Oh Kelly? Lab results review, please ?

LJ1972
on 3/9/12 7:21 am, edited 3/13/12 11:13 am - FL
I am going to skip some, because there are 4 pages!  Bold is what is showing outside of range on the form (except Vit D - that is from reading here :)   ).  The only thing the doc mentioned was the high B6.

HCT - don't know what it is   35.6   w/ normal being 36-48


Edits
Iron - 70   (37-145)
Unsat Iron Bind Capa - 220  (110-370)
Total Iron Binding C - 290  (228-428)
% Saturated Iron   -  24 
Ferritin -    101  (13-150)
Folate -  over 20  (4.2-19.9)

Vitamin A - 38  (38-98)
Vitamin C, Serum - 1.02   (0.2 - 1.9)
Vitamin D - 46  (30-100)
Vitamin B1 Functional - 20  (9-44)
Vitamin B6 - high at 50.4  ( 2.1 - 21.7)
Vitamin B12 - 1184 
(high 130 - 900)
Vitamin B2 -  21.7  (6.2 - 39.0)

PTH-intact -   34  (15-65)
Calcium - 9.1  (8.6 - 10.7)
Albumin - 3.8 

Sodium - 135
Potassium - 3.9
Glucose - 90
Creatinine  - .8
Protein Total - 6.5
Albumin - 3.8


Cholesterol - 102
Tri - 53
HDL - 35   low
LDL - 56

                 COURAGE TO START, STRENGTH TO ENDURE, RESOLVE TO FINISH 
                              HW 353 SW 317 Original GW 180  Current Wt  170 
                               First 5k 59:18; 5k PR 32:06;  1st 10k 1:20:27; PR 1:08:36
                                                    1st Half Marathon 2:48

                                        Pensacola Double Bridge Run 15k- 1:47:34
                                                  Three Sprint Triathlons

poet_kelly
on 3/9/12 7:49 am - OH
Most of this looks just fine to me.

HCT is hematocrit.  It tells you what percentage of your blood is red blood cells.  If it's low, you may not have enough iron in your blood.  I don't think you'res is low enough to worry about.

I wouldn't worry about the folate, either. 

Like you said, your D is low.  So increase your D3.

I dunno what's up with the high B6.  I've seen a few people post with that lately but I have no idea why that would be.  Are you taking a B complex?  If you are, you might wanna stop it for a while.  Because your B vitamins all seem to be good.

Your B12 is excellent.  It's not too high.  It's perfect.

Your total protein and albumin are both on the low side so I would up the protein a bit.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

LJ1972
on 3/9/12 7:53 am, edited 3/8/12 7:53 pm - FL
awesome, thank you!!
I discovered there is a good bit of B6 in powerade zero and I drink a LOT (24-32oz a day sometimes). A single serving is 15% DV of B6 for 2000cal diet, so I get a lot from powerade... or I did when I drank it, looks like I'm going to have to limit it.

Would you say Vit A is ok? I don't take any.
edited to add the paper says range is 38-98
poet_kelly
on 3/9/12 7:56 am - OH
Oh yeah, now I remember you asking about the B6 in Powerade the other day.

With the vitamin A, you could do one of two different things.  You could leave it alone for now because it's OK right now, or you could decide since it's at the bottom of the range to go ahead and take some.  I've gone both ways at different times, partly based on whether or not I feel like buying and taking more vitamins at a given time.  Scientific, huh?

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

LJ1972
on 3/9/12 8:05 am - FL
hahaha yep sounds like my kind of decision making!
rbb825
on 3/9/12 4:01 pm - Suffern, NY
first off, you need to list ranges on more things - some things are standard but many are different and it is hard for us to judge just from your numbers but I will do the best I can.

HCT is hemacrit which is low, what was your hemoglobin?  IT is strange that your hemacrit was low because that is a sign of anemia but your iron, B12, folate are all fine.  You need to watch the B6 because I have read that high B6 levels can actually cause anemia and if they get high enough can be toxic.  ANother item you should get tested if the anemia persists is copper - this is another mineral that we should have tested regularly and can cause anemia and also liver diseases.

Like I said your iron, ferritin and B12 are all good.  Your folate is also very good.  For the B6 - you said you drink alot of powerade with B6 in it - do you take a B complex or other B vitamins with B6 in it other than a multi vitamin?  What multi vitamin do you take?  Many of us get a high B6 level just from our centrum multis 2 times per day, I guess we just aren't meant to have that much B6 in our system although we need all the other vitamins and minerals 2 times per day.  IF you are taking a b complex, please stop it.  As far as the powerade - either water it down or drink it less often.  You dont have to cut it out unless your level gets even higher next time.  Right now 50 is high but not terrible - I have been at 50 for awhile and it is okay.

Your vitamin A really concerns me - we want to be up around 60 even 70 but 38 is way too low - you are at risk of affecting your vision - first it starts with night blindness and if it gets bad enough you can lose some site as well.  YOu need to go to vitalady.com and get some Dry Vitamin A - it is 25,000 units and take it daily - then get your levels checked in 2 months to see how you are doing.  This is the usual starting dose.

vitamin C  I dont know the range - I have never seen it tested  before.

Your D isn't terrible but could be better - how much are you taking?  I would just double what you are taking

Your B1 is okay but on the low side - if I remember correctly it is 9 - 48?  I am not sure the not number but you want to be at the top or over.  Once you hit around 10 or 12, that is actually considered deficient and that is serious, can cause nerve damage just like B12 - you should be taking 100mg of B1 daily, everyone should from day 1 but by itself not in a b complex

 I don't know the range of B2 and not sure how we judge it.

your PTH  is great

Your calcium isn't bad - a little low - how much are you taking?  You should be taking 1500-2000mg per day in 3-4 daily doses and not within 2-4 hours of iron or thyroid medication

Your albumin and total proteins are too low - you need to get more protein in either in food or drink one or 2 protein drinks per day - you can easily get 70-80 grams of protein just in 2 shakes per day

You did list most of the important stuff - what I am still concerned and want to make sure were done are - selenium, zinc, magnesium, copper, phosphorus, TSH

 

LJ1972
on 3/10/12 11:07 am, edited 3/9/12 11:07 pm - FL
k I don't have the paper with me, but hopefully tomorrow I can update with more ranges.

I took random Bcomplex, but I stopped it last week when I got the letter from my doc saying to do so. I cut down on the powerade as well.

I did buy some Vitamin A yesterday ... just Sun Valley or whatever it is.

I was Vit C deficient pre-op, but it was within range.

I don't take D (edited - actually, I have a D3 from vitalady, the 50k I think? But I stopped taking it a while back because the dietitian didn't want me taking it daily - so I stopped altogether)

I'll double check the ranges of B1 and B2

I take 3 Calcet chewables a day.

Protein - I generally get 100g or more a day. Do you think I still need to increase it? Or change the sources?

I'll get the others when I have the paper with me again.... and figure out which ones they are lol

Thanks!
rbb825
on 3/10/12 1:51 pm - Suffern, NY
okay, based on the information you gave me - if you stopped the b complex and cut down on the poweraide, that should be sufficient for your B6 level but you should be taking vitamin B1 by itself daily - 100mg daily and provided you aren't at the bottom of the range on your labs, 100mg daily will be fine - if you are at the bottom of the range, then you will need more like 200mg daily -  I was given 300mg daily but I was below the range which I know you aren't

your vitamin A I tend to think is the wrong type - we need Dry vitamin A and it has to be palimate or retinol and must be capsule preferably or tablets but capsules work best.  You can get Dry vitamin A in 25,000 unit capsule =  a bottle of I think 100 for about $6 or $7 - you aren't going to get a better vitamin A that is that cheap.  It works great and is the best stuff - it is by the company BioTech - the same company that makes the Dry D3 that we need to take in the 50,000 unit capsules.

I know you said you stopped the vitamin D3 - which wasn't a good idea - I understand you shouldn't take it daily but that didnt' mean you had to stop it completely. I don't know how high it was before - it must have been pretty high if you were told to stop it and now it dropped pretty fast.  If you keep not taking it, it will plummet even faster until you have a dangerously low level and it will compromise your bones and teeth.  Please go back on it - with a D level of 46, you can take the Dry D3 - 2 times per week and get a great D level back.  If you dont have any - while at vitalady.com get the Dry D3 - called D3=50 and take 2 per week and get rechecked in 6 weeks or 2 months to make sure you didnt' go up too fast.  the same with the A level

I would increase your protein - you obviously aren't absorbing what you are eating - many of absorb the shakes better - so try adding a good protein shake with atleast 30-40 grams per day - 1 1/2 scoops of whey protein or whey isolate - use SF syrups and SF pudding powders to flavor - I use all this and my shake has 45 grams of protein with 8 ounces of lactaid milk.

 

LJ1972
on 3/13/12 2:31 pm - FL
ok... finally getting around to the rest of my labs ... and I will just go back and edit the first post with ranges afterwards.

WBC – 7.2 (4-12)
RBC 3.97 (3.7 – 5.4)
HGB – 12.2 (12-16)
HCT (low) 35.6 (36 – 48)
PLT 166 (130 – 500)
MCV 90 (80-99)
MCH 30.7 (28-35)
MCHC – 34.3 (31-37)
MPV 11 (8-13)
RDW-CV 13.5 (11 – 16)

% Neutrophils 68.7 (36-85)
% Lymphs 19.8 (10-48)
% Monos 9.1 (0-15)
% EOS 1.4 (0-5)
% Basos 1.0 (0-1.5)

Absolute SEGS. 4.9 (1.6 – 8.5)
Absolute Lymph 1.4 (0.5 – 4.8)
Absolute Monos 0.7 (0- 0.8)
Absolute EOS 0.10 (0-0.7)
Absolute BASOS 0.10 (0-0.1


Sodium 135 (133- 146)
Potassium 3.9 (3.5 – 5.3)
Chloride 104 (93-108)
Carbon Dioxide 22 (20-32)
Glucose 90 (70-99)
BUN - 16 (7-23)
Creatinine 0.8 (0.7-1.5)
Protein, Total 6.5 (5.9 – 8.5)
Albumin 3.8 (3.5 – 5.0)
Bilirubin, Total 1.2 (0.2 – 1.2)
ALK Phosphatase - 71 (45-145)
AST (SGOT) - 23 (0-40)
ALT (SGPT) 15 (0-41)
rbb825
on 3/13/12 2:48 pm - Suffern, NY
your low hemacrit and borderline are a sign of anemia but it isnt iron, B12 or folate which makes it more difficult to diagnose.  You can get anemia from a high B6 level and from a copper deficiency.  You need to ask your doctor to run a zinc, copper and cerulaplasmin level.  copper and ceraplasmin are both copper related and are usually run together.  also, when copper is low, zinc is usually high and vise versa so these should always be done together.

 

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