Guide

Blood tests to watch during chemo

Chemotherapy affects fast-growing cells, including the ones in bone marrow. These are the tests oncologists check most often, in plain language.

White blood cell count (WBC)

Infection-fighting cells. Chemo often lowers them, raising infection risk.

Absolute neutrophil count (ANC)

The main germ-fighting white cells. A low ANC (neutropenia) can delay treatment.

Hemoglobin (HGB)

Carries oxygen. Low levels (anemia) cause tiredness and shortness of breath.

Platelets (PLT)

Help blood clot. Low counts can cause easy bruising or bleeding.

Liver tests (ALT, AST, bilirubin)

Show how the liver is handling medicines. Rises may mean a dose change is needed.

Kidney tests (creatinine, BUN)

Show how well kidneys clear waste and drugs from the body.

LDH

An enzyme released by damaged cells. In some cancers, falling LDH can be a good sign.

Why the trend matters

One result is a snapshot. Comparing each draw to the last one shows whether counts are recovering between cycles or dropping lower.

Questions to ask when a result is flagged

  • Is this level expected at this point in my cycle?
  • Will it change my next treatment date or dose?
  • What symptoms should make me call right away?
  • Is there anything I can do with food or activity to help?

Keep it all in one private place

Sneaky Pete stores records, reads blood panels, tracks changes between draws and builds a printable summary for the next visit.

Open Your Portal

This guide is general education, not medical advice. Always talk with your care team before changing treatment. Terms & Medical Disclaimer