abs. count normal) |
+| Neutrophils % / Monocytes % | 46.7 / 11.0 | 50–70 / 2–8 | relative shifts, abs. counts normal — post-infection/recovery |
+| Urine bacteria | 27/HPF, mucus "sok" | <20 | likely contamination — recheck only if symptoms |
+
+## Clean (key)
+
+- Glucose 4.6 mmol/L · HbA1c 5.1% — no diabetes concern
+- Liver enzymes: GOT 33, GPT 31, GGT 35 — all normal
+- Kidney: kreatinin 98, eGFR >90 — fine (hydrate well)
+- Iron 19.6 · Magnesium 0.89 · CRP 0.7 (zero inflammation)
+- Full blood count + thyroid hormones (TSH 1.211, fT3, fT4) — normal
+
+## Read
+
+Alcohol-metabolic cluster (uric acid, TG, HDL) + vitamin D insufficiency + early autoimmune thyroid marker. Everything structural clean. The running + smoking stop + drinking cutback attack exactly these numbers.
+
+## Plan targets
+
+- Hydration 2–3 L/day (floor)
+- Cut beer/liquor + sugary drinks (fructose) — direct drivers of the two highest flags
+- D3 2000–4000 IU/day, retest ~6 months
+- Sunday batch diet: eggs, chicken thighs, túró, lentils, oats, mackerel, olive oil, seasonal veg — cheap + right
+- GP asks: (1) aTPO → yearly TSH check? (2) bilirubin → Gilbert's?
+- Retest same panel early Dec 2026 (after the half) — measure the delta
+
+## Connected
+
+- [[Half-marathon-plan]]
+- [[life-systems-blueprint]]