labs, feedback please

These are my 3 month post revision labs. Note that I follow vitalady's regimine. My only deviation is that I do not take vit c with my tender irons. There is already 400 mg per pill, and I don't see why I need more.

Also, I posted everything that looked important from my labs. let me know if I left anything out that I should post. Thanks for any feedback.



RR = reference range
C-Reactive protain, Quant 0.4 RR 0.0-4.9
Protein, total, serum: pre revision was 7.1, now 6.4. RR 6-8.5
Albumin 4.3 RR 3.5-5.5
AST 41 RR 0-40
ALT 84 RR 0-55
Calcium serum: pre revision 9.7, now 8.8 RR8.7-10.2
copper, serum 99 RR 70-155

ferritin, serum pre revision 48.2, now 58 RR 30-400
Hemoglobin A1c 4.3 RR 4.8-5.6

Iron Bind.Cap.(TIBC) 291 RR 250-450
UIBC 220 RR 150-375
Iron, serum 71 RR 40-155
iron saturation 24 RR 15-55

LDH 163 RR 0-225

Cholesterol total 81 RR 100-199

triglycerides 61 RR 0-149
HDL cholesterol 35 RR >39

VLDL cholesterol cal 12 RR 5-40
LDL cholesterol calc 34 RR 0-99

Magnesium, serum 1.7 RR 1.6-2.6

phosphorus, serum 4.3 RR 2.5-4.5

prealbumin 25 RR 20-40

PTH, intact: pre revision 50.2, now 29 RR 15-65

selenium, S/P 114 RR 79-326

Triiodothyronine (T3) 73 RR 71-180

Thyroxine (t4) 6.2 RR 4.5-12.0

TSH 1.000 RR 0.450-4.500

uric acid, serum 3.6 RR 3.7-8.6

vitamin A, Serum 48 RR 19-83

vitamin E 6.4 RR 3.0-15.8

vitamin d, 25-hydroxy 49.7 RR 32.0-100.0

vit b1, plasma 7.1 RR 4.0-20.0

vitamin b6 91.3 RR 5.3-46.7

vitamin k1 RR 0.28-1.78

Ranges are helpful as all labs have different ones based on processing :)

Really low cholesterol can be a sign of overall kinda nutrition insufficiency.  I am thinking it will probably hopefully normalize after more time.  You had a biiig shock to your system.  HDL could use a lot of improvement.

I don't have the AST/ALT thing memorized...but I think at least ALT is high?  It's a liver enzyme.  Again, it could just come from weight loss and might normalize on it's own.  The active ingredient silymarin in milk thistle has been shown to support liver function in many studies...you could consider adding it, or just wait and see.

Looks like you are absorbing the iron, but you could still use improvement in that area.  I'd want the iron sat and ferritin a bit higher.  You could see how much further you get in 3 months more, but if no big change, might need more.

I don't really have many tips.  The calcium jump is big and weird, but PTH is in the right direction. 

3 month labs are always kinda iffy.  They are usually bad...lol

Thanks. I added the reference ranges.

 PTH looks good.   TSH looks great.   Protein is tanking - need to remedy that.  I like that your ferritin is increasing -  keep that up.     While there is such a thing as too much ferritin,  you could easily have ferritin in the 200-300's without issue, so keep bringing it higher.  

Triglycerides are great.   Don't sweat "low total cholesterol" - what you want to do is improve the HDL.   Best way to do that is exercise.   How much and what kind of exercise do you get?
 
D should be higher.   It's "within range" but we really want it to be more like twice that.  

Should I increase my D dose? Should I inrease my tender dose or add another supplement?

I was exercising a lot, but I pulled a muscle, so not much lately.

 Yes, increase your D.   How much do you take now?  50k a day?    If so, maybe add 50k every other day.   

I feel ya on the exercise.  I've been down most of this month between bursitis and neck/spine alignment issues.    Cardio is the type that raise HDL - see if there's a type of cardio you can do that doesn't strain the pulled muscle - maybe swimming or an upper body cardio work out (if it's legs).  

are you doing 100k of A? I like it toward 60-70 more

Overall, while they need tweaking as long as we live, these are some pretty good first labs, whi*****ludes your recovery after revision.

I'm pleased pretty much, cuz these levels reflect most good trends

Yes 100k A. Should I increase the dose? And what about my D dose?

Thanks

I'm not a huge fan of just throwing more pills at those if you're already at a good dose, personally.

I know, kinda counter productive for me, right? LOL

Not taking them with fat (on purpose), right? Scatter then around in your day and night a bit and see if letting them not be near food helps at all before you just add more of them.

I'm kinda agreeing with whomever said to go half up on D, so maybe add 3 per week and see if it just is on its way up or you need that average. You're still coming our of surgery, so this is just the first step. It takes about 4 labs to kinda see how your body responds to your surgery and your level of supplementation. KWIM?