Understanding H, L, and Asterisks on Your Lab Report

Learn what H, L, and asterisks on your lab report mean and why they matter.

Oct 3, 2026 3 min read

When you receive a lab report, you might notice letters like "H" and "L" or even an asterisk (*) next to some results. These symbols are used by laboratories to indicate whether a test result is higher or lower than the normal range, or if it requires special attention. Understanding these markers can help you make sense of your lab results and discuss them more effectively with your healthcare provider.

What Do "H" and "L" Indicate?

The letters "H" and "L" on a lab report stand for "high" and "low," respectively. These markers are used to show that a particular test result is outside the typical reference range. The reference range is the set of values that are considered normal for a healthy person. If your result is marked with an "H," it means the value is higher than normal. Conversely, an "L" indicates that the result is lower than the typical range.

Have your own lab results? Upload your report and get a clear, private AI explanation in minutes - free, in English, Russian or Hebrew.
Analyze my results

Why Are Results Flagged?

Lab results are flagged to draw attention to values that deviate from the expected range. This doesn't necessarily mean there is a problem, but it suggests that the result may need further evaluation. Factors such as age, sex, medical history, and even the time of day when the test was taken can affect lab results. Therefore, it is essential to interpret these flags in the context of your overall health.

What Does an Asterisk (*) Mean?

An asterisk (*) on your lab report usually signifies a result that requires special attention. It might indicate a critical value, which is a result that falls significantly outside the normal range and could require immediate medical attention. However, the meaning of an asterisk can vary depending on the laboratory's reporting system, so it is crucial to consult your healthcare provider for clarification.

How to Interpret Your Lab Results

Interpreting lab results involves more than just looking at whether a result is flagged as high or low. It is important to consider the entire clinical picture, including symptoms and medical history. While a flagged result can be a useful indicator, it should not be the sole basis for medical decisions. Always discuss your lab results with a healthcare professional who can provide a comprehensive interpretation.

Frequently Asked Questions

What should I do if my lab result has an "H" or "L"?

If you notice an "H" or "L" on your lab report, it is a good idea to discuss it with your healthcare provider. They can help determine whether the result is a cause for concern based on your overall health.

Is a flagged lab result always a sign of illness?

Not necessarily. A flagged result can occur for various reasons, including temporary factors like stress or diet. It is important to evaluate the result in context.

Why do reference ranges vary between labs?

Reference ranges can vary because they are often based on specific populations and testing methods used by each lab. Always compare your results to the reference range provided with your report.

Can medications affect my lab results?

Yes, certain medications can influence lab results. Inform your healthcare provider about any medications you are taking to ensure accurate interpretation.

What if I don’t understand my lab report?

If you're confused by your lab report, reach out to your healthcare provider. They can explain the results and their implications for your health.

When to See a Doctor

If your lab report includes a result flagged with an asterisk (*) or if you have concerns about any "H" or "L" markers, it’s important to consult your healthcare provider. They can provide guidance on whether further testing or treatment is necessary. Always consider lab results as part of a broader health assessment rather than in isolation.

Remember, this information is intended to help you understand your lab results better. Any decisions about your health should be made in consultation with your healthcare provider.

Read this in another language

Have your own lab results? Upload your report and get a clear, private AI explanation in minutes - free, in English, Russian or Hebrew.
Analyze my results