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Health Record · Patient: Yulia Zaretskaya

personas/two-country-family/files/health/yulia-thyroid-labs.pdf
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                                                                             400 Brantwood Avenue
                                                                             Hackensack, NJ 07601

Fenwick Clinical Laboratories                                                       (866) 555-0148
                                                                               fenwicklabs.example




Laboratory Report

 Patient                                                               ZARETSKAYA, YULIA A

 Date of birth                                                                     02/11/1986

 Sex                                                                                          F

 Ordering physician                          Helen Okafor, MD - Ridgeline Endocrine Associates

 Collected                                                         05/14/2026 7:52 AM, fasting

 Reported                                                                          05/15/2026

 Accession                                                                   FCL-26-0418837


Results

 Test                                     Result            Flag             Reference range

 TSH                                      2.14 mIU/L                                0.45 - 4.50

 Free T4                                  1.21 ng/dL                                0.82 - 1.77

 Thyroid peroxidase antibodies            186 IU/mL         H                            0 - 34

 Vitamin D, 25-hydroxy                    24 ng/mL          L                          30 - 100

 Ferritin                                 41 ng/mL                                     15 - 150

 Hemoglobin                               13.1 g/dL                                 11.1 - 15.9


Comments
TSH is within the reference range on the current dose of levothyroxine. Thyroid peroxidase
antibodies remain elevated, as expected in autoimmune thyroiditis.

Vitamin D is below the reference range. Supplementation may be considered at the discretion
of the ordering physician.

Results were released to the ordering physician and to the patient portal on 05/15/2026.

Comments

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Record

Health Record · Patient: Yulia Zaretskaya Health Record · saved May 16, 2026

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me.date_of_birth 1986-02-11
health-yulia-thyroid-2026.date 2026-05-14

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Planted

only_in_file In the files and nowhere in the records or notes: the registry record number on Tim's Russian birth certificate; the surname clause, record number and apostille number in the translated marriage certificate; the naturalization certificate numbers and A-numbers in the lawyer's letter; the cadastral number and registry number in the inheritance certificate (the 1/6 share is stated only there, though an old note says papa's half was split three ways); the account number and balances in the Russian bank's letters; the hurricane deductible, the 1,500 dollar theft limit for jewelry and the one scheduled pair of earrings in the home policy; the list of documents for Vera's citizenship in the agency's memo; the vitamin D result; the exchange rate in the transfer confirmation; the refund in the accountant's letter; the outstanding balance on the mortgage statement; the price of the house and its tax block and lot in the closing statement; Tim's placement test score; the orthopedist's phone on the ER paper; the handwritten date of the second payment on the Russian school's contract; her wages and withholding on the W-2; the Mazda's VIN on the car order; the diploma's number; the roof's check numbers; the 2025 transfers one by one.

attachments.yaml 
record: health-yulia-thyroid-2026
template: document
style: statement
org:
  name: Fenwick Clinical Laboratories
  lines:
  - 400 Brantwood Avenue
  - Hackensack, NJ 07601
  phone: '8665550148'
  web: fenwicklabs.example
  color: '#1e4f7a'
title: Laboratory Report
body: '| | |

  |---|---|

  | Patient | ZARETSKAYA, YULIA A |

  | Date of birth | {{me.date_of_birth|mdy}} |

  | Sex | F |

  | Ordering physician | Helen Okafor, MD - Ridgeline Endocrine Associates |

  | Collected | {{health-yulia-thyroid-2026.date|mdy}} 7:52 AM, fasting |

  | Reported | 05/15/2026 |

  | Accession | FCL-26-0418837 |


  ## Results


  | Test | Result | Flag | Reference range |

  |---|---|---|---|

  | TSH | 2.14 mIU/L | | 0.45 - 4.50 |

  | Free T4 | 1.21 ng/dL | | 0.82 - 1.77 |

  | Thyroid peroxidase antibodies | 186 IU/mL | H | 0 - 34 |

  | Vitamin D, 25-hydroxy | 24 ng/mL | L | 30 - 100 |

  | Ferritin | 41 ng/mL | | 15 - 150 |

  | Hemoglobin | 13.1 g/dL | | 11.1 - 15.9 |


  ## Comments


  TSH is within the reference range on the current dose of levothyroxine. Thyroid peroxidase antibodies
  remain elevated, as expected in autoimmune thyroiditis.


  Vitamin D is below the reference range. Supplementation may be considered at the discretion of the ordering
  physician.


  Results were released to the ordering physician and to the patient portal on 05/15/2026.

  '