“Normal” Blood Test Results May Hide Serious Illness — Harvard Study Reveals Why Set Points Matter

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“Normal” Blood Test Results May Hide Serious Illness — Harvard Study Reveals Why Set Points Matter about ComfortPro

Why Your Annual Blood Test Results Can Look “Normal” — Even When Something Is Seriously Wrong

What if your doctor looked you in the eye and said, “Everything is normal”… while your body was quietly signaling something very different?

A groundbreaking Harvard discovery reveals that even the most routine blood tests may be hiding early warning signs of health trouble.

Signals so subtle that they can go unnoticed until your body is wracked with health issues. The surprising part? The clues that your health is being impacted have been sitting in your old lab reports for years. Doctors rarely check for this. But you can. And you should.

Key Takeaways

  • Every person has a unique complete blood count (CBC) “set point” that predicts health more accurately than standard normal ranges.

  • Shifts within your normal, CBC range can signal early disease, including heart, metabolic, and inflammatory conditions.

  • Gut inflammation can alter CBC trends, making daily gut support—like probiotics—essential for stable immune and inflammatory balance.

Doctors Miss This Warning Sign All the Time—Do You? 

In one of Bob Segar’s songs, “Feel Like A Number”, he laments that in life, people are treated like tiny blades of grass in a great big field. The medical profession is a prime example of this.

If your test results are ‘normal’, i.e., they’re the same as the rest of the healthy population, then there’s nothing wrong with you, and you’re sent away with a clean bill of health. In reality, what's "normal" for everyone else may not be normal for you. A groundbreaking Harvard study puts a finer point on it, saying this one-size-fits-all approach could be harming your health.

A Case Study: When "Normal" Results Cost Lives

Professor Rob Galloway, a British Accident & Emergency (ER) specialist and lecturer in Emergency Medicine, recently wrote about a man in his thirties who arrived at the hospital with chest pain.

His electrocardiogram was not concerning, blood tests were fine, and he had no risk factors for heart disease, such as high blood pressure. Dr. Galloway said the team discharged the man as any other doctor in their position would have done.

A few hours later, the patient had a heart attack and died.

The interpretation of the patient’s tests was based on what’s normal in the general population, but what’s normal for most was clearly not normal for him.

“As a doctor,” he writes, “the way I do tests, treat patients and predict their outcomes is stuck in the 1990s…everything we do is based on looking after Mr. and Mrs. Average – in other words, 95 per cent of the population.”

Instead, Dr. Galloway argues, we need personalized and precision medicine, where a patient is treated according to their individual biochemistry and genetics.

What does that look like? When it comes to routine blood screening, Harvard researchers have an answer...

Harvard: Every Patient Has a "Set Point"

The Harvard research team, led by an assistant professor, analyzed more than 12,000 healthy adults who received multiple complete blood count (CBC) tests over 20 years. The CBC is the most common lab test used in routine checkups and is an important screening tool that measures the amount and size of red and white blood cells, hemoglobin, and platelets.

Although the normal range is known to shift due to factors such as genetics, disease history, and age, the new study showed individual patients have a "set point" — a stable value around which their CBC measures fluctuate.

The study revealed that if the result changed from the set point, even though it stayed within the normal range, it was a sign of potential health trouble.

For instance, an increase in normal white blood cell counts was linked to a higher risk of death in the following year, and hemoglobin levels marginally above or below the normal average were linked to a greater risk of a heart attack or stroke within the subsequent decade.

The set point for each measured item in the test can be distinguished, like a fingerprint, from those of 98 percent of other healthy adults, they found.

Therefore, the team wrote in their paper, published in the journal Nature, that comparing a patient’s new CBC results to their past results would provide a better picture of their health than comparing their numbers to an external standard range. Reviewing lab results over time is now easier than ever, as patients can access their medical records, including CBC and other blood test results, through online portals thanks to recent legislation like the Cures Act.

Realizing the Promise of Precision Medicine

Senior author John Higgins said, “Our study suggests CBCs vary a lot from person to person even when completely healthy. A more personalized approach could give more insight into a person’s health or disease.”

By adopting such an approach, they believe that certain diseases, such as diabetes, heart disease, and kidney failure, could be diagnosed earlier, leading to better outcomes for patients. Personalized interpretation of blood test results can improve early disease detection and diagnosis. Adding CBC set points to other measures used in screening could make disease screening more precise. And discovering why CBC set points vary could also be used to develop more specific treatment plans.

The Harvard team concluded their study by writing: “This study shows CBC setpoints are sufficiently stable and patient-specific to help realize the promise of precision medicine for healthy adults.”

Finding & Maintaining Your Set Point: Why This Matters for You Right Now

Most adults have CBC results on file going back years — sometimes decades. But very few people (or doctors) ever compare those numbers over time.

This means:

·       small increases in inflammation

·       subtle immune imbalance

·       early anemia

·       early metabolic changes

·       chronic gut-related inflammation

…can develop silently for years without anyone noticing.

This is especially important because gut inflammation and microbiome imbalance can shift immune markers long before symptoms appear.

In fact:

  • 70% of your immune system lives in your gut.

  • Gut imbalance increases inflammatory signals.

  • Those signals alter CBC values (even before they leave the normal range).

This is why supporting gut health is one of the simplest, most effective ways to stabilize your immune and inflammatory “set points.”

Monitoring CBC trends over time can also provide valuable insights into your general health. Success begins with understanding what you're looking at...

What’s Actually in Your Blood Test? Understanding the Components

When you get a blood test—especially a complete blood count (CBC)—you’re getting a snapshot of some of the most important building blocks of your health. This common lab test is often the first step doctors take to check your overall health, but what exactly is being measured?

A complete blood count looks at several key types of blood cells:

  • Red blood cells (RBCs): These cells are responsible for carrying oxygen from your lungs to the rest of your body. The CBC measures not just the number of red blood cells, but also their size and the amount of hemoglobin (the protein that holds oxygen) they contain. If your red blood cell count is too low or too high, or if the cells are an unusual size, it can signal issues like anemia, dehydration, or other underlying health problems.

  • White blood cells (WBCs): These are the defenders of your immune system. A CBC measures your total white blood cell count and sometimes breaks it down into different types of white cells. Changes in your white cell count can be an early sign of infection, inflammation, immune system disorders, or even blood cancers.

  • Platelets: These tiny cell fragments help your blood clot, preventing excessive bleeding when you get a cut. The CBC checks your platelet count and sometimes their average size. Abnormal platelet levels can point to problems with bone marrow, ongoing inflammation, or other medical conditions.

Each of these components—red blood cells, white blood cells, and platelets—plays a unique role in keeping you healthy. The complete blood count CBC doesn’t just provide a single number; it gives a detailed look at the balance and health of your blood. Even small shifts in these values, while still considered “normal,” can offer important clues about your body’s state long before symptoms appear.

By understanding what’s actually measured in your blood test, you can better interpret your results, ask informed questions, and work with your health care team to protect your overall health. Remember, your CBC report is more than just numbers—it’s a window into your body’s most vital systems.

What To Do: Your 5-Step Personalized Health Action Plan

Use this checklist to put Harvard’s findings into action.

1. Compare Your Latest CBC to Your Older Tests

Look for upward or downward trends in:

·       white blood cells

·       hemoglobin

·       platelets

·       red blood cell size

·       the absolute number of different cells, such as white blood cells and platelets

·       mean corpuscular volume (MCV) and red cell distribution width (RDW) for additional insight into red blood cell health

Even small changes matter. Blood cell counts are often reported per cubic millimeter of blood, which is equivalent to a microliter (µL), providing a standard unit for laboratory measurements.

2. Ask Your Doctor for a “Trend-Based Interpretation”

Say: “Can you look at how my CBC values have shifted over time, relative to my personal baseline?” Doctors rarely do this unless asked.

3. Watch for Early Symptoms of Hidden Inflammation

These often occur even while tests are still “normal”:

·       fatigue

·       brain fog

·       digestive problems

·       low mood

·       mild, unexplained aches

·       frequent colds

These commonly indicate a microbiome imbalance.

4. Support Your Gut Daily

Gut health affects:

·       immune stability

·       inflammatory set points

·       nutrient absorption

·       metabolic health

A daily, broad-spectrum probiotic can help restore a balanced microbiome — which in turn supports more stable CBC trends. That's why Green Valley Naturals designed ComfortPro Premium Probiotic Formula with the ONLY probiotic clinically proven in six human studies to alleviate bad bacteria overgrowth that upsets the delicate balance of your gut microbiome. In fact, it's the only probiotic strain with over 110 health studies documenting its health benefits... the most researched probiotic in the world... and the #1 best-selling probiotic in Japan. 

5. Re-Test Every 6–12 Months

This lets you build your own personal health history — the key to precision medicine.

The Future Is Personalized Medicine — and You Don’t Have to Wait

Harvard’s study makes one thing clear: We are entering an era where your personal biology matters more than population averages.

Until medicine fully adopts this approach, you can take control by:

·       tracking your body's trends

·       supporting gut and immune balance

·       monitoring and reacting to subtle shifts long before symptoms appear

Other tests, such as blood chemistry panels, may be ordered alongside CBCs to monitor your health. Reviewing your lab results with your healthcare provider can help identify subtle changes related to these conditions.

Your body speaks long before disease fully develops — and now we know how to listen.

Summary

A major Harvard study has uncovered that “normal” blood test results can mask early signs of serious illness. Researchers found that every person has a unique blood test “set point”—a personalized baseline that acts like a biological fingerprint. Even if your CBC numbers fall inside the standard normal range, a shift away from your individual set point can signal increased risk of heart disease, stroke, inflammation, immune imbalance, or metabolic issues years before symptoms appear. Yet most doctors only compare today’s numbers to population averages rather than your own history over time.

This research exposes a major flaw in modern medicine: treating all patients as if they are “average.” Subtle changes across years of CBC tests can reveal early disease patterns, many of which are driven by inflammation and gut imbalance. By tracking your own trends, watching for early symptoms, and supporting gut health daily—especially through high-quality probiotics—you can take control of your personal health trajectory long before problems become serious.

Frequently Asked Questions

Can blood tests be normal and still indicate a health problem?

Yes. Harvard research shows that even within the normal range, shifts away from your personal historical baseline may indicate early disease. A blood test result can fall within the reference range provided by the laboratory, but still be an abnormal result for you if it differs significantly from your usual values. This highlights the importance of considering both the reference range and individual trends when interpreting blood test results.

What is a CBC “set point”?

A set point is your unique biological baseline for CBC values like white blood cells and hemoglobin. It varies from person to person like a fingerprint.

Why don’t doctors check trends instead of relying on normal ranges?

Most medical guidelines still use population-wide averages, but this study shows that trend-based interpretation is far more accurate.

How does gut health affect blood test results?

Because 70% of the immune system resides in the gut, inflammation or microbiome imbalance can subtly shift CBC markers—even before symptoms appear.

What can I do to protect myself?

Compare past CBCs, ask for trend-based analysis, watch for early inflammation symptoms, support gut health daily, and re-test every 6–12 months.

MailOnline: How 'normal' blood test results can still mean you have a serious illness 18 February 2025

Harvard News and Research: Personalizing the Complete Blood Count Test Could Improve Patient Care December 11, 2024

Foy BH, Petherbridge R, Roth MT, Zhang C, De Souza DC, Mow C, Patel HR, Patel CH, Ho SN, Lam E, Powe CE, Hasserjian RP, Karczewski KJ, Tozzo V, Higgins JM. Haematological setpoints are a stable and patient-specific deep phenotype. Nature. 2025 Jan;637(8045):430-438. doi: 10.1038/s41586-024-08264-5. Epub 2024 Dec 11. PMID: 39663453; PMCID: PMC12085991.

Foy BH, et al. Haematological setpoints are a stable and patient-specific deep phenotype Nature. 2025 Jan;637(8045):430-438

Higgins JM (personal perspective article). Redefining Normal. American Scientist.

Belkaid Y, Harrison OJ. The microbiome and immune system: an ever-evolving relationship. Immunity. 2017;46(4):512–526. 

Balasubramanian N, et al. The Interplay between the Gut Microbiome and the Immune System in Health and Disease. Int J Mol Sci. 2021.

MedlinePlus. Complete Blood Count (CBC). U.S. National Library of Medicine. https://medlineplus.gov/lab-tests/complete-blood-count-cbc/

Belkaid Y, Hand TW. Role of the microbiota in immunity and inflammation. Cell. 2014;157(1):121–141.

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