LABS WE NEED AT LEAST YEARLY MORE IF YOU ARE NOT WELL

Suggested labs to request
on October 17, 2006 7:55 pm
LAB TESTS
-Not to be construed as medical advice-
-This list includes labs suggested regularly for gastric bypass patients-

Regularly (every 3-6 months depending on your previous results)

Keep track of any levels that are declining from one set of tests to the next, even if not yet in the low range. Make any corrections necessary in your diet and vitamin regimen before the levels get too low.

*10231 - COMPREHENSIVE METABOLIC PROFILE (sodium, potassium, chloride, glucose, BUN, creatinine, calcium, total protein, albumin, total bilirubin,alkaline phosphatase, aspartate aminotransferase) (Nc,K,C1,CO2,Glu,BUN,Cr,Ca,TP,Alb,Tbili,AP,AST,ALT)

*84134 - PRE-ALBUMIN

*7600 - LIPID PROFILE (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)
((Fasting specimen) , Tchol,Trig,HDL,Calc,LDL)

*10256 - Hep panel - ALT (SPGT) & GGT

*593 - LDH

*718 - PHOSPHORUS - INORGANIC

*905 - URIC ACID

*1759 - CBC (HEMOGRAM/PLT/DIFF)

*7065 - B-12 & FOLATE

*7573 - IRON, TIBC, % SAT (Transferrin)

*31789 - HOMOCYSTEINE, CARDIO

*457 - FERRITIN

*4052 - Vitamin B-1 (Thiamin)

*84207 - VITAMIN B-6 (Pyradoxine)
*921 - VITAMIN A

*680 - VITAMIN D (25-hydroxy)

*7444 - THYROID PANEL (T3U, T4, FTI, TSH)
*945 - ZINC

*83735 - MAGNESIUM

*83970 - SERUM INTACT PTH

*367 - CORTISOL

*496 - HEMOGLOBIN A1C


SUGGESTED YEARLY - DEXA SCAN for bone density.

Great post Jan!  I strongly suggest that every post op get a full lab work-up done every 3 months, if at all possible; but at least every 6 months.  Our counts can change quickly and getting them checked often will help you stay on top of counts that are going out of the range they need to be before it becomes a problem; so you can adjust your diet and supplements accordingly.  The labs are what dictates what supplements you need and in what amounts. Below is the full list of labs I have done.  Very similar to what Jan posted with the addition of a few things.  I came up with this list starting from one I found online and then I asked for additional recommendations from a post-op WLS group I'm on; and they suggested some additions, and my doctor added vitamin C,  to come up with this particular list.  Important:  I do go in fasting when I have these labs drawn and you need to not take any vitamins or supplements for at least two days prior to having labs drawn, or else it will skew the results.  Traci's Post-op WLS Labs To-Do Comprehensive metabolic profile (sodium, potassium, chloride,  glucose, BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) (Nc,K,C1,CO2,Glu,BUN,Cr,Ca,TP,Alb,Tbili,AP,AST,ALT) LIPID PROFILE (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)  Tchol,Trig,HDL,Calc,LDL)   GGT (* a liver function test not in a comp panel) LDH Prealbumin (tells you protein status recently)                                                   PHOSPHORUS - INORGANIC URIC ACID Copper CBC (HEMOGRAM/PLT/DIFF) B-12 FOLATE B-6 B1(Thiamine) IRON, TIBC, % SAT FERRITIN VITAMIN A VITAMIN C VITAMIN D (25-hydroxy) VITAMIN E VITAMIN K THYROID PANEL (T3, T4, TSH)*only initially unless suspect. ZINC MAGNESIUM SERUM INTACT PTH  (PARATHYROID) Homocystine, MMA HGB A1C