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  • Years old:
  • 27
  • Ethnicity:
  • Kenyan
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  • Hair color:
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Sex offender registration for offenders living inside the city limits of Amarillo is administered in accordance to Chapter 62 of the Code of Criminal Procedure. The sex offender must report in person to register or verify information. For Amarillo residents, sex offender registration is located at the Amarillo Police Department, S. If the office will be closed for any reason, there be a notification posted on the door of the Registration Office. Sex Offenders are required to provide the following information for registration and verification:. Public information on sex offenders can be obtained through the DPS website.

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How to interpret and understand your blood test. Your blood test explained and lab tests reviewed. Laboratory tests are tools helpful in evaluating the health status of an individual. It is important to realize that laboratory may be outside of the so-called "normal range" for many reasons. It is not possible to diagnose or treat any disease or problem with this blood test alone. It can, however, help you to learn more about your body and detect potential problems in early stages when treatment or changes in personal habits can be most effective.

Thus an abnormal test does not necessarily mean that there is something wrong with you. Statistically if you have 20 or 30 individual tests run as part of a panel, chances are 1 or 2 will be slightly outside the normal range. Part of what you see your doctor for is to interpret whether or not these changes are meaningful.

This review is a brief summary of the most common tests and is not intended to be comprehensive or replace discussion of your with your health care team.

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Sometimes a glucose tolerance test, which involves giving you a sugary drink followed by several blood glucose tests, is necessary to properly sort out normal from IFG from diabetes. In addition, the glycohemoglobin see below may now be used to diagnose diabetes. Be aware that variations in lab normals exist. Also, Europeans tend to use a 2 hour after eating definition of diabetes rather than a fasting glucose.

Using the European standards tends to increase the of people who are classified as having diabetes. Potassium is controlled very carefully by the kidneys. It is important for the proper functioning of the nerves and muscles, particularly the heart. Any value outside the expected range, high or low, requires medical evaluation.

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This is especially important if you are taking a diuretic water pill or heart pill Digitalis, Lanoxin, etc. Sodium is also regulated by the kidneys and adrenal glands.

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There are numerous causes of high and low sodium levels, but the most common causes of low sodium are diuretic usage, diabetes drugs like chlorpropamide, and excessive water intake in patients with heart or liver disease. CO2 reflects the acid status of your blood.

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Low CO2 levels can be due to either to increased acidity from uncontrolled diabetes, kidney disease, metabolic disorders, or low CO2 can be due to chronic hyperventilation. High values may mean that the kidneys are not working as well as they should. Creatinine is a waste product largely from muscle breakdown.

High values, especially with high BUN levels, may indicate problems with the kidneys. Uric Acid is normally excreted in urine. High values are associated with gout, arthritis, kidney problems and the use of some diuretics. Injury to cells release these enzymes into the blood.

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They are found in muscles, the liver and heart. Damage from alcohol and a of diseases are reflected in high values. Alkaline phosphatase is an enzyme found primarily in bones and the liver. Expected values are higher for those who are growing children and pregnant women or when damage to bones or liver has occurred or with gallstones. Low values are probably not ificant.

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GGT is also elevated in liver disease, particularly with obstruction of bile ducts. Unlike the alkaline phosphatase it is not elevated with bone growth or damage. They may be elevated from liver problems, hepatitis, excess alcohol ingestion, muscle injury and recent heart attack. LDH is the enzyme present in all the cells in the body.

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Anything which damages cells, including blood drawing itself, will raise amounts in the blood. If blood is not processed promptly and properly, high levels may occur. If all values except LDH are within expected ranges, it is probably a processing error and does not require further evaluation. Bilirubin: is a pigment removed from the blood by the liver.

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Low values are of no concern. CPK is an enzyme which is very useful for diagnosing diseases of the heart and skeletal muscle. This enzyme is the first to be elevated after a heart attack 3 to 4 hours. If CPK is high in the absence of heart muscle injury, this is a strong indication of skeletal muscle disease. Albumin and Globulin measure the amount and type of protein in your blood. They are a general index of overall health and nutrition.

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Globulin is the "antibody" protein important for fighting disease. Cholesterol is a fat-like substance in the blood which, if elevated has been associated with heart disease. Total Cholesterol: A high cholesterol in the blood is a major risk factor for heart and blood vessel disease. Cholesterol in itself is not all bad, in fact, our bodies need a certain amount of this substance to function properly. However, when the level gets too high, vascular disease can result.

The levels that your doctor will recommend depend upon whether you are at high risk for cardiovascular disease. As the level of blood cholesterol increases, so does the possibility of plugging the arteries due to cholesterol plaque build-up. Such a disease process is called "hardening of the arteries" or atherosclerosis.

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When the arteries feeding the heart become plugged, a heart attack may occur. If the arteries that go to the brain are affected, then the result is a stroke.

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LDL Cholesterol is considered "bad cholesterol" because cholesterol deposits form in the arteries when LDL levels are high. An LDL level of less than is recommended, is optimal, values greater than are considered high risk and should be followed up by your physician. Those persons who have established coronary or vascular disease may be instructed by their doctor to get their LDL Cholesterol well below You should ask your doctor which LDL target he or she wants for you.

There are two ways to report LDL. The most common is simply an estimate calculated from the Total Cholesterol, HDL, and triglycerides .

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This may say "LDL Calc". A directly measured LDL Cholesterol is usually more accurate, but more expensive and may require that your doctor specify the direct LDL. High levels seem to be associated with low incidence of coronary heart disease.

Triglyceride is fat in the blood which, if elevated, has been associated with heart disease, especially if over mg. High triglycerides are also associated with pancreatitis. Ways to lower triglycerides: 1 weight reduction, if overweight; 2 reduce animal fats in the diet: eat more fish; 3 take certain medications your physician can prescribe; 4 get regular aerobic exercise; 5 decrease alcohol and sugar consumption—alcohol and sugar are not fats, but the body can convert them into fats then dump those fats into your blood stream 6 restrict calories - carbohydrates are converted to triglycerides when eaten to excess.

VLDL very low density lipoprotein is another carrier of fat in the blood.

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Re cently, many labs have started reporting 'Non-HDL cholesterol'. The thought here is that HDL cholesterol is beneficial, and the remainder is not beneficial.

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As a screening tool, there may be advantages to using Non-HDL Cholesterol, as it appears to predict coronary disease risk better than either calculated or direct LDL cholesterol testing. Traditionally it has been used to assess inflammation in response to infection. However we use a highly sensitive C Reactive Protein which is useful in predicting vascular disease, heart attack or stroke. The best treatment for a high C reactive protein level has not yet been defined, however statin drugs, niacin, weight loss, quitting smoking, and exercise all appear to improve C- Reactive Protein.

Homocysteine: Homocysteine is an amino acid that is normally found in small amounts in the blood. Higher levels are associated with increased risk of heart attack and other vascular diseases. Homocysteine levels may be high due to a deficiency of folic acid or Vitamin B12, due to heredity, older age, kidney disease, or certain medications.

Men tend to have higher levels. You can reduce your homocysteine level by eating more green leafy vegetables and fortified grain products or cereals. The usual treatment is folic acid with or without Vitamin B Lipoprotein a or Lp a : Elevated lipoprotein a Lp[a] concentrations are associated with premature coronary heart disease CHD. The exact mechanism is not yet clear, but it appears that there is a strong genetic component to elevated Lp a levels that correlates with coronary disease. Persons with diabetes and a high Lp a level appear to be at increased risk of asymptomatic coronary disease.

Note that a few insurance companies refuse to pay for cardiac risk factor testing. As of this writing, Aetna stands out as a company that refuses to cover testing for homocysteine or Lp a on the basis that it is "experimental" or "investigational". We have asked for a comprehensive review of their policy since it deviates from the norm.

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Calcium is controlled in the blood by the parathyroid glands and the kidneys. Calcium is found mostly in bone and is important for proper blood clotting, nerve, and cell activity.

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An elevated calcium can be due to medications such as thiazide type diuretics, inherited disorders of calcium handling in the kidneys, or excess parathyroid gland activity or vitamin D. Low calcium can be due to certain metabolic disorders such as insufficient parathyroid hormone; or drugs like Fosamax or furosemide type diuretics.

Calcium is bound to albumin in the blood, so a low albumin level will cause the total calcium level in the blood to drop. You doctor can easily determine if this is ificant or not. Phosphorus is also largely stored in the bone. It is regulated by the kidneys, and high levels may be due to kidney disease. When low levels are seen with high calcium levels it suggests parathyroid disease, however there are other causes.

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