chapped lips, fissures -low vitamin level
And when you say your levels are pefect -- are you looking at your own labs or are you trusting a doc? I ask because many docs don't go by optimal levels -- only what the lab considers "in range" -- and many times that is much lower than what we need. Do you have your lab sheets?
These conditions tend to happen with low vitamin levels. I agree with your dentist on this case -- when was your last FULL vitamin draw -- and I mean something like a 15-18 vial draw?
And what vitamins do you take daily?
I'm not suggesting your doc isn't a good doc. But Centers of Excellence don't always give good vitamin advice. They aren't required to by the ASMBS, which is the organization that names places Centers of Excellences. They can tell people to take Flintstones and Tums and still be a Center of Excellence. And many surgeons are really good at cutting but don't know much about nutrition. They just don't learn much about it in medical school.
My point is this -- get your own labs, put your own eye balls on it, and look see yourself. Cause you can't trust ANYONE but yourself. I can attest to that as I got a ferritin of 7 (that's REALLY bad) and RICKETS out of the deal by trusting my doc. And I love the man. I'd let him cut me up again in a heartbeat -- just not tell me what kind of vitamins to take.
I can't tell you what to take without knowing your numbers. Get me your lab sheets and we can talk. Until I know what your levels are -- and given you have some issues? There has to be something wrong somewhere -- your dentist is right there. But get levels and we can talk.
Call and have them send you the lab sheets in the mail.
But answer this -- how many vials of blood did they take? My last draw was 15 and they still missed some key things.
Last time I had labs done I think they drew ten vials. Somehow they forgot the B1 even though I specifically asked for it and I know the doctor ordered it. I got the lab report and it just wasn't on there. There are a couple other things I know they didn't do that I think I may ask for next time but sometimes it hard to figure out what you need. It seems like every time I see someone post a list of what they get done, everyone does something slightly different. And I know my surgeon doesn't really think I need everything I think I need, but my PCP will order whatever I ask for.
(And the neuro things the numbing is a rhumatology problem. Which means I lose my triptans. I'm thrilled. Can't you tell?)
*80053 Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose,BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) (10231)
* 84134 Pre-albumin:
* 7600 Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)
* 10256 Hep panel: includes ALT (SPGT) & GGT)
* 84100 Phosphorous – Inorganic: (718)
* 83735 Magnesium:
* 84550 Uric Acid: (905)
* 7444 Thyroid panel: (T3U, T4, FTI, TSH) (84437; 84443; 84479; 84480)
* 85025 Hemogram with platelets: (1759)
* 7573 Iron: TIBC, % sat
* 83550 Ferritin: (457)
* 84630 Zinc: (945)
* 84446 Vitamin A: (921)
* 82306 Vitamin D: (25-hydroxy) (680)
* 84052 Vitamin B-1: (Thiamin) (4052)
* 84207 Vitamin B-6: (Pyridoxine)
* 7065 Vitamin B-12 & Folate: (82607; 82746)
* 83970 Serum intact: PTH
* 83937 Osteocalcin:
* 84597 Vitamin K:
* 85610 PT:
* 85730 PTT:
* 593 LDH:
* 31789 Homocysteine, Cardio:
* 83921 MMA:
* 367 Cortisol:
* 84255 Selenium:
* 84590 Vitamin E:
* 82525 Copper:
*496 - HEMOGLOBIN A1C
I have not had E or K or B6 or selenium done but was thinking of asking for them next time. Are those common deficiencies are RNY, do you know?
And I don't even know what osteocalcin is. Can you explain it to me?
Thanks so much for your help.
B6 is a toxic level vite. WE CAN GET TOXIC ON IT. It's not a level of B12 of "there are sporadic cases" -- this is a "people DO get sick" off it. Selenium is emerging more and more with hearth health.
Osteocalcin is a newer test for bone health:
Osteocalcin is a noncollagenous protein found in bone and dentin. It is secreted by osteoblasts and thought to play a role in mineralization and calcium ion homeostasis. It has been stipulated that osteocalcin may also function as a negative regulator of bone formation, although its exact role is unknown.
In August 2007, it was reported that osteocalcin acts as a hormone in the body, causing beta cells in the pancreas to release more insulin, and at the same time directing fat cells to release the hormone adiponectin, whi*****reases sensitivity to insulin.
Use as a biochemical marker for bone formation
As osteocalcin is manufactured by osteoblasts, it is often used as a biochemical marker, or biomarker, for the bone formation process. It has been routinely observed that higher serum-osteocalcin levels are relatively well correlated with increases in bone mineral density (BMD) during treatment with anabolic bone formation drugs for osteoporosis, such as Forteo. In many studies, osteocalcin is used as a preliminary biomarker on the effectiveness of a given drug on bone formation.
I got tested for E and K once just to make sure I was okay. My NUT said she will do them periodically to make sure. I don't know what osteocalcin is either.
You are lucky to not have a thyroid problem. I take 2 pills a day and have 4 cysts in my thyroid.
But when I added some of the tests below, he said, "We don't have problems with ________." and I said, "That's because we've never tested them. But NATIONALLY, we do." so he agreed to baselines, which of course, were not good.
as I learn more, I add more. When I explained to him why we want MMA and homocysteine, he said, "Well, then, run CRP, too"
he respects me or I don't think I woulda gotten his autograph, for sure. LOL
My first draw was 17 vials. The next was 14, so I think they figured how to use some of the vials for more than one test.
But if you only had 8 vials, they're not testing for everything.
My labs are as close to perfect as I've seen and NOBODY has perfect labs. If they do, everything is not being run. Simple.
The thought being, as my own doc said, "We don't have problems with ________" OF COURSE they don't if they never test it!
It's critical to get all your labs since pre-op and track them, Excel or even by hand. Then LOOK AT THEM with your own eyes because nobody cares as much about you as you do.
RNY, distal, 10/5/94
P.S. My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.