Recent Labs & current supplements: Advice, Please

danadear

Member
Joined
Apr 28, 2017
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Ok DS veterans, here are my current supplement list and my latest labs. I would appreciate any advice you may have for me. I have yet to find a Dr. willing to help me sort it all out.;-/ Most of the labs were done a month ago. I am low in zinc, copper and Vit D. My sugar was running high back a couple of months but I have been addressing it with diet. I was anemic but that was addressed by hemo Dr. 6wks ago with infusions/transfusions). Five years prior to last year I was without health insurance so I just couldn't afford to pay out of pocket for labs and such and I felt fine so I took a daily multivitamin(mostly gummi's, I know not good now) and the occasional bottle of calcium and 50,000 vit D 1x month, and iron once or twice a week) it obviously wasn't enough. ;-(
I haven't been able to address everything at once but thus far the following is what I have been taking. Please let me know if you'd add or tweak anything.

Current vitamins/supplements
1 Complete multivitamin daily, split into 2 doses.
(Equate Brand per tablet: Vit. A 3,500 IU, Vitamin C 100mg, Vitamin D 1,000 IU, Vit E 35 IU, Vit K 50 mcg, B-1 thiamin 1.1 mg, Riboflavin 1.1 mg, Niacin 14 mg, Vit B6 5mg, Folic acid 400mcg, Vitamin B-12 50 mcg, Biotin 30mcg, pantothenic acid 5mg, Calcium 300mcg, iron 8mg, Phosphorus 20mg, Iodine 150mcg, Magnesium 100mg, Zinc 15mg, Selenium 22mcg, Copper 0.5mg, Manganese 2.3mg, Chromium 52mcg, Molybdenum 50mcg, Chloride 72mg, Potassium 80mg, Nickle 5mcg, Silicon 2mg, Vanadium 10mcg, Lutein 300mcg)

Calcium Citrate + D3 3x per day
Dry E-400 1x per day
Magnesium Glycinate 400 1 x per day
Bio Tech D3-50, 50,000 iu 1 x a day
Turmeric & Bromelain 450 mg (with 2 meals per day)
Vitamin C 500 mg 3 x per day
Align Probiotic 1x per day
&
Integra Plus(iron supplement)(contains: Vit C 210 mg, Vit B1 5mg, B2 riboflavin 5mg, Niacin 20mg, Vit B6 25mg, Folic Acid 1000mcg, Vit B-12 10mcg, Biotin 300mcg, Pantothenic Acid 7mg, Iron 125mg(62.5mg Ferrus Fumarate/ 62.5mg Polysaccharide complex) Proasorb C 324mg)
(last 7 days) Trying samples from the hemo doc but I will probably ask for the Integra without the added stuff since I am getting it in my multi and don't need the ferritin since I am high on it.??

Labs(drawn on 5/3/17)

Lipid panel - all good

Ca+PTH Intact
Calcium, serum 9.4 mg/dl (8.7 - 10.2)
PTH, intact 61 pg/ml (15 -65)
Interpretation - Hypoparathyroidism!?! (when Intact PTH <15 and Calcium is <8.6)

Vitamin B3 (Niacin + Metabolite)
Nicotinamide 30.9 ng/ml (5.2 -72.1)
Nicotinic Acid <5.0 ng/ml (0.0 - 5.0)

Vitamin B1 (Thiamine), blood 191.7 nmol/l (66.5 - 200.0)

Vitamin B6, plasma 13.4 ug/l (2.0 - 32.8)

Vitamin D, 25 - Hydroxy 20.4 LOW ng/ml (30.0 - 100.0)

Phosphorus, serum 3.6 mg/dl (2.5 - 4.5)

Copper, serum 67 LOW ug/dl (72 -166)

Ceruloplasmin 20.4 mg/dl (19.0 - 39.0)

Magnesium, serum 2.1 mg/dl (1.6 - 2.3)

Selenium, serum 156 ug/l (79 - 326)

Vitamin A, serum 47 ug/dl (20 - 65)

Zinc, plasma/serum 50 LOW ug/dl (56 - 134)

Latest Labs from Hemo Dr. 5/30/17
everything within normal levels except
the following. He'll be checking this again in
6 weeks so my guess is that these will level out.

Ferritin 155.0 HIGH ng/mL 15.0 - 150.0
RCDW 27.1% HIGH (11.5 - 15.5)
 
Okay, add more D. Personally I would go to 100,000 a day and get retested in a month. Low D us why your PTH is high.

How much calcium is in each tablet?
 
Okay, add more D. Personally I would go to 100,000 a day and get retested in a month. Low D us why your PTH is high.

How much calcium is in each tablet?
Vitamin D3 250 IU, Calcium (elemental) 200mg, sodium 2.5mg
I'm taking 3 of these tabs daily since my calcium is within range.
 
Last edited:
Agree you need more D, Copper and Zinc, but you knew that. I'd consider upping your calcium intake by another tablet.

Calcium testing is a little misleading in that your parathyroid will FIGHT to keep it normal by leaching calcium from bones etc. Indeed, your high PTH shows that it may be working too hard. You want your PTH in the low normal range.

Please see the sticky by @hilary1617 on hypoparathyroidism. http://bariatricfacts.org/threads/parathyroid-check-your-d-calcium-and-pth-first.1065/

Was your folate tested? You are getting a lot of folic acid in your iron supplement. What about tests for B12?
 
Yes Folate and B-12 was tested on 4-5-17

Folate, serum 6.0 (<3.0 mg/nl)
B-12 490 (211 - 946 pg/ml)
Protein, serum 6.6 (6.0 - 8.5)
TSH - .036 LOW (.450 - 4.500 uiu/ml)
T4, free 2.13 HIGH (.82 - 1.77 ng/dl)

How much zinc & copper should I supplement and for how long before retesting?
 
Agree you need more D, Copper and Zinc, but you knew that. I'd consider upping your calcium intake by another tablet.

Calcium testing is a little misleading in that your parathyroid will FIGHT to keep it normal by leaching calcium from bones etc. Indeed, your high PTH shows that it may be working too hard. You want your PTH in the low normal range.

Please see the sticky by @hilary1617 on hypoparathyroidism. http://bariatricfacts.org/threads/parathyroid-check-your-d-calcium-and-pth-first.1065/

Was your folate tested? You are getting a lot of folic acid in your iron supplement. What about tests for B12?

I learned something new. I did not know this about PTH. Thanks for enlightening me :)
 

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