Oh boy....help with lab work interpretation please!

Toobcherished
on 3/13/12 11:31 am - Henrico, VA
Component Your Value Standard Range Units
WBC 3.1 4.0 - 10.5 x10E3/uL
RBC 3.39 3.80 - 5.10 x10E6/uL
HGB 9.3 11.5 - 15.0 g/dL
HCT 28.6 34.0 - 44.0 %
MCV 84 80 - 98 fL
MCH 27.4 27.0 - 34.0 pg
MCHC 32.5 32.0 - 36.0 g/dL
RDW 14.0 11.7 - 15.0 %
PLATELET 433 140 - 415
VITAMIN D, 25-HYDROXY 20.4 30.0 - 100.0 ng/mL
Ferritin 6 13 - 150
TIBC 372 250 - 450 ug/dL
UIBC 312 150 - 375 ug/dL
Iron 60 35 - 155 ug/dL
Iron % saturation 16 15 - 55

Just got results back today,  Doc wants me back in her office ASAP.  I have been feeling very week lately and have developed Raynauds (cold hands and feet). 

After you have suffered for a little while, the God of all grace, who called you to His eternal glory in Christ, will Himself perfect, confirm, strengthen and establish you.
1 Peter 5:10

poet_kelly
on 3/13/12 11:34 am - OH
Your iron is too low.  That's why you're weak and cold.  You need lots more iron.

Your vitamin D is also dangerously low.  Below 80, you're at increased risk for stuff like osteoporosis, heart disease and some kinds of cancer (so says the Linus Pauling Institute).  You need to take a lot more D3.

Are these all the labs you had done?  No B12, protein, anything like that?

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.

 

Toobcherished
on 3/13/12 11:43 am, edited 3/13/12 11:44 am - Henrico, VA

YEs here is another set. Doc didnt check B12 this time but it was 484 last time.

Glucose 88 65 - 99 mg/dL
BUN 8 6 - 20 mg/dL
Creatinine 0.71 0.57 - 1.00 mg/dL
GFR est non-AA 112 >59 mL/min/1.73
GFR est AA 129 >59 mL/min/1.73
BUN/Creatinine ratio 11 8 - 20  
Sodium 141 134 - 144 mmol/L
Potassium 4.2 3.5 - 5.2 mmol/L
Chloride 107 97 - 108 mmol/L
CO2 24 20 - 32 mmol/L
Calcium 9.2 8.7 - 10.2 mg/dL
Protein, total 6.4 6.0 - 8.5 g/dL
Albumin 3.6 3.5 - 5.5 g/dL
GLOBULIN, TOTAL 2.8 1.5 - 4.5 g/dL
A-G Ratio 1.3 1.1 - 2.5  
Bilirubin, total 0.7 0.0 - 1.2 mg/dL
Alk. phosphatase 76 25 - 150 IU/L
AST 17 0 - 40 IU/L
ALT 29 0 - 40


After you have suffered for a little while, the God of all grace, who called you to His eternal glory in Christ, will Himself perfect, confirm, strengthen and establish you.
1 Peter 5:10

poet_kelly
on 3/13/12 11:49 am - OH
OK, your B12 was really low last time.  Below 550, people usually get tired and depressed.  If it gets below 400, you can get permanent nerve damage in your hands and feet.

Your protein is pretty low here.  Ideally it would be at least 7.0.

I'm gonna suggest you ask your doc to order a complete set of labs - B12, folate, thiamine, B6, A, E, K, zinc, copper, selenium, PTH, the whole works.  That's because the numbers I'm seeing so far aren't so good.  It looks like you have several deficiencies and I'd say there is a good chance you have more that weren't tested for yet.

Have you been taking all your vitamins?  Two multis a day (adult multis), calcium citrate (not carbonate), iron, B12, D3?

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.

 

Toobcherished
on 3/13/12 9:35 pm - Henrico, VA

The problem with my doc is she is not very schooled on gastric bypass patients.  I think that with these numbers she is thinking I have some horrible blood desease, cancer or something becauswe of the the wbc being low as well.  Not  Severe Anemia.  She mentioned possibly going to a hemotologist.  As for vitamins I take my calcium religiously and take mulit vitamin and have been taking d3 although not as religiously but I am wondering if may be the pills that I take is a problem.  The pills are 2000IU, even though she only wants me to take 1000IU a day but they are gel caps.  Can our body breakdown the gel caps?  I do  not take Iron at all


 


After you have suffered for a little while, the God of all grace, who called you to His eternal glory in Christ, will Himself perfect, confirm, strengthen and establish you.
1 Peter 5:10

poet_kelly
on 3/13/12 9:40 pm - OH
When you say gel caps, you mean the ones with oily stuff inside?  You can break down the capsule part but you malabsorb fats so you don't absorb the oily stuff well, and the vitamin D is in that oily stuff.  2000 IU a day is also a very low dose of D3.  I did a survey here on OH and only one person was able to maintain a level of 80 or above on less than 5000 IU a day.  Most needed 10,000 IU a day, some more than that.

Why aren't you taking iron at all?  You desperately need it.  With your iron so low, though, a hematologist would not be a bad idea.

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.

 

Toobcherished
on 3/14/12 3:35 am - Henrico, VA
YEa when I go in to see her on Friday I will tell her I do infact want the referral.  I just believe he will understand a bit more about my tummy then she ever will.  I am in fact taking the oily version of D3.  I'm looking at it on my desk and shaking my head!  Duh!!!!   Additionally she told me to limit my intake to 1000 IU's a day.  I told her I had been taking about 6000 a day.  She told me that was way to much..  :-(.  At this point I am wondering if B12 shots is the way to go as well.

After you have suffered for a little while, the God of all grace, who called you to His eternal glory in Christ, will Himself perfect, confirm, strengthen and establish you.
1 Peter 5:10

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