A patient with RA and cardiovascular disease has a long stan…

A patient with RA and cardiovascular disease has a long standing history of DMARD use. They are currently using methotrexate and are in your office for an annual exam. A CBC, CMP, folic acid, B12, Iron, magnesium, TSH, and fasting lipid were collected for their annual visit. Their labs are as follows: LAB  Reference Results  CBC WBC 3.8-10.7 K/uL 8.3 RBC 4.21-5.75 M/ul 4.5 Hgb 13.5-17.5 g/dl 14.2 Platelets 150-450 K/ul 165 CMP Glucose  70-100 mg/dL 90 Creatinine 0.67-1.17 mg/dL 0.8 GFR >=60 65 Potassium 3.5-5.1 mEq/L 3.6 Calcium 8.5-10.1 mg/dL 9.0 Sodium 135-145 mEq/L 135 Bilirubin 0.0-1.4 mg/dL 0.10 AST 1-37 U/L 35 ALT 1-78 U/L 68 Magnesium 1.8-2.4 mg/dL 2.0 Folic Acid 2.7-17.0 ng/mL 1.6 B12 160-950 pg/mL 165 Iron 50-150 ug/dL 55 TSH 0.34-5.6 ulU/mL 0.672 Lipid Panel  Triglycerides