Your results, and what we do with them
What is fine
Your kidneys, your thyroid, your blood count, your iron and your B vitamins are all where they should be. The scarring test for the liver (FIB-4) says your liver is not damaged. Your blood pressure is at the upper edge of normal, not high.
What we work on, and why
Your cholesterol (LDL 158, apolipoprotein B 118) is above the goal for someone with your risk. Your risk of a heart attack or stroke in the next ten years is around 3 %, which is moderate at 44, and a value you inherited, lipoprotein(a), is in the middle band. Together they mean: take the cholesterol seriously now, not at 55.
Your blood sugar (HbA1c 5.8 %) is just above the line for prediabetes, for the first time. Your father got diabetes at 55. This is the value with the most to gain: people in your situation who lost a little weight and moved regularly cut their chance of diabetes by more than half in the largest study on it.
Your liver values (ALT 52, GGT 78) most likely come from fat in the liver, which fits the waist, the wine and the triglycerides. It is reversible. Your vitamin D is low, which a tablet fixes.
What you do
- Move 150 minutes a weekBrisk enough that talking is still possible, singing is not.
- Wine: one bottle a week, not two glasses a nightThis is the change your liver answers fastest.
- Five kilos by March94 to 89. The direction matters more than the date.
- One vitamin D tablet a day2,000 units, with a meal.
What happens next
In December we measure the cholesterol, the liver and the sugar again. If the cholesterol is below the goal, we continue without a tablet. If it is not, we talk about a statin, and your lipoprotein(a) is a reason to say yes rather than to wait. In September we repeat the whole panel and see the year.
Next
- Please bookUltrasound of the liver
- Week of 14 Dec 2026Blood test, fasting
- 18 Dec 2026, 09:00Visit with Dr. Weber
Sources
Written from the results of 15 September, the intake and the visit, in plain language, with the same numbers as the lab review. Shared under the physician's name after signature.