Six month lab results.

hercules411
on 4/21/10 10:08 pm

RNY on 09/21/09 with

Lab results from April 2010

Component Your Value Standard Range Flag

Iron 63 30-140 ug/dL

Vitamin B-12 1628 211-911 pg/mL H

WBC 4.09 3.70-11.00 k/uL

RBC 4.20 4.20-6.00 m/uL

Hemoglobin 13.4 13.0-17.0 g/dL

Hematocrit 41.0 39.0-51.0 %

MCV 97.6 80.0-100.0 f L

MCH 31.9 26.0-34.0 pG

MCHC 32.7 30.5-36.0 g/dL

RDW-CV 15.7 1 1.5-15.0 % H

Platelet Count 144 1 50-400 k/uL L

MPV 10.2 9.0-12.7 fL

Neut% 5 6.9 39.5-74.0 %

Abs Neut (ANC) 2.33 1.45-7.50 k/uL

Lymph% 31.1 15.9-47.3 %

Abs Lymph 1.27 1.00-4.00 k/uL

Mono% 9.8 0.0-12.0 %

Abs Mono 0.40 0.00-0.86 k/uL

Eosin% 1.5 0.0-6.6 %

Abs Eosin 0.06 0.00-0.45 k/uL

Baso% 0.7 0.0-1.2 %

Abs Baso 0.03 0.00-0.10 k/uL

Protein, Total 5.6 6.0-8.4 g/dL L

Albumin 3.8 3.5-5.0 g/dL

Calcium 8.6 8.5-10.5 mg/dL

Bilirubin, Total 1.1 .5 mg/dL

Alkaline Phosphatase 45 40-150 U/L

AST 15 7-40 U/L

Glucose 75 65-100 mg/dL

BUN 19 8-25 mg/dL

Creatinine 0.79 0.7-1.4 mg/dL

Sodium 138 135-146 mmol/L

Potassium 4.1 3.5-5.0 mmol/L

Chloride 99 98-110 mmol/L

CO2 31 2 3-32 mmol/L

Anion Gap 8 0-15 mmol/L

ALT 13 5-50 U/L

eGFR-African American >60

eGFR-All Other Races >60

Triglyceride 63 30-149 mg/dL

Cholesterol 196 100-199 mg/dL

HDL Cholesterol 41 >45mg/dL L

VLDL-Cholesterol 13

LDL Cholesterol 142

TC:HDL Ratio 4.78 1-5

LDL:HDL Ratio 3.46

Non HDL C 155 90-159 mg/dL

Corrected RBC Folate 1210 257-800ng/mL H

TIBC 187 210-415 ug/dL L

% Saturation (TIBC) 34 11-46 %

Vitamin D 25 Hydroxy 27.4 31.0-80.0 ng/mL L

Max wt. 500+ WLS workshop 4/6/09 440 Surgery 9/21/09 324 9/21/10 218
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poet_kelly
on 4/21/10 10:23 pm, edited 4/21/10 10:23 pm - OH

RNY on 11/04/08 with

I'm jealous of your B12. I know your lab report has it flagged as high, but it's fine.

Are you taking D3? Iron? How much protein are you getting?

I didn't see a PTH listed. Did they draw that? Do I remember correctly that you take calcium carbonate?

Kelly

jcheryld
on 4/21/10 11:08 pm

RNY on 12/30/08 with

You know you've had WLS when you look at lab results and think to yourself, "Beautiful!" because that's what I thought when I saw yours. Good job! Was your doc concerned about your platelet count being low? Mine has been around that same # for some time, but I was told that dehydration can impact clotting, so I'm working hard to get in enough fluids.

Make a pregnancy ticker

Hit goal 10/31/09! RNY!!!

rbb825
on 4/22/10 8:51 pm - Suffern, NY

RNY on 10/27/08 with

I would love to have that platelet count. I have never heard of dehydration having anything to do with platelets. My platelets run between 90 and 100 and have for the past 2 years. I see a hematologist and they jus****ch them. I have something called ITP.

jillybean720
on 4/22/10 3:46 am - Woodbridge, VA

Other on 03/27/09 with

I'm not sure why the previous poster thinks "beautiful" with these results. I will say your B12 is beautiful! But I would start paying more attention to your protein, iron (I don't see a ferritin?), calcium (I don't see a PTH?), and DEFINITELY vitamin D. I see a lot of people's HDL go low, so I wouldn't worry so much about that right now, but the D is a bit scary, and the protein isn't even in the low end of the range, but rather just plain low. Do you supplement with shakes? Are they whey? Are you supplementing D3 separately? Do you take any iron? How much calcium do you take daily, and what type? How do these numbers compare to your most recent previous labs (pre-op?)?

*Jill*...not quite a DS, not just a VSG - stuck somewhere in my own little hybrid world...
www.dsfacts.com
Check out my profile for info on WLS for Type 2 Diabetes.
Highest Known Weight: 324 - Weight on Morning of Surgery: 308.5
Lowest Post-op Weight: 180 (currently working on losing baby weight!)

Post-WLS baby Benjamin David born 3/24/2012, 7 pounds 11 ounces, 19 inches!

Andrea U.
on 4/22/10 5:38 am - Wilson, NC

RNY on 08/03/04 with

I'll reiterate --

Vitamin D is scary.
Protein made me wince. I mean WINCE. You need to bring it up because it is VERY scary. If you don't bring it up, your iron will suffer. BADLY. I could go into the science if you want.

Next draw, you really need a ferritin -- especially given the low protein number. Ferritin is an iron protein...

WLS Vitagarten - The ABC's and 123's of Post-Op Nutrition

Sharyn S.
on 4/22/10 6:28 am - Bastrop, TX

RNY on 08/19/04 with

What Andrea and JillyBean said.

Sharyn, RN

RIP, MOM ~ 5/31/1944 - 5/11/2010
RIP, DADDY ~ 9/2/1934 - 1/25/2012

Kaitlin N.
on 4/22/10 9:04 pm - Dallas, TX

RNY on 03/17/09 with

I am not an expert, but some things jump out to me.

Protein - You need more! Your protein is low and your albumin is low-normal. How much protein are you getting each day? Increase it.

Iron - It's hard to say without a ferritin, but you definitely need some. Your iron's low-normal, as are your hemoglobin and hematocrit, which suggest you're trending toward anemia. Are you taking any iron?

Vit D - Not a good number. You want it about 80. (The lab range is behind the current research.) Add some significant quantities of Vit D-3.

Calcium - I remember you saying that you have been on calcium carbonate for the past six months. It would be really helpful if you had a PTH drawn to get a better picture of your calcium status. Either way, start taking citrate. At least 1500 mg a day.

--Kaitlin Start - 285 / Surgery - 267 / Current - 177 / Goal - 170

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Six month lab results.