When your doctor hands you a lab report with all your results marked “within normal limits,” you might feel reassured. But are those “normal” numbers truly indicative of optimal health? In many cases, the reference ranges on lab reports are based on population averages and may not reflect the “ideal” levels for preventing disease or achieving peak well-being. Here’s some examples of common lab values where “normal” might not equal “ideal.”
1. Vitamin D (25-hydroxy vitamin D)
- Normal Range: Over 50 nmol/L (varies by lab).
- Ideal Range: 100–150 nmol/L for optimal immune function, bone health, and chronic disease prevention.
Levels above 50 nmol/L prevent rickets, but higher levels may better support your body’s immune defences, reduce inflammation, and lower the risk of autoimmune diseases and osteoporosis.
2. TSH (Thyroid-Stimulating Hormone)
- Normal Range: 0.5–4.5 mIU/L (varies by lab).
- Ideal Range: 0.5–2.5 mIU/L for optimal thyroid function.
While a TSH level of 3–4.5 mIU/L may fall within normal limits, it can signal subclinical hypothyroidism in individuals with symptoms like fatigue, weight gain, or hair loss. For those with thyroid-related symptoms, aiming for a TSH closer to 1.0–2.0 mIU/L may be more beneficial.
3. Fasting Glucose
- Normal Range: 3.9–5.5 mmol/L.
- Ideal Range: 3.9–4.7 mmol/L for optimal metabolic health.
Levels closer to 5.5 mmol/L are technically normal but could indicate early insulin resistance or a higher risk of developing type 2 diabetes. Maintaining glucose below 4.7 mmol/L supports better long-term metabolic health.
4. Ferritin (Iron Storage Protein)
- Normal Range:
- Men: 30–500 μg/L.
- Women: 15–200 μg/L.
- Ideal Range: 50–100 μg/L for balanced iron levels.
While ferritin levels up to 500 μg/L are considered normal, levels above 100 μg/L can indicate inflammation or early iron overload. Low-normal levels (<50 μg/L) may suggest inadequate iron stores.
5. CRP (C-Reactive Protein)
- Normal Range: <3 mg/L is considered normal.
- Ideal Range: <1 mg/L for low cardiovascular and systemic inflammation risk.
A CRP level between 1–3 mg/L, though within normal limits, may still indicate chronic low-grade inflammation. Levels below 1 mg/L are linked to reduced cardiovascular and chronic disease risks.
6. Homocysteine
- Normal Range: 5–15 μmol/L.
- Ideal Range: 5–8 μmol/L for cardiovascular and neurological health.
This is often not requested by doctors unless you specifically request it or offer to pay for the test privately. Levels greater than >9 μmol/L are associated with increased cardiovascular and cognitive risks. So ideally keep homocysteine closer to 5–7 μmol/L is considered optimal.
7. Serum Copper and Ceruloplasmin
- Serum Copper:
- Normal Range: 11–22 μmol/L.
- Ideal Range: 13–19 μmol/L for balanced oxidative stress and enzyme function.
- Ceruloplasmin:
- Normal Range: 200–400 mg/L.
- Ideal Range: 250–350 mg/L for optimal copper metabolism.
Low-normal levels of serum copper or ceruloplasmin may signal functional deficiencies, while high-normal levels might reflect inflammation.
Final Thoughts
When it comes to lab results, “normal” doesn’t always mean “optimal.” Understanding ideal ranges can help you and your healthcare provider tailor a plan that supports your long-term health. If you’ve ever felt that your “normal” lab results don’t match how you feel, consider discussing ideal ranges with your doctor for a more personalised approach to wellness.
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