Signs of protein deficiency
I am 7 years post successful gastric bypass surgery. Blood work is normal, but I am getting weaker over the past year, and skin rashes that itch and burn, not sleeping well. Could this have a link to the surgery? Also, I have not eaten red meat since 1980. I just started protein shakes again but they have gotten difficult to force down. Any reliable information out there? Thanks.
The most reliable information you're going to get is from your labwork results. If it's been a while, you'll need a full workup, and make sure the doc pulls everything. You should be pulling 14-20 vials of blood for those tests. Only then can you be sure what you need to work on and get started from there.
Valerie
DS 2005
There is room on this earth for all of God's creatures..
next to the mashed potatoes
Really 14 to 20 vials of blood for lab work ? I have never had more than 3 vials of blood taken from me at one sitting.. are you talking about all at one sitting ?
7stents (2003)...Heart Attack(2004)...Open Heart (2004)....Wls (2007)...Heart attack 2012...1 stent (2012)...Heart Attack (2013)...Heart Attack (2013)...1 stent(2013)
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on 7/20/14 11:44 am
3 vials may be enough for a normie, but we malabsorbers need more things checked, and I know if they pull less than 17 vials, they are not checking all the things WE need checked like the fat solubles or zinc. When they take 17 from me, that's when they combine a few tests and use one vial for two different ones that don't need much blood, otherwise they take 21 out of me.
I have a list that I think Vitalady said at one time is all the stuff she suggests she has tested, and make sure I get those same things tested each year. My pcp has not clue and would only check the bare minimum if I didn't bring this list each year. I'd ask what you have tested, but have absolutely no doubt you are not having enough tested with only 3 vials taken. Do you have Vitaladys list to compare to?
if all Rny'rs have to be checked for the same things I will ask my surgeons nurse for the list, Can't believe I haven't checked on this long long ago, I always tried to trust all doctors. what do I know ..thanks Wendy
7stents (2003)...Heart Attack(2004)...Open Heart (2004)....Wls (2007)...Heart attack 2012...1 stent (2012)...Heart Attack (2013)...Heart Attack (2013)...1 stent(2013)
~~~Best Vitamin For Making Friends B1~~~
on 7/21/14 4:03 pm
I think MsBatt put the link in below, but I believe this list I copied from vitalady years ago is the same.
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, aspartateaminotransferase) 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
I second what Val said. You can find a list of the things you need tested at www.vitalady.com If your PCP doesn't want to order ALL these, either 1)get a new PCP, or 2) contact your WL surgeon.
There isn't much point in them doing a full work up at just 3 months post-op because many of the vitamins are stored in your body, so you are still utilizing what you have stored cannot really tell what is going on at 3 months out unless they did a full set of labs before you had surgery (which most don't do).
Because of this, many surgeons don't order full labs until at least 6 months out (and many wait until a year out). At three months out, they generally check protein level, calcium levels, and the vitamins that your body does NOT store.
Lora
14 years out; 190 pounds lost, 165 pound loss maintained
You don't drown by falling in the water. You drown by staying there.
My surgeon did the full set of labs prior to surgery, and now every three months. I guess everyone is different.
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