6 Month Blood Work

So here it is:

Test	Pre-op	3 Months	6 Months	Normal Range
Cholestrol Total	109	94 Low	83 Low	125-200
HDL	30	32	29
LDL	60	44	39
Triglycerides	93	88	77
Ratio	3.6	2.9	2.9
Glucose	91	85	89
Urea Nitrogen	13	11	11
Creatinine	0.79	0.78	0.68 Low	0.78-1.34
Sodium	139	143	143
Potassium	4.5	4.5	3.9
Chloride	105	106	107
Carbon Dioxide	25	25	23
Calcium	9.3	9.4	9.2
Glucose (Fasting)	Not Tested	74	87
Calcium (Ionized)	5.1	5.2	5.2
PTH (Intact)	Not Tested	37	33
Vitamin D (25)	19	23	23
Magnesium	Not Tested	2.1	2.2
Total Protein	7.5	7.2	7.1
Albumin	4.3	4.4	4.4
Globulin	3.2	2.8	2.7
Albumin/Globulin Ratio	1.3	1.6	1.6
Bilirubin (Total)	0.4	0.6	0.5
Bilirubin (Direct)	0.1	0.2	0.2
Bilirubin (Indirect)	0.3	0.4	0.3
Alkaline Phosphatase	48	65	65
AST	24	21	22
ALT	38	26	21
Vitamin A	Not Tested	36 Low	53	38-98
Vitamin B1	Not Tested	24	21
Alpha-Tocopherol	Not Tested	7.4	7.2
Beta-Gamma-Tocopherol	Not Tested	0.9	0.7
Zinc	Not Tested	80	78
White Blood Cell Count	8.2	7.3	7.6
Red Blood Cell Count	4.89	4.69	4.4
Hemoglobin	13.8	13.1 Low	12.3 Low	13.2-17.1
Hematocrit	41.9	40	37.8 Low	38.5-50.0
MCV	85.8	85.3	85.8
MCH	28.3	27.9	28
MCHC	33	32.7	32.7
RDW	16	17.8 High	16.2 High	11.0-15.0
Platelet Count	226	223	212
Absolute Neutrophils	5945	5614	5822
Absolute Lymphocytes	1566	1029	1262
Absolute Monocytes	484	555	388
Absolute Eosinophils	164	73	106
Absolute Basophils	41	29	23
Neutrophils	72.5	76.9	76.6
Lymphocytes	19.1	14.1	16.6
Monocytes	5.9	7.6	5.1
Eosinophils	2	1	1.4
Basophils	0.5	0.4	0.3
Iron (Total)	55	53	56
Ferritin	Not Tested	309	169	20-380
Vitamin B-12	196	1523	496
Folate (Serum)	12.3	15.5	24
Prealbumin	Not Tested	18 Low	24	21-43
Hemoglobin A1C	6.6	Not Tested	4.9

So my Ferritin dropped down to 1/2 of what it was after the NUT told me to eliminate the C when I take the Iron. That explaines the slight anemia. Vitamin C went back in today.

I've doubled my D from 50K/day to 100K/day to try and increase it a bit.

I've also upped the B12 a bit to get it up a bit as well.

Anyone see anyting else that needs a bit of work??

Not bad for a 47 year old male 6 months out.

Thanks in advance!

Rare is the NUT who has a clue what works for us.

Definitely WAY increase the D, add B12 and folic acid, perhaps a B complex too.

Your protein isn't great. How much are you eating?

I already take one B complex...should I take 2??

My protein is usually 110 and above. Usually closer to 130 or 140.

What size B complex? 

I'd nonetheless absolutely add B12 and folic acid.

I'll go back to the 5K B-12 tabs. NUT made me cut that as well :)

I am on the Vitalady regimin...whatever Vitalady sells for B Complex is what I'm taking.

Why does he need more folic acid.  It is 24, it doesn't need to be higher than that.

My doc has kittens when my folic acid drops under 30.

I think I'd want more B-1 too, but know very little about how to go about supplementing that.

I developed B1 deficiency at 3 months.  I was put on 100mg 3 times daily and have had normal levels since.  I still take that dose to keep my levels stable.  I don't take B complex as they want me to take on the B's I need.  I give myself B12 injections - 2 times per week.

B1, cheap, sold everywhere.

why would it deplete if a person is already taking 2 multi, B plex?

vomiting
alcohol

are my first thoughts, but there are rx meds that can block it.

I suggest B1 AND b plex for restrictives and RNY--I kinda expect a bit more vomiting during the learning curve. My own opinion, of course.

There was a study at the conf one year... lack of B1 causes vomiting, vomiting loss of B1...... they stopped the cycle with B1 SHOT, poof, vomiting stopped, B1 restored itself and stayed restored.

tidbits. i do love tidbits

I think you're addressing what I saw. What about the A? How much A are you taking now? I don't see K but it's not unusual for docs not to request it.

It's good to see you around here again.

Gina