Blood Testing

Platelet-to-lymphocyte ratio (PLR)

Platelet-to-Lymphocyte Ratio (PLR) is a calculated marker comparing your platelet count to your lymphocyte count, derived from a Full Blood Examination (FBE) or Full Blood Count. Platelet-to-Lymphocyte Ratio (PLR) levels can signal inflammatory and immune shifts: a higher PLR may reflect inflammation, physiological stress, infection, thrombocytosis or lymphopenia, while a lower PLR may occur with low platelets or higher lymphocytes. This matters because these patterns can relate to fatigue, slowed recovery, cardiovascular health and metabolic health. A Platelet-to-Lymphocyte Ratio (PLR) blood test is best interpreted alongside the full white cell differential, CRP, neutrophil-to-lymphocyte ratio and platelet indices to clarify the underlying driver.

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What is the platelet-to-lymphocyte ratio (PLR)?

The PLR is calculated by dividing the number of platelets (×10⁹/L) by the number of lymphocytes (×10⁹/L) in your blood. It helps assess how your body balances immune activity and tissue repair.

Why does it matter for long-term health and wellbeing?

A balanced PLR supports optimal immune function, efficient recovery, and cellular resilience—all key aspects of maintaining energy, metabolic stability, and long-term wellbeing.

What’s an optimal level of PLR?

  • Reference range (laboratory): 90–200
  • Optimal range (for proactive health): 100–150

Values within this range generally indicate balanced immune and repair functions.

What influences PLR levels?

Hydration, nutrition, sleep, stress, and physical activity all influence PLR levels. Diets rich in whole foods, adequate micronutrients, and sufficient rest help maintain balance between platelet and lymphocyte activity.

What does it mean if PLR is outside the optimal range?

A higher or lower PLR may indicate your body is adapting to physiological stress or changes in immune activity. Reviewing lifestyle factors such as recovery, sleep quality, or dietary balance can help restore equilibrium.

How can I support healthy PLR levels?

Focus on a nutrient-dense diet, regular movement, adequate hydration, stress management, and consistent sleep routines. Tracking your PLR with other biomarkers can help identify trends and guide targeted improvements over time.

This information is provided for general health and wellness purposes only and does not replace medical advice.

References

  1. Gasparyan, A. Y., Ayvazyan, L., Mukanova, U., Yessirkepov, M., & Kitas, G. D. (2019). The platelet-to-lymphocyte ratio as an inflammatory marker in rheumatic diseases. Annals of Laboratory Medicine, 39(4), 345-357. https://doi.org/10.3343/alm.2019.39.4.345
  2. Bayrakci, N., & et al. (2015). The platelet-to-lymphocyte ratio reflects the severity of dipper vs non-dipper hypertension. (Full text available via PMC).
  3. Salamanna, F., & colleagues. (2024). Platelet and lymphocyte-related parameters as potential new biomarkers in osteoarthritis: including the platelet-to-lymphocyte ratio. Biomolecules, 12(9), 2052.
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Red Blood Cell (RBC) Count
Haemoglobin
Haematocrit
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
Mean Cell Haemoglobin Concentration (MCHC)
Red Cell Distribution Width (RDW)
Platelet Count
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Cortisol
Dehydroepiandrosterone Sulfate (DHEA-S)
Free Thyroxine (T4)
Free Triiodothyronine (T3)
Thyroid stimulating hormone (TSH)
5 markers

Hormone balance

Evaluates hormone levels that impact energy, sleep, mood, and metabolism.
White Blood Cell (WBC) Count
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
6 markers

Immune system

Measures immune activity and inflammatory responses to assess body defenses.
High-Sensitivity C-Reactive Protein (hs-CRP)
1 marker

Inflammation status

Tracks signs of chronic or acute inflammation that may affect long-term disease risk.
Bicarbonate
Chloride
Creatinine
Potassium
Sodium
Urea
Uric acid
Anion Gap
Estimated Glomerular Filtration Rate (EGFR)
9 markers

Kidney function

Assesses kidney health through creatinine and other markers of blood filtration.
Alanine Aminotransferase
Albumin
Alkaline Phosphatase
Aspartate aminotransferase (AST)
Bilirubin
Gamma-glutamyl Transferase (GGT)
Globulin
Total Protein
8 markers

Liver health

Measures liver enzymes and proteins responsible for detoxification and metabolic health.
Fasting Glucose
Fasting Insulin
Haemoglobin A1c (HbA1c) IFCC mmol/m
Haemoglobin A1c (HbA1c) NGSP/DCCT %
HOMA-IR score
5 markers

Metabolic health

Evaluates energy processing with glucose, HbA1c, insulin, and related biomarkers.
Magnesium
1 marker

Vitamins & minerals

Analyzes essential nutrients that support immunity, energy, and overall wellbeing.
Creatine Kinase
1 marker

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Assesses biomarkers related to muscle performance, function, and recovery.
Biological Age
1 marker

Biological age

A reflection of how your body is aging at the cellular level, linked to age risks and longevity.
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