MajorMom reprinting VitaLady's lab info

Sep 20, 2009

Her are her suggested labs with the targets on the last page.
Gina
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:
* 86141                     C Reactive Protein  
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
269.8              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.

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.

0 Comments