blood work post op
Hiya!
Here's a list of the lab work recommended for RNY'ers. This will equal about 10-13 vials of blood ... so if you're not getting that much drawn, you're missing something so double check. (I had this happen last time and realize my doc forgot to mark a couple important things and had to go back and get another draw.)
Also on my blog post here is a link to a spreadsheet you can download to keep track of all your own lab results. This way you can see all your labs together in one place and spot any downward trends before they become deficiencies. I had this happen with my iron. It dropped by 30 points between the 6-month mark and the 1-year mark ... and since my results were still within normal range it didn't come up as an issue for either the surgeon's office or my PCP. But when we realized that it had dropped so dramatically in 6 months, I started on an iron supplement. If I'd waited until my 18-month labs I'm sure my iron would have been in the toilet with the rate it was dropping.
So ALWAYS get a copy of your own lab results and study them yourself and keep them in a file at home. Nobody cares about your labs more than YOU do.
Also notice that on the spreadsheet that some of our lab results need to be higher than the "normal" person -- there's a column that shows what some ideal numbers are for RNY'ers. For instance B12 normal range starts at about 300.... but permenant nerve damage can start when results are chronically in the 400 range. After RNY we want our B12 to hover around the 1000 mark.
http://pamtremble.blogspot.com/2008/10/labwork-recommendatio ns-after-wls.html
Pam
Here's a list of the lab work recommended for RNY'ers. This will equal about 10-13 vials of blood ... so if you're not getting that much drawn, you're missing something so double check. (I had this happen last time and realize my doc forgot to mark a couple important things and had to go back and get another draw.)
Also on my blog post here is a link to a spreadsheet you can download to keep track of all your own lab results. This way you can see all your labs together in one place and spot any downward trends before they become deficiencies. I had this happen with my iron. It dropped by 30 points between the 6-month mark and the 1-year mark ... and since my results were still within normal range it didn't come up as an issue for either the surgeon's office or my PCP. But when we realized that it had dropped so dramatically in 6 months, I started on an iron supplement. If I'd waited until my 18-month labs I'm sure my iron would have been in the toilet with the rate it was dropping.
So ALWAYS get a copy of your own lab results and study them yourself and keep them in a file at home. Nobody cares about your labs more than YOU do.
Also notice that on the spreadsheet that some of our lab results need to be higher than the "normal" person -- there's a column that shows what some ideal numbers are for RNY'ers. For instance B12 normal range starts at about 300.... but permenant nerve damage can start when results are chronically in the 400 range. After RNY we want our B12 to hover around the 1000 mark.
http://pamtremble.blogspot.com/2008/10/labwork-recommendatio ns-after-wls.html
Pam
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