Lab help and Vitamin review wanted

Hi  
I wanted to see if I can get some input on my labs from some of the experts.
Also see if I can get recommendations on what I need to tweak. Red highlights are the only thing my pcp was concerned about, I see Dr. Crookes next week.
Comprehensive Metabolic Panel
                                                                       low    high       1/24/11            4/9/11            6/24/11
Albumin                                                         2.9     5.0             4.3                    4.3                  4.7
Alkaline Phosphatase                               30.0   132.0          52                     54                  57
ALT (sgpt)                                                    7.0       40.0           22                     23                  13
AST (sgot)                                                    5.0      35.0           20                     22                   18
Bilirubin, Total                                             0.1     1.3              0.8                   0.7                   1.1
Calcium                                                        8.5     10.5            9.1                   9.4                  9.7
Chloride                                                      97.0     110            106                 106                107
Creatinine                                                   0.5       1.1              0.7                   0.7                 0.8
Glucose                                                       65         100           114                 101                 89
Potassium                                                  3.5       5.3               4.4                 3.6                  3.7
Protein Total                                               6.0       8.4               6.8                 6.8                  7.3
Sodium                                                      133.0   146.0         139                 139                 138
Urea Nitrogen (BUN)                               8.0         25.0          13                    19                   13
BIOCARBONATE (c02)                           66           99              21                    18               18(L)
 LIPID PANEL                      Low        High          1/24/11       4/9/11        6/24/11
Cholesterol  Total                    125        200             151              148             149
HDL                                             39.0     75.0               44                36                46
LDL                                               5.0       100.0           60                 80                 71
TOTAL Cholest/HDL Ratio                     3.2              3.4                 4.1               3.2
Triglycerides                               30.0     150.0          234               158         162(H)
HDL/LDL Ratio                            0.5       3.0             1.4                 2.2                1.5

HEMATOLOGY PANEL           LOW   HIGH        1/24/11      4/9/11     6/24/11
Hematocrit                               36.0     46.0            41.3           42.8         45.9
Hemoglobin                             11.5    15.5             13.5           14.0        14.9
Iron                                            35.0      145.0                            55            50
Iron binding unsat                   130       375                               252         291    
Iron TIBC                                   250       410                               307         341
MCH                                           27.0      34.0          27.4            27.6      28.7
MCHC                                        32.0      36.4          32.8            32.7      32.5
MCV                                            80.0     100.0         84               85         88
Platelet Count                          130        400          282             238       297
RDW                                          11.0       15.0        13.8             13.4    14.7(H)
RBC                                            3.8         5.1          4.94             5.06      5.21(h)
WBC                                            4.0        11.0         7.9                4.5        6.8

CBC                                     LOW   HIGH             1/24/11        4/9/11     6/24/11
Basophilis (%)                   0.0        2.0                  0.9                 0.3           0.5
BUN/Creatinine Ratio       8.1      20.1                  13                  19            16
Eocinophils%                     0.0        7.0                   0.9                1.4            1.1
Globulin                               2.6        4.1                   2.5                2.6            2.6 

VITAMIN & MINERAL       LOW     HIGH             1/24/11         4/9/11      6/24/11
Folate                                  2.60     16.0                                      22.73       23.16(H)
b-12                                     250      1100                                     1099        933(H)
Vit D 25 Hydroxy                32.0     100.0               12.3              35.5        38.5
Vit E                                     3.0     15.8                                                          7.9
Vit K1                                   .28      1.78                                                         .14(L)
Vit A  Serum                       14          72                                                          25         

It keeps cutting off my Vitamin schedule, I am doing vitaladys plan.                      

It cut off part of my labs and vit schedule

Missing labs

intact  PTH          current: 25                                     RANGE:14-72

VIte:
Early morning: 150mg PolyIron, Copper, Vit C
Breakfast: 1 Vit A, 1 Calcium-citrical, 1 B50 complex, 1 Vit E400, 1 multi, 1 nexium
Lunch: 1 Vit A, 1 Vit E, 1 Citrical, 1 Mag.Citrate, 1 Biotin,
Dinner: 1 multi, 2 Citracal, 2 vit A, 1 Vit K-1, 1 Vit D

Just a question about your citrical doses?  You say you take 1 at breakfast and lunch and two at dinner?  You know that 2 is a dose, right?  Any reason not to take a full dose at least three times a day?  I would consider that to be the absolute minimum you would want to take.

~Becky

Becky, Thanks for catching that. I didn't realize that 2 was a dose. I will fix that  asap. More proof that you guys keep us newbies alive 

Just so you will have a comparison... I take six doses (2 pills is one dose) of Calcium every day without fail.

I'm a bit paranoid about my bone health.  I live alone and If I break a bone I am really screwed.

~Becky

I would keep doing her schedule. You could increase your D3 to 2 capsules a day and retest in a few months. Not sure why your B12 went down. Are you taking 5000mcg every day? Unless you're on blood thinners you might want to increase your K1 to 2 a day. But try to squeeze them in away from vitamin A. Hard to do if you're on 4 vitamin A capsules a day but try to find a way. You might ask about getting ferritin on the next lab order. Ask about supplementing potassium and how much would be safe to take. Your liver function (AST and ALT) are excellent. That's about all I got. 

--gina
 

Thank you Gina, I cut back to every other day on the  B-12, because Dr was a little freaked out. If I took 2 A in the morning and 2 A at night  could I take 2 K at Noon?  would I still absorb enough A I wonder? Will ask on Ferritin and Potassium.  Any thoughts on fluctuation in cholesterol?

I think that would work with the A and K. Watch the A labs as they get to the top of the range, so you can start cutting back on the number of capsules you take.  I only have to take 1 capsule a day now to maintain A at the top of the range. Was taking 4, then 3 for 6 months, then 2 for another 6 months and now 1 for the past year.  Sorry, not medical. No idea about the cholesterol.

--g
  

Triglycerides can vary due to stress or a myriad of other things including genetics. Don't fret about it.

It's important to get your K up, especially if you still have your period. I was running on the low side since Thanksgiving and ferritin was tanked (despite iron and proferrin supplements). 

I am now on 1000 mcg K1 and 250 mcg K2 daily.  The best formula has been from our VL. I was very low on K and it worked against my iron infusions. It took a couple of months, but I'm happy to say that my K is doing very well and I don't have to go again for iron infusion until August.

There are things that can affect the biocarb test including drinking acidic or carbonated drinks right before the test or being dehydrated.   That you have high amounts of red blood cells, that would indicate slight dehydration.

B12 is just fine and many people like it between 1000-1500. Nothing indicates that value is toxic.  I feel way better when it's over 1000 and have short term memory problems when it dips below 800.

I take my multi-B complex 3x a week.  That has put my B1 and other vits in the normal range.

Keep pushing your D, it's slowly coming up!

Hugs,
Ratkity