Lab results

Post your results, followed by the range in parentheses (....). Then, for the ones that are low or high, post what you are taking. That will save time when advising you.
 
Ok, I hope this is readable, it's pretty long. I've struggled with the vitamins from the beginning, and while it has gotten better/easier for me to take them, I never made it up to the vitalady regimen. Clearly, I need to push them more now. Ok, here goes...

Tests 1- CBD/Diff ambiguous default
WBC- 6.6 {range= 3.4-10.8}
RBC- 4.40 {3.77-5.28}
Hemoglobin- 12.7 {11.1-15.9}
Hematocrit- 38.9 {34-46.6}
MCV- 88 {79-97}
MCH- 28.9. {26.6-33}
MCHC- 32.6 {31.5-35.7}
RDW- 14.4% {12.3-15.4}
Platelets- 278 {155-379}
Neutrophils- 64% {40-74}
Lymphs- 29% {14-46}
Monocytes- 6% {4-12}
EOS- 1% {0-5}
Basos- 0% {0-3}
Immature cells- no reported value
Neutrophils (absolute)- 4.2 {1.4-7.0}
Lymphs (absolute)- 1.9 {0.7-3.1)
Monocytes (absolute)- 0.4 {0.1-0.9}
EOS (absolute)- 0.1 {0.0-0.4}
Baso (absolute)- 0.0 {0.0-0.2}
Immature granulocytes- 0% {0-2}
Immature grans (abs)- 0.0 {range = 0.0-0.1}
NRBC- no reported value {no range listed}

Tests 2- vitamin A & E
*Low- Vitamin A, serum- 13 {range=18-77} taking 25,000 iu per day
Vitamin E- 6 {range= 4.6-17.8} looks normal?

Tests 3- complete metabolic panel
Glucose, serum- 84 {65-99}
BUN- 6 {6-20}
Creatinine, serum- 0.64 {0.57-1.0}
eGFR if non African American- 116 {range= >59}
BUN/Creatinine ratio- 9 {8-20}
Sodium, serum- 141 {134-144}
Potassium, serum- 3.9 {3.5-5.2}
Chloride, serum- 101 {97-108}
Carbon dioxide, total- 20 {19-28}
Calcium, serum- 8.8 {8.7-10.2}
Protein, total, serum- 6.3 {6.0-8.5}
Albumin, serum- 3.8 {3.5-5.5}
Globulin, total- 2.5 {1.5-4.5}
A/G ratio- 1.5 {1.1-2.5}
Bilirubin, total- 0.5 {0.0-1.2}
Alkaline phosphatase, s- 86 {39-117}
AST (SGOT)- 29 {0-40}
*High- ALT (SGPT)- 36 {0-32}

Tests 4- lipid panel
Cholesterol, total- 144 {100-109}
Triglycerides- 110 {0-149}
*Low- HDL cholesterol- 27 {>39}
VLDL cholesterol cal- 22 {5-40}
LDL cholesterol calc- 95 {0-99}

Tests 5- iron and TIBC
*Low- Iron Bind. Cap. (TIBC)- 229 {250-450}
UIBC- 197 {150-375}
*Low Iron, serum- 32 {35-155}
*Low- Iron saturation- 14% {15-55}
This looks pretty bad, can't seem to stomach the iron I've tried, I feel like I should call in the morning to make an appointment with a hematologist.

Tests 6- PT and PTT
INR- 1.1 {0.8-1.2}
Prothrombin time- 11.5 sec {9.1-12.0}
aPTT- 30 seconds {range= 24-33}

Tests 7
Hemoglobin A1c- 4.8% {4.8-5.6}

Tests 8
T4, free (direct)- 1.42 {0.82-1.77}

Tests 9
Folate (folic acid) serum- 5.2 {>3.0}

Tests 10
TSH- 1.080 {0.450-4.500}

Tests 11
Vitamin B6- 22.9 {2.0-32.8}

Tests 12
Zinc, whole blood- 652 {440-860}

Tests 13
*Low- Vitamin D, 25-hydroxy- 27.3 {30-100} - taking 50,000 iu per day

Tests 14
Vitamin B1, whole blood- 118 {66.5-200}

Tests 15
*Low- Vitamin K1- <0.13 {0.28-1.78} taking 500 mcg per day

Tests 16
Uric acid, serum- 5.1 {2.5-7.1}

Tests 17
Phosphorus, serum- 3.8 {2.5-4.5}

Tests 18
Vitamin B12- 703 {211-946}

Tests 19
Magnesium,serum- 1.9 {1.6-2.6}

Tests 20
Copper, serum- 115 {72-116}

Tests 21
Ferritin, serum- 100 {15-150}

Tests 22
*High C-reactive protein, quant- 15.6 {0-4.9}

Tests 23
Triiodothyronine, free, serum- 3.0 {2-4.6}

Tests 24
PTH, intact- 38 {15-65}

Tests 25
*Low- Prealbumin- 11 {20-40}

The high C-reactive protein is alarming, no? I'm surprised the doc's office didn't mention it when they called. Should I call there in the morning to inquire with the nurse or just make an appt to go in?
 
Your Ferritin is 100, but your other iron markers are low, so I'd make an appt with a hematologist. You already know you need more A, D, E, and K, taken separately. You're taking the dry forms, correct? You might need up to 100K a day of A in order to get it to budge. I have to take more than that to keep mine normal. How long have you been taking the dry forms of ADEK? I ask because my WLS surgeon wouldn't operate until my D was up. My initial D was 25, and he wouldn't operate until it was 50. I'm always shocked when DS surgeons operate without a high D, since it's so easy to raise it pre-op, and cheaper, too. Anyhoo, crank your ADEKs separately, of course, and retest in another month.

It's a good idea to study up on the other values as well, while you wait for your next appt. Your protein is low, so if you're not doing the shakes, now is the time to get on the ball with those. The ALT and C reactive protein can be reactions from surgery, but I don't know. Those are questions for your surgeon or PCP, or even the hematologist.
 
I've been taking the dry since probably about a month after surgery. I couldn't gulp enough water to get much down before then. I don't have my pre op blood work, but I think I have the one from a week after surgery I can check. After reading about others' experiences with iron/low iron a couple weeks ago, I'm thinking that might've been pretty low for me before surgery as well since I struggled with my oxygen levels the whole time I was in the hospital, especially after anesthesia when I had a very hard time breathing and felt like I was suffocating. They blamed it all on my sleep apnea, but I dunno?

For protein, I've been getting a minimum of 100g a day from food, usually closer to 120 so I didn't think I needed the shakes anymore, but I'll add one back in. Thanks for taking the time to read all this!
 
Question? Do you suffer from RLS? Or PLM (Periodic leg Movement). Reason I ask is your iron saturation level. Dh's sleep doctor told us that being below 30% on that can cause both.

Double your D...easily.
Double your K
Add to your calcium...while it is okay, it's just BARELY there.
I would also increase your B12 esp if you see a downward trend from your last labs.

Tagging @MajorMom as she is who helped me learn how to read mine. She also may have some suggestions as to when to take something that might make absorbing it easier.
 
I just looked up restless leg syndrome. I'm not sure, I have some of the symptoms but always chalked it up to my knees being for shit and they ache all the time. I had an appt with an orthopedist that I had to cancel because of an insurance snafu but it's finally set straight now so I can reschedule that and investigate. Thanks so much for your help Liz!
 
High CRP is indicative of inflammation somewhere in your system.

Increase B12....you want that around 2000

Increase dry D3

Increase dry K1...get the biotech K1-1000.

That A is pretty low....you are risking your night vision....If I were in your place I would go right to 100,000 iu per day of dry A. Personally I have to take 75000 iu per day just to stay in the low end of normal

That prealbumin is scary low. Adding one shake per day is not going to do it. Add atleast 2....maybe 3 per day. Your protein and albumin are on the low end of normal as well. I would lean more toward 3 per day....along with what you are already eating.

Your B6 is getting on the high side. Are you taking a B complex? Are you taking kirkland calcium citrate?
 
High CRP is indicative of inflammation somewhere in your system.

Increase B12....you want that around 2000

Increase dry D3

Increase dry K1...get the biotech K1-1000.

That A is pretty low....you are risking your night vision....If I were in your place I would go right to 100,000 iu per day of dry A. Personally I have to take 75000 iu per day just to stay in the low end of normal

That prealbumin is scary low. Adding one shake per day is not going to do it. Add atleast 2....maybe 3 per day. Your protein and albumin are on the low end of normal as well. I would lean more toward 3 per day....along with what you are already eating.

Your B6 is getting on the high side. Are you taking a B complex? Are you taking kirkland calcium citrate?
Thanks @clpeltz ! I'm not taking a b complex, only what's in my multi, and I am taking the Kirkland calcium citrate. I've upped everything else today.
Should I be shooting for a min of 150 in protein now? I thought I was doing so well in that dept :o_O:
 
Thanks @clpeltz ! I'm not taking a b complex, only what's in my multi, and I am taking the Kirkland calcium citrate. I've upped everything else today.
Should I be shooting for a min of 150 in protein now? I thought I was doing so well in that dept :o_O:
We had to stop the Kirkland Calcium...it has added B6 for some reason.
 
If I remember correctly the high CRP also causes your ferritin to be elevated so, without the inflammation, your ferritin level would probably test low also. Definitely need to see a hematologist.
 
Thanks @clpeltz ! I'm not taking a b complex, only what's in my multi, and I am taking the Kirkland calcium citrate. I've upped everything else today.
Should I be shooting for a min of 150 in protein now? I thought I was doing so well in that dept :o_O:[/quote


Yeah....you are gonna have to find a different calcium. Kirkland Calcium Citrate has a tendency to send our b6 through the roof.
 

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