Lab report with physician review
Package: Energy & fatigue
Analysis of 14.09.2026

Your report at a glance

The overall picture

There is an obvious and very treatable cause for your tiredness: your iron stores are empty, even though your blood count is still normal. On top of that, vitamin D is low and vitamin B12 is borderline, which shows in a slightly raised homocysteine. Your thyroid does not explain the symptoms. Fasting insulin and HbA1c are within the lab reference range but above the target range; this is not diabetes, but an early sign that building muscle and a regular meal structure will do more here than any diet. First refill the stores, then measure again in three months.

The three most important steps

1. Refill iron. Iron supplement every other day in the morning on an empty stomach, with a little vitamin C, for 3 months. Ferritin check after 3 months; get in touch if you have stomach complaints.
2. Vitamin D and B12. Vitamin D 2000 IU daily and vitamin B12 1000 µg daily for 3 months, then check and adjust the dose.
3. Muscle as a metabolic organ. Strength training twice a week, 30–40 minutes, and a portion of protein with every main meal. Goal: fasting insulin below 7 mU/l at the next measurement.

Lab values with target range
Sample patient, female, 46

Lab values with target range

These are not all treatment thresholds. Some are guideline-based (L), some rest on the study evidence (M), and some are practice ranges (P) that help with interpretation.

Safety

If new symptoms appear, such as palpitations, shortness of breath, severe tiredness with paleness, or blood in the stool, please get in touch straight away, not only at the next check.