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Patient-prepared document · Kamla Sharma, 63F · Reviewed adversarially by Codex CLI · Not a clinical recommendation · Requires doctor second-opinion before action.

Round 2 Trajectory Analysis — May 2026

Round 2 Trajectory Analysis — 19 May 2026

Patient: Kamla Sharma, 62Y 4M 18D / Female
Collection date: 19 May 2026, 06:15 AM
Lab Visit ID: RNC25709
Status: PARTIAL REPORT — 6 critical tests still pending


Executive Summary

The bet paid off. Multiple markers we were worried about have improved substantially. Three deficiencies are now resolved (B12, Calcium, CRP). TSH dropped from subclinical hypothyroid range into normal range — a major positive surprise.

But three new concerns emerged that need immediate attention: 1. Potassium dropped to 3.62 (lower limit 3.5) — directly raises QT risk while she’s on Nortriptyline + Domperidone 2. AST mildly elevated (36 vs <34) — possible hepatic strain from NSAID/Chlorzoxazone course 3. Triglycerides moved into borderline-high range (124 → 168) — possibly Pregabalin weight gain risk materializing

Six critical tests are still pending — autoimmune workup (Hashimoto’s check), HOMA-IR, Magnesium, PTH. Final verdict requires those.


Trajectory Table — All Markers (Nov 2025 → May 2026)

✅ Major Wins (Resolved or Substantially Improved)

Marker Nov 2025 May 2026 Reference Verdict
TSH 7.275 4.526 0.55–4.78 NORMALIZED — was subclinical hypothyroid, now within reference (upper end)
Vitamin B12 170 361 211–911 RESOLVED — was deficient, now solidly normal. YOPREG-NM B12 worked.
CRP (Quant) 5.30 2.30 0–3.3 NORMALIZED — systemic inflammation resolved
Calcium 8.3 8.9 8.7–10.4 NORMALIZED — was below range, now within
Fasting Blood Sugar 103 95 70–99 NORMALIZED — was impaired, now within range
HDL 34 40 ≥50 (women) ↑ +6 mg/dL improvement — still below target but moving right direction
Uric Acid 6.3 5.8 2.7–6.1 NORMALIZED
Hemoglobin 12.2 12.6 12.0–15.0 ↑ Improved, comfortably within range
Ferritin 40.70 50.50 10–291 ↑ Improved
hs-CRP 0.87 0.64 <1.0 ↓ Improved (low cardiac risk maintained)
Chloride 110 105 98–107 ✅ Normalized (was mildly elevated)
Albumin 4.00 4.30 3.2–4.8 ↑ Improved
Transferrin saturation 15.98% 15.38% 16–50% Essentially unchanged
TIBC 269.1 299 250–460 Slight rise, both within normal

⚠️ Concerns (New or Worsened — Need Action)

Marker Nov 2025 May 2026 Reference Concern
Potassium 4.48 3.62 3.5–5.1 ⚠️⚠️ Dropped close to lower limit. Low K+ amplifies QT risk from Nortriptyline + Domperidone. Likely drivers: Domperidone, dehydration during illness, or dietary intake drop. Highest priority safety item from this round.
AST (SGOT) 30 36 <34 ⚠️ Above range (mild). Likely from Chlorzoxazone (rare hepatotoxicity) or Aceclofenac. Monitor — usually resolves after drug stops.
Triglycerides 124 168 <150 ⚠️ Moved into borderline-high (150–199). Possible Pregabalin weight gain effect — this was a predicted risk.
VLDL 25 34 <30 ⚠️ Slightly above normal. Mirrors triglyceride rise.
HbA1c 6.2% 6.3% <5.6 Slightly worse despite FBS improving. Suggests post-prandial spikes.
Homocysteine 18.66 17.19 3.7–13.9 Minimal improvement despite B12 normalizing. Other driver present (folate? B6? hypothyroid?).
RDW-CV 14.9% 15.7% 11.5–14 Worsening. Mixed cell sizes — RBC turnover not yet stabilized (takes 120 days post-B12 correction).
Phosphorus 4.60 5.10 2.4–5.1 At upper limit. Possibly from Vit D loading; worth watching with PTH (pending).
Lymphocytes 38.9% 45.3% 20–40 Slightly elevated. Mild lymphocytosis — could be viral, stress, or lab variation.
BUN/Creatinine ratio 23.0 23.8 12:1–20:1 Stable, mildly elevated. Possible dehydration.
Creatinine 0.76 0.84 0.55–1.02 Slight rise but still normal.

Stable (Within Normal, Acceptable)

Marker Nov 2025 May 2026
Free T4 1.20 1.11
Free T3 2.67 2.82
Total Cholesterol 118 153 (still <200)
LDL 60 79 (still <100)
Non-HDL Cholesterol 84 113 (still <130)
Vitamin D (25-OH) 40.2 42.9 (loading dose worked)
ESR 20 19
Serum Iron 43 46 (still borderline low)
ALT/SGPT 29 37 (within range)
ALP 104 113 (within range, but upper end)
GGT 9 13 (within range)
Bilirubin Total 0.29 0.37 (within range)
Total Protein 6.80 7.30 (within range)
Globulin 2.8 3.0 (within range)
Sodium 144 142 (within range)
Urea 37.45 42.80 (within range)
Urine R/M Clean Clean

NEW Test Result (No Prior Comparison)

Test Result Interpretation
Stool R/M (Parasites) Not Seen (no parasites, no ova) Important negative. The elevated IgE in Nov 2025 (299) is NOT due to intestinal parasites. If IgE remains elevated in the autoimmune panel results, the working hypothesis shifts to allergic/atopic causes or immune dysregulation.

Tests Still PENDING (Confirmed Timeline)

These 6 tests determine the next-phase decisions. All confirmed via Tata 1mg app:

Test Expected What It Answers
Magnesium 21 May 2026, 07:00 AM Status + critical QT risk modifier (low Mg amplifies QT, same as low K+). Highest urgency given K+ 3.62.
Anti-CCP Antibody 21 May 2026, 07:00 AM Rules out early Rheumatoid Arthritis (her bilateral hand CMC pain).
HOMA-IR (Insulin Resistance Index) 22 May 2026, 07:00 AM Is she insulin-resistant? Drives dietary emphasis (carb reduction vs general healthy eating). Helps explain why HbA1c crept up despite FBS improvement.
PTH (Intact) — Parathyroid Profile 23 May 2026, 07:00 AM Parathyroid axis status with calcium normalization. Important for bone health interpretation.
Anti-TPO + Anti-Thyroglobulin (Anti Thyroid Antibodies Panel) 24 May 2026, 07:00 AM Is the hypothyroidism autoimmune (Hashimoto’s)? Even though TSH normalized, antibody status drives long-term prognosis and selenium decision. Last result; full picture complete here.

Full report timeline: 21 May → 24 May 2026. Final analysis pass after May 24.


Tests That Should Have Been in the Report But Aren’t

IgE Total was in the Tata 1mg cart (cart receipt confirmed). I don’t see it in this partial report, and it is NOT listed in the pending tests at the end. This is a gap — IgE was a critical Round 2 metric for the allergy/parasite question. Stool came back negative for parasites, so IgE trajectory matters even more.

Action needed: Confirm with Tata 1mg whether IgE was processed. If missed, request it be added.


Verdict by Working Hypothesis

Hypothesis 1: “The metabolic disturbances are driving her musculoskeletal pain”

Update: Mixed support. B12 is fully corrected. TSH normalized. CRP normalized. If the metabolic-pain link were true, her pain should have reduced substantially. Need to ask Ravi: is her pain better than it was in April?

Hypothesis 2: “She has Hashimoto’s thyroiditis”

Status: Still pending. TSH normalizing without thyroid medication is unusual if Hashimoto’s was driving it — autoimmune destruction typically progresses. This could mean: - (a) She doesn’t have Hashimoto’s; the TSH was transient/situational - (b) She has Hashimoto’s in a remission phase (uncommon but possible) - (c) Vit D normalization is reducing the autoimmune drive - Anti-TPO result will resolve this.

Hypothesis 3: “Elevated IgE is from parasites”

RESOLVED — false. Stool exam clean. Working hypothesis shifts to allergic disease, atopic predisposition, or immune dysregulation. Confirm IgE was tested.

Hypothesis 4: “Pregabalin will cause weight gain that worsens metabolic markers”

Partial support. Triglycerides moved from 124 to 168 (borderline-high). LDL rose 60→79. Total cholesterol 118→153. All still mostly within desirable range, but the direction is concerning. Need to ask: has her weight changed?

Hypothesis 5: “Low calcium is nutritional, not regulatory”

Likely supported but PTH pending. Calcium normalized on Vit D loading alone — supports nutritional/Vit-D-mediated cause rather than parathyroid dysfunction. PTH result will confirm.


Highest-Priority Safety Item From This Round

Potassium 3.62 + ongoing QT-prolonging medications (if still on Nortriptyline + Domperidone) is the single most important finding.

Mechanism: - Both Nortriptyline and Domperidone independently prolong the QT interval. - Low potassium (and low magnesium, pending) is the #1 amplifier of QT risk. - A K+ of 3.62 is technically within reference (3.5–5.1) but close to the lower limit. - In an elderly female on two QT-prolonging drugs, this combination is what causes Torsades de Pointes.

Immediate actions: 1. Confirm her medication status — is she still on YOPREG-NM and ROWET-DSR, or has the 10-day course ended? 2. Increase dietary potassium — bananas, coconut water, leafy greens, dates, sweet potato 3. Pending magnesium result — if low, this compounds the risk 4. Doctor visit: raise this finding explicitly. Request ECG (it was already on our pending list). 5. Repeat potassium within 1-2 weeks to confirm trend.


North Star Progress Check

Comparing to the 12-month targets in PLAN.md:

Marker Baseline Target May 2026 % Progress
HbA1c 6.2% <5.7% 6.3% ✗ Slightly worse
TSH 7.275 <4.0 (treated) 4.526 ~88% (untreated normalization!)
HDL 34 >45 40 55% of the way
B12 170 >400 361 83% of the way
Homocysteine 18.66 <10 17.19 ~17% of the way
CRP 5.30 <3.0 2.30 TARGET MET at 6 months

Verdict: Strongly on track for 4 of 6 measurable markers despite no formal intervention having started yet. The drug course + Vit D loading + improved nutrition (presumed) explain most of this. Homocysteine is the laggard despite B12 normalization — suggests a non-B12 driver still active.


What This Round Unlocks / Decisions Available Now

Decision Status
Start D3 maintenance (2000 IU)? HOLD — Vit D is 42.9, sufficient. Don’t add more on top until next retest. The loading dose worked.
Start Calcium Citrate? HOLD — Calcium normalized at 8.9. Diet maintenance is enough unless level drops again.
Start Magnesium Glycinate? CONDITIONAL — wait for Magnesium result. But given low-end K+ and QT concerns, dietary magnesium emphasis NOW (pumpkin seeds, almonds, dark leafy greens, dark chocolate).
Continue B12 supplementation post-Yopreg-NM? DECIDE LATER — once Yopreg-NM course ends, recheck B12 at 3 months. The drop from 361 will tell us if intrinsic factor/absorption is the issue.
Start Boswellia + Curcumin + Omega-3? HOLD — CRP already normalized to 2.30. If pain is still significant, OK to start (joint-pain benefit independent of CRP). If pain is improving, defer.
Selenium? HOLD — until Anti-TPO result.
Statin? NO — LDL 79 is still desirable; total cholesterol 153 still desirable. Lifestyle first.
Endocrinologist referral? CONDITIONAL — was high-priority at TSH 7.275. Now TSH is 4.526. Still worth one visit to discuss Anti-TPO result when it arrives and whether the normalization is durable.
Cardiology consult? NEW PRIORITY — given low-end K+ + QT-prolonging drugs. ECG was already pending.
Diabetologist? MODERATE — HbA1c crept up despite FBS improvement; HOMA-IR result will tell us about insulin resistance.

Next Session Should Address

  1. Confirm her medication status — still on YOPREG-NM + ROWET-DSR or stopped?
  2. Confirm IgE was tested — if missed, add it
  3. Confirm her pain trajectory — has the thigh pain reduced since April?
  4. Confirm her weight trajectory — Pregabalin weight gain check
  5. Confirm constipation status — did the May 1 intervention plan work?
  6. Plan dietary potassium emphasis — actionable now regardless of other data
  7. Update PLAN.md — Phase 3 is partially closed (data in hand, but autoimmune workup pending). Plan refinement (Phase 4) can begin for non-autoimmune items.
  8. Wait for full report — autoimmune + HOMA-IR + PTH + Magnesium results