First Labs - 3 months
Hi everyone,
I'll be getting my first set of labs done tomorrow. In preparation, I am not taking any of my vitamins/supplements today (eek!!) and I will fast for 12 hours before the blood is drawn.
Thanks to some wonderful people here, I have a list of the lab tests I need to get. I also added some that my surgeon had on his list (although Dr. K. doesn't order labs until 6 months post-op.)
This is the list I'm giving my doctor tomorrow:
| CBC with differential |
| Comprehensive Metabolic Panel |
| PreAlbumin |
| Iron Panel (TIBC, Ferritin, Iron Total) |
| LFT (Liver Function Test) |
| Vitamin B12 |
| Vitamin A Level (plasma) |
| Folate |
| Vitamin D, 25-Hydroxy |
| Transferrin |
| Intact PTH |
| Phosphorus |
| Hemoglobin A1C |
| Lipid Panel |
| Serum Magnesium |
| Serum Selenium |
| Serum Zinc |
| PT/PTT/INR |
| Thyroid Panel (T3 Uptake, T4 Free, and TSH) |
| Calcium |
| Thiamin Plasma |
| Serum Vitamin E |
| Serum Vitamin K1 |
| Serum Vitamin B2 |
| Serum Vitamin B3 |
| Vitamin B6 plasma |
| Serum Copper |
| Osteocalcin N-MID |
| Urinalysis |
I saw a few on someone else's list on the RNY board that wasn't on the other lists I have seen. Can you guys tell me if these are necessary?
1. Bili-direct (I don't even know what this one is!)
2. Thiamine (B1)
3. Uric Acid
I will also be needing help with interpreting my results, so thanks in advance!! 
*DS with Dr. Ara Keshishian on 08/06/13* SW: 231 CW: 131 GW: 119 * Check out My YouTube Channel: AmysDSJourney *
Uric acid is what they monitor to see if you need gout medicine. I don't think that is a standard test unless you have a history of gout. I'm on a drug called allopurinol to keep my uric acid low.
Looks like a pretty comprehensive list to me. I just had my 6 month labs and didn't have all of those. I forgot to argue for the B1 and B6.
Good luck.
HW 552 CW 198 SW 464 4/15/13 - Lap DS by Dr. Philip Schauer - Cleveland Clinic.
If your insurance pays well and/or you've met your annual out of pocket I'd throw in the B-1 while getting the others done. Your configuration probably doesn't need as we do but it wouldn't hurt to have an idea what your B-1, B-12 and B-6 numbers are. Do you take any Bs or B Complex?
Proximal RNY Lap - 02/21/05
9 years committed ~ 100% EWL and Maintaining
www.dazzlinglashesandbeyond.com
Thanks, I'll add it to my list.
Right now, I'm taking a sublingual B-12.
B-1, B-9, and B complex are on my shopping list. (I'm waiting for my labs to come back so I can order everything else I need at once.)
*DS with Dr. Ara Keshishian on 08/06/13* SW: 231 CW: 131 GW: 119 * Check out My YouTube Channel: AmysDSJourney *
I think you have everything pretty well covered and I don't see a need for a urinalysis or the 3 extra things. Good luck. Most docs freak at this much but my surgeon does this many.
--gina
You may know this already,...lower is better on the labs for calcium, PTH and osteocalcin.
5'1" -- HW 195/SW 187/GW 115 July 08/CW 121 Dec 2012
******GOAL*******
Starting BMI between 35 and 40ish?
Join us on the Lightweights Board!
DS on Aug 9, 2007 with Dr. Hazem Elariny
I didn't know that about calcium, PTH, and osteocalcin. Thanks!
*DS with Dr. Ara Keshishian on 08/06/13* SW: 231 CW: 131 GW: 119 * Check out My YouTube Channel: AmysDSJourney *
Hi everyone,
I'll be getting my first set of labs done tomorrow. In preparation, I am not taking any of my vitamins/supplements today (eek!!) and I will fast for 12 hours before the blood is drawn.
Thanks to some wonderful people here, I have a list of the lab tests I need to get. I also added some that my surgeon had on his list (although Dr. K. doesn't order labs until 6 months post-op.)
This is the list I'm giving my doctor tomorrow:
| CBC with differential |
| Comprehensive Metabolic Panel |
| PreAlbumin |
| Iron Panel (TIBC, Ferritin, Iron Total) |
| LFT (Liver Function Test) |
| Vitamin B12 |
| Vitamin A Level (plasma) |
| Folate |
| Vitamin D, 25-Hydroxy |
| Transferrin |
| Intact PTH |
| Phosphorus |
| Hemoglobin A1C |
| Lipid Panel |
| Serum Magnesium |
| Serum Selenium |
| Serum Zinc |
| PT/PTT/INR |
| Thyroid Panel (T3 Uptake, T4 Free, and TSH) |
| Calcium |
| Thiamin Plasma |
| Serum Vitamin E |
| Serum Vitamin K1 |
| Serum Vitamin B2 |
| Serum Vitamin B3 |
| Vitamin B6 plasma |
| Serum Copper |
| Osteocalcin N-MID |
| Urinalysis |
I saw a few on someone else's list on the RNY board that wasn't on the other lists I have seen. Can you guys tell me if these are necessary?
1. Bili-direct (I don't even know what this one is!)
2. Thiamine (B1)
3. Uric Acid
I will also be needing help with interpreting my results, so thanks in advance!!
3 months PO isnt necessary, I would wait till 6 months PO, then 12 months, 18 months, 24 months, every year after unless there is an issue.....
remove lipid panel get a VAP
remove PT/PTT , PT is too insensitive to detect Vik K deficiency, (you already have Vit K and Osteocalcin, which are sensi tiveassays) PT detects imminent bleed, PTT is not needed for a DSer
Thyroid panel is FT3, FT4, TSH, -remove T3 Uptake, replace with FT3
add BSAP-bone specific alkaline phosphatase
add 24 hr urine for metabolic stone risk profile
unless you are diabetic, remove HgbA1C, that is not necessary
