lab help please

[cheryl baker]

Ok. so I got my lab results back and many things have shown improvement, some got worse. But I guess my problem is not sure what to do about it. I totally changed my vitamin regimn since the old one was clearly not working (100,000 dry d 50,000 a 2000 calcium 50 zinc a multi vitamin vitron c b12 sublingual) in june my labs were very bad so I needed to make a change. I had iron infusions a reclast infusion and stopped taking all vitamins and switched to the patch. Everyone said my numbers would drop but some have but some have gotton better.. so where do I go from here.
Here are the lab results.
3 month 6 mos 9 month 12 mos 18 mos
Iron 46/160 80 65 80 57
Ferratin 11/306.8 41 24 105
TIBC 252/479 340 296 250 267
Iron, % sat 11/50 24 22 32 21

TP 6.1/8.1 6.1 6.3 5.6 6.2
Albumin 3.6/5.1 3.6 3.9 3.3 3.9
Pre-Albumin 17/34 14 11 13

PTH, 12/72 89 18 108 158
Calcium 8.6/10.4 8.8 9 8.4 8.6
Vitamin D-25 30/100 28.9 59 64 40

Zinc 60/130 60 57 106 49
Vit A 38/98 27 40 17 22
Vit B12 200/1100 605 651 595
Folate 3.4/5.4 8.3 8.9 4.5

Triglycerides 0/149 60 49 42
tCholesterol 125/200 124 114 121
HDL 0/46 36 42 45
LDL 0/130 76 62 68
Chol/HDLC 0/5 3.4 2.7 2.7

Glucose 65/99 71 73 76 78
Urea Nitrogen 7/25 16 16 12 19
Creatinine 0.5/1.05 0.59 0.68 0.51 0.6
Sodium 135/146 140 141 138 141
Potassium 3.5/5.3 4.1 4.3 3.5 3.9
Chloride 98/110 107 107 109 109
Carbon Dioxide 19/30 23 27 21 24
Bilirubin, .2/1.2 0.6 0.6 0.6
ALKP 33/130 106 106 102 107
AST 10/35 24 21 25 31
ALT 0/35 22 17 22 36

White blood 3.8/10.8 3.5 7.9 3.1 3.3 3.6
Red blood cell 3.8/5.1 4.43 4.37 3.91 3.68 3.95
Hemoglobin 11.7/15.5 13.4 12.6 12.1 11.7 12.5
Hematocrit 35/45 39.5 38.4 37.4 34.1 38.7
MCV 80/100 89.1 88 95.7 92.6 97.9
MCH 27/33 30.2 28.8 31.1 31.7 31.7
MCHC 32/36 33.9 32.8 32.5 34.2 32.4
RDW 11/15 16 14.1 13.4 13.9 12.9
Platelet 140/400 184 211 165 204 172

sooo.. as you can see most things went from out of range to in range but low. I know we want the levels to be mid or high but at least this is a step in the right direction.

I take no iron since the 12 month per the drs instruction since i had an iron infusion. my iron is low but within normal range with a good ferratin so I think that is fine.

my protein calcium and d are all low normal.

my zinc has gone down (will start taking the zinc pills I kinda forgot about taking them)

My A is low but has gone up. Since taking the Dry A really did seem to help my plan is to take 1 A pill a day

My hemo and hema look fine.

I am concerned about my alt since it has continually gone up. could there be a liver problem?? could it be caused by something else???

My plan right now is to keep on the patch. adding zinc and vit a and 2 scoops of upcal d since the normal dry d really did not help.

what do you all think

 

[cheryl baker]

well shoot the formatting did not work

 

[DSRIGGS]

How often are you taking Vitamin A? One a day is not very much and I know YMMV, but I am up to 8 of the 25,000 IU Biotech Dry A daily. Low A is bad for your eyes so get on this one quickly. My A is down to 28 on a 35 min reference range so if it doesn't come up on my next draw in a few weeks I will ask for a shot/infusion (I had upped it to 150K IU daily from 100K and still dropped)

Your Total Protein is right at minimum and your albumin is close too. I am not sure how much protein you are getting in but you need more.

Definitely jump on the Zinc...low zinc can mean malnutrition and I have really struggled to keep it in range (taking 300MG daily and just bumped to 400MG as it dropped - most of my key lab values went wrong way this last draw).

I don't see copper listed. You should have that checked as well. It is important and know that Zinc and Copper can fight one another so I have been told to not take together. @DianaCox I believe in your lab thread that you said you thought it was best to take these together. I didn't read your link because I suck at chemistry and not much better at biology (now physics I rock, but chemistry never made any sense with damn molarity, lewis structures, valence and counting that shit..etc. ) so can you expound upon why you think taking together makes sense. I know you are a biology smartster so maybe you can help me understand why you feel differently about taking together with zinc as opposed to other articles I have read saying to take not together....thanks!

ALT , I would watch but would not worry. That number has to get to 3-5 times that before Docs even bat an eye. Cameron's AST & ALT have been very elevated several times and Docs blow it off....and they both came back down.

Regarding Vitamin D, I am not familiar with the powder, but there are many of us who take 200K IU D daily. You are still in range so I would suggest doubling your D and see what it does.

 

[aaa]

...
I don't see copper listed. You should have that checked as well. It is important and know that Zinc and Copper can fight one another so I have been told to not take together. @DianaCox I believe in your lab thread that you said you thought it was best to take these together. I didn't read your link because I suck at chemistry and not much better at biology (now physics I rock, but chemistry never made any sense with damn molarity, lewis structures, valence and counting that shit..etc. ) so can you expound upon why you think taking together makes sense. I know you are a biology smartster so maybe you can help me understand why you feel differently about taking together with zinc as opposed to other articles I have read saying to take not together....thanks!

ALT , I would watch but would not worry. That number has to get to 3-5 times that before Docs even bat an eye. Cameron's AST & ALT have been very elevated several times and Docs blow it off....and they both came back down....

All my doctors want zinc and copper separated, too.

I have high liver enzymes as well. Just began about a year ago and no one is very worried. We just test them and watch them.

Cheryl, when was your Reclast Infusion? The reason I ask is it can affect Calcium results.

 

[cheryl baker]

Thanks for thevreplies. The past 4 months i have been only on patch. Which i did not realize had practically no zinc. My xinc had always been fine so ill just add zinc not an issue. The problem is the dry d did nothing to help my levels. . Granted i did not go up to 200000 a day.. was hoping to find somethig that worked better that i didn't have to take soo many. Plus i needed to get my calcium up. Calcium pills were not doing it. The patch helped but looks like not enough. So im hoping the upcal d will help both thecalcium and thed. Than add ana or 2 to put the a back in place. . My protein intake is 125. . Guess im going to have to up it to 150. Maybe 175.. been slacking on the protein cause i went back to work and dont have the free time i used to have to concentrate on all this.
I hate the thought of taking 4 of those d since that seems likea lot of money just going down the toilet. I also cannot tell any of my drs cause they didn't like me taking 2 but i did anyway. . Soi would have to not tell them.
Guess I will just have to keep to myself.

 

[cheryl baker]

All my doctors want zinc and copper separated, too.

I have high liver enzymes as well. Just began about a year ago and no one is very worried. We just test them and watch them.

Cheryl, when was your Reclast Infusion? The reason I ask is it can affect Calcium results.

My calcium has always been low i think. . But my reclast was in July. .

 

[aaa]

Nah, by now it's probably come back to where it was pre-Reclast.