DS Labs

 I want someone to tell me the full set of labs that need to be drawn for DS patients

 https://docs.google.com/Doc?docid=0AU46vLsRDC9rZGhranhtcXpfO GNxcDk2c2c0&hl=en

I can't get this link to work. I looked on vitalady for the list, but didn't find it. Help please!

 I tried the link again and it's a working link. Not sure why you can't open it. I'll try pasting the list here. Not sure if it will work.

Not to be construed as medical advice. This list includes labs we have performed as gastric bypass patients.

 

1st Group (Every 3 to 6 months for life, as we are able)

 *8005               Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose, BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) 10231)

* 7600                 Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)

* 84100               Phosphorous – Inorganic: (718)

* 84550               Uric Acid: (905)

* 85025               Hemogram with platelets: (1759)

* 83550               Ferritin: (457)

* 84446               Vitamin A: (921)

* 84052               Vitamin B-1: (Thiamin) (4052)

* 7065                  Vitamin B-12 & Folate: (82607; 82746)

* 83937               Osteocalcin:

* 85610               PT:

* 86141               C Reactive Protein

* 84134               Pre-albumin:

* 10256               Hep panel: includes ALT (SPGT) & GGT)

* 83735               Magnesium:

* 7444                 Thyroid panel: (T3U, T4, FTI, TSH) (84437; 84443; 84479; 84480)

* 7573                 Iron: TIBC, % sat

* 84630               Zinc: (945)

* 8230                  Vitamin D: (25-hydroxy) (680)

* 84207               Vitamin B-6: (Pyridoxine)

* 83970               Serum intact: PTH

* 84597               Vitamin K:

* 85730               PTT:

 

2ND GROUP (Annually, as long as the results were comfortably within normal limits for more than 2 years in a row)

 

* 593                    LDH:

* 83921               MMA:

* 84255               Selenium:

* 82525               Copper:

* 31789               Homocysteine, Cardio:

* 367                    Cortisol:

* 84590               Vitamin E:

 

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 20

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 personally 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.

Thx Renee; I had been looking for this too!!  : )

And Martina with your problems I would suggest you get ALL those labs at LEAST every 3 months for a good while.  Don't scrimp on labs and don't let a pcp tell you you don't need all of them.

What vitamin regimine are you on?

~Becky

Becky,

I am having problems getting vitamins down I have all of Vite lady but continue to be sick.  I am going to call my doctor and get the labs done.  I am on TPN but is still concern.

Thread highjacking in progress! How are you, Martina? Now, correct me if I'm wrong, but didn't you once have a YouTube argument with your husband about getting the DS? And you posted the video here? Did he come around and decide to be supportive? I haven't been on this site in awhile. Need to catch up!

Lynda

 Sorry but you have the wrong person.  My husband was supportive and I did not post a video.

 Here is copy of my labs feedback needed

https://docs.google.com/viewer?a=v&pid=explorer&chrome=true& srcid=0BxtcGDxKeAmiZTE2MWU4ZTItYzA4NS00YjE1LWE5NDAtZmMyMjJhY mNkN2Jh&hl=en_US