"Cleaned" Repost - My Labs Suck, Advice . . .

MajorMom
on 6/8/11 7:39 pm - VA
You've gotten some great responses. I sent you an email.

--gina

5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
                                 ******GOAL*******

Starting BMI between 35 and 40ish? 
Join us on the
Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny

Lisey
on 6/8/11 10:41 pm, edited 6/8/11 11:14 pm - Milwaukee suburb, WI

I gave up on CRP which is 13.0 with a normal range of less than 1, but the rest finally posted as a separate post above/ more recent.  Whew.

So sorry for anyone's frustration!!  I have honestly spent hours & hours retyping this (crap!)

HW / SW / CW / GW      299 / 287160 / 140     Feb '09 / Mar '09 / Dec '13 /Aug '10          

Appendicitis/Bowel Obstruction Surgery 8/21/10
Beat Hodgkin's Lymphoma!  7/15/2011 - 1/26/2012 


Ran Half-Marathon 10/14/2012

First Pregnancy, Due 8/12/14                             I LOVE MY DS!!!
 

Lisey
on 6/8/11 10:49 pm - Milwaukee suburb, WI


C-reactive Prot.....H......(

HW / SW / CW / GW      299 / 287160 / 140     Feb '09 / Mar '09 / Dec '13 /Aug '10          

Appendicitis/Bowel Obstruction Surgery 8/21/10
Beat Hodgkin's Lymphoma!  7/15/2011 - 1/26/2012 


Ran Half-Marathon 10/14/2012

First Pregnancy, Due 8/12/14                             I LOVE MY DS!!!
 

dakota80
on 6/9/11 1:46 am - TX
On June 8, 2011 at 6:03 PM Pacific Time, Lisey wrote:
First general question - how far in advance to stop taking your vitamins before morning lab draw?  I took my full regular doses the day before, finishing in the evening & got these drawn around 8:00am while fasting (traditional food fasting from night before through morning).

There's only vitamin B6 & K1 that I don't know the results at all.  I know that I need to increase the vitamins that I'm deficient in.  I will post my vitamin schedule first. 

As for Vitamin A, I had been taking 50k units, twice daily & I added in a 3rd 25k dose only about 1 month ago.  I still think I should increase that to 100k total units/day.  Thoughts on whether to add that in as a separate A, say first thing upon rising or to double up with a different A or possibly add it to my second batch, which currently has no A.  Advice please!

My first D draw after surgery was low at 28 when I was taking only 25k.  I then upped it to twice daily 50K & it went up to 96 in 4 months.  I then went down to 25k units twice daily and it's now 47.  I have since added in a third calcium with A dose so my thought is to add in another 25k to that dose & see how it affects the level.  Advice please!

I take 50mg (mcg?) as gluconate from Pilgrim's Pride.  When I initially tested borderline low/normal for this, I added zinc in - I hadn't been taking it prior, yet my zinc level has fallen after adding it in.  Am I taking a ****ty form of it & need to get one with better bioavailability or do I just need to up that to 2 pills/day?  Advice please!

I'm not concerned about my "high" B12.

About my CRP - I've been having inflammation episodes with both knees, particularly the right one & just saw an orthopedic for this on the 27th.  He ordered a MRI, which I did & I have a f/u this Friday.  Maybe CRP is due to this?  Osteoarthritis runs in my family & I was a very active MO person (jogging, taekwondo).  Thoughts?

My coagulation markers are all high.  I believe that suggests a low vitamin K.  Am I remembering that correctly?  Again, am waiting on K1 results.

My protein & globulin markers are almost all out of range & I'm not sure what to make of them.  Advice very much needed!

My total cholesterol has fallen to 88.  Is it even possible to have too low?

MY IRON SUCKS ASS.  They're sending me to a hemotologist for probable iron infusion(s).  I had been taking vitalady's Tender Iron (fumerate) since surgery (318mg), but had been feeling really tired for several months.  I suspected I was low on iron & switched to one Proferrin (cut in half) & one Heme polypetide about 8 - 10 wks ago.  I'm guessing I'm too low to dig myself out of it with these, but any advice on what else to take or dosages is welcome.  My ferritin is out of range high (way high) so I'm hesitant it take ferrous fumerate b/c I think that's for ferritin - yes?

My immunity CBC wasn't so great.  Not sure what to make of that.  I had been feeling fine, temp was fine.  Not greatly concerned about it, but thoughts welcome if someone else can connect dots I'm not seeing!!!

MMA was low.  I read online that high was a precursor to low B12.  Any reason to be concerned was a low MMA reading?

Vitamins I take, mostly vitalady's (except Mg, multi, calcium, B's, C):
Batch One:
2 calcium citrate, D, A, E, bcomplex, b12 sublingual (I do put it under my tongue), B6, folate, magnesium

Batch Two:
multivitamin, zinc, K1 (1000mcg), k2 (100)

Batch Three:
C, Copper (5mg), Proferrin cut in half, Heme popypeptide

Batch Four:
2 calcium citrate, D, A, milk thistle, magnesium

Batch Five:
2 calcium citrate, A


Here's My Labs!!!

Test                      L/H     Range       Value
Vit A                       L        38 - 98         23    
Vit D, 25 Hydr.                30 - 100      47
Vit B12                  H      211 - 911    >1500
Folate                             >5.4              23.1
Zinc                       L       60 - 130        55
Copper                           70 - 175      156
Magnesium                  1.5 - 2.6          2
Selenium                     120 - 200      147

Calcium                         8.2 - 10.5      9.5
PTH                               14 - 72          29.7
Osteocalcin  almost H 11.3 - 35.4    35
CRP                   H        
PLEASE PLEASE PLEASE
See my response to the OH post below....
It is in regards to vitamin A and inflammation. 
You CRP is very high and it affects your serum Vitamin A levels (amongst other things). 

I can not encourage you all enough to seek guidance from a professional with experience in nutrition support regarding these issues.

Vitamin and mineral leves are not something to take for "face value."
Serum levels are affected by MANY, MANY things and you could do MORE HARM than benefit by increasing your vitamin and mineral intake. 

http://www.obesityhelp.com/forums/DS/4394332/Mayo-Hospital-Update/page,1/action,replies/topic_id,4394332/

I have a Facebook group and I think you should consider joining it-
There are a lot of DS babes and vets there as well as evidenced-based nutrition information.

If you add me on FB I can add you in:
https://www.facebook.com/danamarlane
Group is "Nutrition Matters"

P.S.
You def. need to fast from taking your vitamins before you have your labs assessed.
Each test requires a different length of time.
In general, 3 days is a good idea; however, some tests require a 1 week fast from supplementation. 
Into NUTrition? Then join our "Nutrition Matters" group on Facebook. 
The information in this post is my opinion and not intended to be or implied to be fact or a substitute for medical advice, diagnosis or treatment. All content and information contained in this post is for educational purposes only. I assume no responsibility for the accuracy of information contained in this post, and such information is subject to change without notice. You should confirm any information obtained from this post with other sources, and review all information regarding any medical condition or treatment with your MD. Never delay seeking medical treatment because of something you have read in this post or on this web site. I am not responsible nor liable for any opinion, advice, medical treatment or other information you obtain through this post or web site.

meme54
on 6/9/11 3:58 am
Why fast from vitamins if we are supposed to take them daily until the day we die and the point of taking them is EXACTLY to keep the in-range levels in our system?

So what is the point of testing what the levels might be without them in the system? by fasting and thus depriving the organism of these vitamins?  Do we need to know what we would be like without? Or with?

I would really appreciate some logical/scientific reply if someone is willing. THANKS!
dakota80
on 6/9/11 1:37 pm - TX
On June 9, 2011 at 10:58 AM Pacific Time, meme54 wrote:
Why fast from vitamins if we are supposed to take them daily until the day we die and the point of taking them is EXACTLY to keep the in-range levels in our system?

So what is the point of testing what the levels might be without them in the system? by fasting and thus depriving the organism of these vitamins?  Do we need to know what we would be like without? Or with?

I would really appreciate some logical/scientific reply if someone is willing. THANKS!
I understand your frustration. The same can be said for cholesterol. Why fast? I want to know what my cholesterol levels are like "most" of the time. I get you.

However, unfortunately, testing of nonfasting specimens or the use of vitamin supplementation immediately before a test can result in elevated plasma vitamin concentrations. There are things to consider like the vitamin's half-life, etc. 

It is the same for testing your glucose levels, if you eat a big bowl of ice cream and then go have your sugars checked, your plasma sugar level will be higher than normal.

There is a difference between plasma concentrations and tissue concentrations. Remember, vitamins aren't stored floating around in your blood. They are stored in cells, organs, etc.
I think refraining from vitamins for 1 day is generally acceptable. If you do not want to fast, don't fast. It's up to you. If you want to pop a vitamin D and then test your serum levels, go ahead. The result will represent your serum level at it's peak, but it isn't representative of the rise before, or after. Hope this helps. 
Into NUTrition? Then join our "Nutrition Matters" group on Facebook. 
The information in this post is my opinion and not intended to be or implied to be fact or a substitute for medical advice, diagnosis or treatment. All content and information contained in this post is for educational purposes only. I assume no responsibility for the accuracy of information contained in this post, and such information is subject to change without notice. You should confirm any information obtained from this post with other sources, and review all information regarding any medical condition or treatment with your MD. Never delay seeking medical treatment because of something you have read in this post or on this web site. I am not responsible nor liable for any opinion, advice, medical treatment or other information you obtain through this post or web site.

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