In blood work what abbreviation stands for Vit D levels?

Nanook609
on 10/29/13 8:59 am

I'm told I'm borderline when it comes to Vit D and can't tell from my blood work which is the test for Vit D, sorry if this sounds dumb but I'm trying, lol.

 

poet_kelly
on 10/29/13 9:17 am, edited 10/29/13 9:18 am - OH

It should say Vitamin D 25-hydroxy or Vit D 25-hydroxy or possibly something like Vitamin D 0,25 hydroxy.

There should be a D in the name.

There is another vitamin D text, Vitamin D 1,25 dyhydroxy, but that is not the one we want.

ETA - in the results, it should show a D total, a D2 and a D3 result.  What we care about is the total.  The reference range will probably be something like 30-80 or 30-100.

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.

 

Nanook609
on 10/29/13 9:27 am

Thanks I just can't find it on my sheet but two dif doctors said I was low, just not the bariatric peeps so it must be somewhere!

 

poet_kelly
on 10/29/13 9:28 am - OH

Do you have the full lab report?  Sometimes one or two tests get printed on another sheet.  My lab report is usually about five pages long.

Call your doc and ask what your level was if you can't find it.  You need to know the number in order to know how much D3 to take, plus you'll want to track it to see if it comes up.

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.

 

Nanook609
on 10/29/13 9:37 am

He initially told me to take an extra 2000 IUs a day on top of my "fusion" but I was thinking of doubling it.  I'm still waiting on a referral to a rheumatologist so hopefully will figure this all out soon!  Thanks again for you help! 

 

poet_kelly
on 10/29/13 11:12 am - OH

Most post ops need at least 10,000 IU  a day just to maintain a good level, and many need more.  For instance, I have to take 50,000 IU three times a week to keep my level around 100.

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.

 

Nanook609
on 10/30/13 2:51 am

The big question becomes if you get your blood work done from your bariatric group and they test for average levels of average things who do you go to in order to get an individual assessment of what an RNY patient requires when it comes to vitamins and minerals etc....?  I don't think most people can depend on their bariatric groups for this and it seems like it is a specialty of some sort.  It's very frustrating.  My daughter who also had the surgery is on her 7th fusion of iron and so sees a hematologist for that.  The bariatric people saw her levels were dangerously low but what do we do when we feel like crap and are post-RNY after a few years or so and are trying to see what is causing the problem.  Does it all stem from having RNY surgery and just makes other diseases or disorders more likely?  I'm feeling like the RNY surgery was a mistake and it makes it much harder for other doctors/specialist to treat you because you have that in the background and your symptoms tend to mimic many other illnesses.  Sorry for venting but it's been months and I still don't seem to find any answers.  Thanks for all your help though!!

poet_kelly
on 10/30/13 2:53 am - OH

It doesn't matter who orders your blood work.  If they order a vitamin D test (vitamin D 25-hydroxy), you'll get the same test whether you are an RNY patietn or not, whether your PCP or bariatric surgeon or any other health care provider orders the test.  The lab report will look the same.

The levels RNY patients need are the same levels everyone needs for good health.  We don't need higher than normal levels.  It's a common misconception that we do, but we do not.

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.

 

Nanook609
on 10/30/13 3:17 am

I suppose I didn't word it right but it seems that some people have more issues with deficiencies after RNY than others or maybe it's how they are supplementing for them.  It's more work than I ever imagined it would be for me or my daughter keep things in check especially when your bariatric facility only expects you to take 4 Bariatric Fusions a day!  I need to find a specialist who can go over my blood work, actually request all the tests that one really needs not just the "typical" CBC and design the right plan for me, or any individual who has had RNY and maybe has specific needs that the average RNY may not always have.  Who does one see for that?

poet_kelly
on 10/30/13 3:38 am - OH

I can tell you that four Bariatric Fusion won't be enough.  The American Society for Metabolic and Bariatric Surgery guidelines say we need 200% of the RDA of most things, and you'd need to take EIGHT Bariatric Fusion to get that.  You'd still need to take B12 in a sublingual, nasal spray or shot, since we lack intrinsic factor in our pouch.

You could see a bariatric surgeon or registered dietician that is familiar with the ASMBS guidelines and ask them for help with your labs and vitamins.  I agree it can be  hard finding someone that knows what they are doing.

I have my PCP order my labs but I take him a list of what I want ordered.  Then I get the lab report and go over it myself.

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.

 

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