3 month blood work...not too bad?

greeby
on 9/28/09 11:25 am - Ecuador
On September 28, 2009 at 6:22 PM Pacific Time, Elizabeth N. wrote:
I'd go to 100,000 IU of D fersure. You want that D number hovering around 100 or as close as you can get it. With the A, my usual method is to pop an extra pill daily till the next labs, except for one time when I was down to 17 or so. Then I more than doubuled the A intake.
That's easy. I can do that.

Thanks to everyone for the help!

More labs in 3 months :)
MsNicci
on 9/28/09 11:35 am
Im shaking in my boots, Greeby.  Youve been much better about your protein out the gate than I have.  I dont think I can manage to get another ounce of protein in right now.  Im already stuffed beyond imagination.  Good luck, and keep me posted.  Im up next in a couple weeks :-)
HW 344 / SW 333.7 / GW 180  H: 5'8
greeby
on 9/28/09 11:58 am - Ecuador
No worries Nicci!

I'm not a doc but if you are taking only what the program recommended as far as vits and calcium...I'd look at Vitalady's regimen. I think the Abington program recommendations are waaaay low.

Talking to Michelle early on is why my numbers look as good as the do.

Kayla B.
on 9/28/09 11:39 am - Austin, TX
calcium, pth look okay for now, but might not look quite so great after your D has been in the tank for awhile.

Protein and albumin are really good for right now, but the pre-albumin is low, and that's the first place protein malnutrition is going to show.  The albumin/protein numbers are gonna start to tank if you don't correct it.  Since you're only 3 mos post op, it's pretty understandable.  Might correct itself without adding a huge amount of protein but you have to make sure to stay on top of it.

I disagree with your surgeon about the 110g protein per day, but that's just me.  100g is a good general amount, but I don't really see the need for an upper limit...I'd be interested to know what he's basing that on.  If it's because eating more than 110g of protein would bring in an excess of calories that would lead to weight gain, well...pfft, don't worry about that.

liver enzymes are surprisingly good.

zinc is good

vit a needs work, as others mentioned.

your serum iron really could be better, but your ferritin rocks.  You do not want to lose that high number so don't get complacent with the iron.

B-12 is good, keep it high.
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greeby
on 9/28/09 11:54 am - Ecuador
On September 28, 2009 at 6:39 PM Pacific Time, Kayla B. wrote:
calcium, pth look okay for now, but might not look quite so great after your D has been in the tank for awhile.

Protein and albumin are really good for right now, but the pre-albumin is low, and that's the first place protein malnutrition is going to show.  The albumin/protein numbers are gonna start to tank if you don't correct it.  Since you're only 3 mos post op, it's pretty understandable.  Might correct itself without adding a huge amount of protein but you have to make sure to stay on top of it.

I disagree with your surgeon about the 110g protein per day, but that's just me.  100g is a good general amount, but I don't really see the need for an upper limit...I'd be interested to know what he's basing that on.  If it's because eating more than 110g of protein would bring in an excess of calories that would lead to weight gain, well...pfft, don't worry about that.

liver enzymes are surprisingly good.

zinc is good

vit a needs work, as others mentioned.

your serum iron really could be better, but your ferritin rocks.  You do not want to lose that high number so don't get complacent with the iron.

B-12 is good, keep it high.
The protein statement was made by the doc because he said if I went over 110 grams a day then it would be too hard on the liver early on.

I'll chat with him Wednesday when I do the 3 month post op visit.

I've gottn in at least 90g of protein a day since 5 days post op.  Maybe I'll add a shake in the afternoon for an extra 35g of protein.

My B-12 was 193 pre-op. :)
levittown_loser
on 9/28/09 12:12 pm - Levittown, PA
Well our docs office will say your perfect except your taking way to much B12 and they will tell you to back down to 1x a week or lower doses. 

For me ... I'd stay with what you have till your six month labs and then make changes.  

A & D are low ...  Try to get your D as high as 80-100 if you can!    Your b12 can go up 2000 and be fine as well.

Your protein is fine.    Prealubum is more of a short-term nutritional status.   You may not have had a lot of protein the few days prior to testing.   

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greeby
on 10/4/09 6:41 am, edited 10/4/09 6:48 am - Ecuador
Well, just looked at my bottle of D and it looks like I ordered 5000 IU instead of 50,000 IU.

I've tripled my D to 15K.

Mary_J
on 10/4/09 6:52 am
I'll admit, I didn't look at your lab results.  But if people who HAVE are saying you need more D - 15k isn't going to cut it.  I take (and many many others, too) 100k a day, and it just barely creeps my numbers up by the next set of labs.  Your D may be good because you had enough stored so it didn't totally end up in the toilet  by 3 months, but that won't hold true.  If you're already on the low end, you'll just get lower in my opinion.  MOST people who even have stellar labs take 50k a day (not all, but more do than don't).

5' 5" -  317.5 / 132 / 134  SW / CW / GW


Crazeru
on 10/4/09 7:46 am
I've been taking 150k of D for 9mo, it's still barely coming up - last test in Apr was up to 62.  I'm hoping the last 6mo @150k it'll be up around 80.  My A went down taking 50k, so I up'd to 75k in Apr.  I'm waiting for my labs to come back now.  You may want to start on the tender irons too.  I added proferrin-es in Apr and both my Iron, binding capacity and Iron, binding unsat both came up from sliding down.  My total iron came up from 62 to 83, iron, %sat-tranferrin came up form 19 to 20 in 6mo.  I've been taking 12 tenders, 1 poly, 1 copper.  I started chewing up my tenders a couple of months ago.  Looks like its working, my ferritin came up from 101 to 128.  I've been working on my iron, D & A for a yr, it's tough bringing them up.

Chris
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greeby
on 10/4/09 9:21 pm - Ecuador
Looks like I'll be ordering the 50K from Vitalady today :)
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