{
  "2024-03-09": "Acute inflammatory/infectious-looking CBC round: CRP 38.52 mg/L and ESR 25 were high, platelets were already high at 409, but WBC 9.3 and hemoglobin 14.5 were not concerning. This is an important historical proof-point that platelet elevation can track inflammatory stress, not only bleeding/iron loss.",
  "2025-08-06": "Accidental discovery during STD screening in Laos. WBC 12.6 and platelets 520 were elevated; hemoglobin 14.2 was within range. Drawn ~2 weeks before the first visible diverticular bleed on Aug 19. This is compatible with pre-existing inflammatory/reactive tone, but does not by itself prove occult blood loss.",
  "2025-09-10": "3 weeks post-bleed; about 1 year after the September 2024 colonoscopy. Hemoglobin 13.3, ferritin 93.8, WBC 10.7 with 61% neutrophils, CRP 1.43, Lp(a) 838.6. Ferritin may have been partly influenced by inflammatory tone; low CRP argues against strong active infectious/inflammatory diverticulitis but does not prove the bleeding mechanism. MCV 89.7 was already 6 points lower than Jan 2024; ESR 27 with low CRP fits a slower chronic/inflammatory-context signal.",
  "2025-10-03": "Expanded post-bleed round with newly recovered CBC details: hemoglobin 13.0, hematocrit 39.4, RBC 4.3 and platelets 415 show mild anemia/low red-cell mass with persistent thrombocytosis. Ferritin had dropped from 93.81 to 55.54 despite inflammation markers being only modest (CRP 2.36, ESR 20), supporting true iron loss/bleed recovery rather than simple inflammation noise. Fibrinogen 3.5 g/L remained high-normal.",
  "2025-11-07": "Deep dive panel. Ferritin fell to 49.2. Vitamin D rose to 98.7 nmol/L after D3+K2 loading. WBC increased to 12.2 with 63.1% neutrophils, the highest reading in this monitoring period. This coincided with peak calprotectin (141, drawn 11 days later) and intense exercise (intervals at 160-165 bpm), so interpret the immune signal in exposure/recovery context.",
  "2025-11-25": "Calprotectin follow-up. WBC dropped sharply from 12.2 to 7.2. Neutrophils fell to 45.1%, lymphocytes rose to 42.9%. Ferritin stayed at 49.2 before the later decline. IL-6 measured on 11/27 at 5.97 (ref <7), near the upper reference boundary, fitting the platelet/fibrinogen/CRP inflammatory-thrombotic context without proving one single driver.",
  "2025-12-22": "Most revealing round. Ferritin continued decline to 35.28 — approaching deficiency despite 4+ months with no visible bleeding. Hemoglobin dropped to 13.1 (below 13.4 min). MCV 87.0 (lowest recorded here, down 8.7 points from Jan 2024). TSH 3.61 neared 4.0. Metabolic markers were favorable: ALT 19, AST 18, GGT 22, HDL 2.53, triglycerides 0.62, glucose 5.28. The ferritin paradox: with inflammatory context (calprotectin 87, ESR 22, CRP 2.86), ferritin would often be expected to run higher; a low/falling value supports true iron loss or under-repletion.",
  "2025-12-23": "Stool analysis. Comprehensively negative: no occult blood, no parasites, no H. pylori, normal consistency. Calprotectin repeat drew on 12/24 at 87.7 — down from 141 but still 75% above upper limit. Gut inflammation genuinely improving from dietary normalization, alcohol reduction, and probiotics, but not resolved.",
  "2026-04-19": "First major post-Dec 2025 round. Ferritin rebounded to 54.01 and hemoglobin normalized to 14.4, but WBC jumped to 13.1 and platelets stayed very high at 494. The biggest change: stool occult blood turned POSITIVE with stool RBC presence, while most chemistry and lipid markers remained reassuring. PSA also rose to 2.85.",
  "2026-04-20": "Follow-up GI/immune round. Calprotectin normalized completely to 13.3 — the strongest evidence yet that active mucosal inflammation cooled. But IgA came back high at 634.7, opening a new immune-workup branch. ApoB stayed good at 66.31 and transferrin was normal.",
  "2026-04-22": "Extensive STI PCR follow-up: all reported targets negative.",
  "2026-04-26": "Day-0 experiment-start Biomed round. Fasting insulin 4.4 with glucose 99 mg/dL (~5.50 mmol/L) gives HOMA-IR ~1.08, supporting good insulin sensitivity rather than metabolic-syndrome physiology. Reticulocyte count 1.0% is normal; fibrinogen 3.7 g/L is high-normal; urinalysis is clean.",
  "2026-04-27": "Day-0 follow-up/Vietnam add-on results. IgG 1299 mg/dL and IgM 72.5 mg/dL are normal, making the high IgA more isolated. Hemoglobin electrophoresis is normal (Hb A 97.2%, Hb A2 2.8%), arguing against beta-thalassemia trait, but it is not serum protein electrophoresis and does not classify the elevated IgA pattern.",
  "2026-05-12": "Improvised mid-experiment checkpoint, not a standardized fasting day-0/day-30 comparator: drawn around 14:00, about 1 hour after a meal and coffee. WBC normalized to 8.2 with estimated ANC ~3.86, CRP stayed normal at 2.71, and platelets improved from 494 to 452 but remain above range. Hemoglobin eased from 14.4 to 13.6 and ferritin fell from 54.01 to 43.28, while serum iron, TIBC, UIBC, and TSAT 27.7% remained in range. Treat as useful directional context, but the planned morning fasting end-of-experiment panel remains the clean comparator.",
  "2026-05-27": "Clean end-of-experiment fasting blood panel after the zero-alcohol/zero-smoking month and final-week coffee-free/tea-only phase. Blood-side signal improved: WBC 7.7 stayed normal, CRP 2.52 stayed normal, ferritin rose to 61.60, iron 19.70 and TSAT 33.4% recovered, hemoglobin 14.0 stayed normal, fasting insulin/glucose remained insulin-sensitive, and platelets improved to 444 — just below the 450 thrombocytosis threshold but still above this lab reference range. ESR 20 and fibrinogen 3.9 remain borderline/high-normal context, so the clean month lowers concern but does not erase the platelet/inflammatory-thrombotic watch.",
  "2026-05-28": "End-of-experiment stool plus true protein electrophoresis follow-up. Stool occult blood turned NEGATIVE and stool RBCs were absent, which cools the April occult-bleeding branch when paired with improved ferritin/TSAT and normal hemoglobin. H. pylori stool antigen was non-reactive; parasites were absent except yeast +, usually a nonspecific stool finding unless symptoms/direct microscopy suggest otherwise. IgA fell from 634.7 to 546.6 mg/dL but remains above range. Protein electrophoresis now looks like the correct SPEP-style test: no obvious narrow M-spike on the preserved graph, with mildly high beta fractions and normal gamma quantity, favoring a reactive/polyclonal-looking pattern over an obvious monoclonal spike, while formal clinician/lab interpretation still matters."
}