Lab Work & 1st year Checkup...

Okay wise ones, please give me your guidance and thoughts here.

I went in to see my doctor yesterday for my 1 year checkup (it is a few days early). The positive of this is that according to his scale now I have lost 100 lbs. He still wants me to loose another 25-30 lbs but I am having trouble loosing any at this point.

According to him my lab work looks awesome and nothing needs to be changed. He says they DO NOT check Vitamin D on the lab work that they order here for their bariatric patient, and he sees no need to because I don't have a deficiency. I asked him to order the Vitamin D test but he refused and said there was absolutely no reason for that.

I told him about the muscle and bone aches that have continued to progress and he says I need to get back on the Gabapentin (sp?) for the fibromyalgia like I was taking before my surgery. He says that is the only thing he can think of as to why that is occurring.

As for the blurred vision, light headedness, and foggy thinking I get he still has absolutely NO ideas as to what that is coming from. I told him it has been getting real bad when I exercise. I had it yesterday almost all day off and on.  He is at a loss about that! He has suggested that I make sure to take in some good carbs every afternoon before I go exercise...any suggestions from you guys on what to eat would be great.

The Lab work is so greek to me, so I am writing it on here as the Lab paper states, so maybe you can help me out with what is what and whether its good or not.


Vitamin B12     422

Folate                9.70

METABOLIC COMPREHENSIVE
NA       141                                   BUN     10                                        T. Bili               0.7
K           4.0                                   Crea     0.70                                    T. Prot             6.7
CL       109                                  Gluc        88                                      Alb                   3.8
CO2      29                                   CA          8.9                                     ALP                 90
SGOT (AST)   25                       SGPT (ALT)        25                    Odmo (Calc)       279.7

LIPID PROFILE
Chol                104                          HDL        35                      Trigl      44              LDL       60.2
VLDL                8.8                          CHOL/HDL  3.0 (L)

IRON      74
TSH       0.01

CBC
WBC         4.3 (L)             RBC    4.38            HGB    13.9          HCT    40.1           MCV      91.5
MCH         31.8 (H)          MCHC  34.8           RDW 13.1            MPV  9.0               PLT       283
NE%        45.4 (L)           LY%     44.1 (H)     MO%   8.6             EO%  1.5             BA%      0.4

Hgb A1C          5.0

He did say that he doesn't see why my regular doctor is wanting me to take the Fosomax now after this Bone Density Test I just had done where the report shows a 1.3% improvement from the test I had in 2003. GRRRRRRR

Thank you all for your continued help and support!

That's strange that your doctor would not order a vitamin d check.  Vitamin d is so important and mine was low the first time they checked my labs.

Laura

I'm not going to be nice about your doctor, but he has no freaking idea what he is talking about.  Your Vitamin D can be low and could very well be the culprit for the pain you are feeling. 

Do you have the ranges for your test, that would help allot?  I don't see ferritin either, another MUST test.  Since you have osteopenia/osteoporosis issues you should also ask your PCP to run a PTH.

My suggestion is go to your PCP and request he run your Vitamin D 25 Hydroxy.......demand it, it is your body.

I HATE when doctors are so persistant they know everything about vitamins when they have very little training on nutrition.

Another suggestion, your B-12 is low for US.  Hope much B-12 are you taking per day?  You can't overdo the B-12 what your body doesn't need you'll pee out......most post-ops that are further out will tell you to get your B-12 to around 1000.

Good luck!

Hi Dana! I was hoping you would chime in for me. Seems like the dosage I get on the B12 is 1.5 but I'll check the bottle at home and let you know for sure.  He said my B12 was great!  I go to see my PCP on November 12 and I will request that she run a Vitamin D 25 Hydroxy and a PTH.  He only runs the PTH on the 2nd year checkup.  I already had one parathyroid removed before they found my thyroid cancer back in 2004.

Yes I have ranges for the Test also, didn't know if that would hel*****t. I am assuming your wanting the Reference Ranges for each.

Vitamin B12     422            Ref Range 180-914

Folate                9.70           Ref Range 3.00-20.00

METABOLIC COMPREHENSIVE
NA       141     Ref Range 134-144            BUN     10   Ref Range 6-20                                    
T. Bili    0.7     Ref Range 0.3-1.2              K           4.0   Ref Range 3.6-5.1
Crea     0.70   Ref Range 0.40-1.00         T. Prot   6.7   Ref Range 6.1-7.9
CL       109      Ref Range 98-111             Gluc      88     Ref Range 70-100                                 Alb        3.8      Ref Range 3.5-4.8              CO2      29    Ref Range 22-32
CA          8.9     Ref Range 8.6-10.0           ALP       90    Ref Range 38-126
SGOT (AST)   25  Ref Range 15-41           SGPT (ALT)        25  Ref Range 14-54
Odmo (Calc)       279.7     Ref Range 273.0-304.0
   
LIPID PROFILE
Chol       104         Ref Range <200                
HDL        35          Ref Range 29-71
Trigl      44             Ref Range <150
 LDL       60.2        Ref Range 0.0-100.0
VLDL      8.8          Ref Range 5.0-25.0
CHOL/HDL  3.0 (L) Ref Range 3.3-4.4

IRON      74   Ref Range 28-170
TSH       0.01 Ref Range 0.34-5.60

CBC
WBC         4.3 (L)             Ref Range 4.8-10.8
RBC    4.38                      Ref Range 4.20-5.40
HGB    13.9                      Ref Range 12.0-16.0
HCT    40.1                      Ref Range 37.0-47.0
MCV      91.5                    Ref Range 80.0-100.0
MCH         31.8 (H)          Ref Range 27.0-31.0    
MCHC  34.8                     Ref Range 32.0-36.0
RDW 13.1                        Ref Range 11.3-15.7
MPV  9.0                           Ref Range 7.4-10.4
PLT       283                     Ref Range 130-400
NE%        45.4 (L)           Ref Range 50.0-75.0
LY%     44.1 (H)              Ref Range 20.0-40.0
MO%   8.6                        Ref Range 0.0-20.0
EO%  1.5                          Ref Range 0.0-15.0
BA%      0.4                      Ref Range 0.0-2.0

Hgb A1C          5.0           Ref Range 4.2-5.8

Hopes this helps!  Also, how many of the lemon chews did you say we should take a day for the calcium?

Thanks,
Carrie

Carrie, your numbers seem reasonable based on the ranges except IMO I'd like to see your B-12 up.  And your TSH is LOW, I'm assuming you are on thyroid meds with your previous medical situation right?  Did he do the T-3 and T-4 or are you seeing an endo for your thyroid?  You might discuss the TSH level with whomever works with you on your thyroid.

I have no thyroid since I had Thyroid Cancer in 2004. I live on Synthroid 250mcg daily for the rest of my life and they want my TSH as low as possible, so the TSH is where the oncologist wants it. I also just have three parathyroids since one was removed in 2004.