Vitalady's Lab List and Recommended Ranges

Jan 19, 2010

From Michelle (vitalady)

Not to be construed as medical advice, this list includes labs we have had performed as gastric bypass patients.  The first group, every 3 to 6 months for life, as we are able.  The second group, annually, as long as the results were comfortably within normal limits for more than 2 years in a row.

 1^st Group

 *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:

 

2^ND GROUP

 

* 593              LDH:

* 31789          Homocysteine, Cardio:

* 83921          MMA:

* 367              Cortisol:

* 84255          Selenium:

* 84590          Vitamin E:

* 82525          Copper:

 

 For diabetics: *496 - HEMOGLOBIN A1C   

 

POSSIBLE DIAGNOSIS CODES

  269.2              Hypovitaminosis

 268                 Vitamin D deficiency

 275.40            Calcium deficiency

 266.2              Cyanocobalamin deficiency  (B12)

 281.1             other B12 deficiency anemia

 281.0              Pernicious anemia

 280.9              Iron-deficiency anemia

 281.2              Folate deficiency anemia

 285.9              Anemia, unspecified 

 269.3              Zinc deficiency

 244.9              Hypothryoidism

 250.0              Diabetes 

 401.9              Hypertension

 276.9              Electrolyte and fluid disorders

 272.0              Hypercholesterolemia

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 

 *579.3             Surgical malabsorption* 

 *579.8             Intestinal malabsorption  *

 
*  Bands or sleeves should not use these codes as they are not accurate.

 *Some insurance companies will not pay for any procedure that uses these codes.

  

LAB TARGETS

  This is NOT medical advice, just my own targets for the main blood levels I watch. 

 

Protein: 7's  

Albumin:           4's

Pre-Albumin:   20-30's

 

Iron:                 80-100

Ferritin:           200-300

HGB:               12+

HCT:                36+

 

Vit A:               60- 80

Vit D:               80-120 

 

Calcium:           9.0-9.4

PTH:   20-40

 

Vit B1:             Mid to top of range

Vit B6:              Mid to top of range

Magnesium:      Mid range  (but also go by if we have leg/foot cramping)

Zinc:                 Mid range

 

Vit B12:           1000 +

Folate:              Top of range

 

AST (sgot):      Below 40

ALT (sgpt):      Below 40

 

We usually want to "meet or beat" pre-op levels.  In some cases, higher is better, and in other cases (Cholesterol, PTH for example), lower is better.

 

The only things *I* don't mind being on the high end of out of range are Ferritin and B12.  But that applies to ME. 

 

My doctors don't show interest in any of these until I am out of range. *I* am interested when I begin heading that direction.

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