Unusual Bruising and vitamin deficiency?

Valerie G.
on 3/20/10 9:27 pm - Northwest Mountains, GA
Alex, don't trust them to tell you what you're low in.  Know it yourself.  Ask for a copy of your labwork and see for yourself.  Did they even check K?  How do you know?
One of the things I noticed with my labwork is that they didn't compare my last results wth my new results.  So, is something was starting to drop, but was still "in range", they didn't even notice the trend that I was about to go out of range soon.  If you can catch these and adjust before they fall out of range, then you'll prevent the problems of bringing them back up and the symptoms of deficiency.  Vitalady.com has 1000 iu of dry D and it's pretty cheap.

Valerie
DS 2005

There is room on this earth for all of God's creatures..
next to the mashed potatoes

yeaokaybye
on 3/21/10 10:42 am
Thanks for the info Val!

I'm generally on top of this and my own advocate and I will know better now and get this taken care of.  University level hospitals are already insane and I am just going to to my reg. Physician to have this blood work taken care of. 

I will get the report this week and post an update and compare.  Phew.

Thanks again :)









I'm the Queen... my pantyhose say so!!!!!!!

(deactivated member)
on 3/20/10 2:39 am
 Alex, I do know that can be a sign of a vitamin K deficiency.
(deactivated member)
on 3/20/10 2:42 am - Canandaigua, NY
Much more likely than leukemia, thank god!  I didn't know Vit K deficiency caused bruising -good to know...
MajorMom
on 3/20/10 3:15 am - VA
I doubt you can get this locally but I take 1,000mcg of vitamin K-1 a day. It's a teeny tiny capsule. My K1 on my labs is almost to the top of the range....no bruising. --gina

Vitalady Tender Vitamin K1 1,000mcg (Phytonadione) 100 cap/btl
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vitalady
on 3/20/10 6:58 am - Puyallup, WA
RNY on 10/05/94
Define "fine" on iron? That's my first thought, but then vit K.

D is where?

Here's the list of labs we use:

***



Not to be construed as medical advice, this list includes labs we have had performed as gastric bypass patients. The first group, every 3 to 6 months for life, as we are able. The second group, annually, as long as the results were comfortably within normal limits for more than 2 years in a row.



1st Group



*80053 Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose,BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) (10231)

* 84134 Pre-albumin:

* 7600 Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)

* 10256 Hep panel: includes ALT (SPGT) & GGT)

* 84100 Phosphorous - Inorganic: (718)

* 83735 Magnesium:

* 84550 Uric Acid: (905)

* 7444 Thyroid panel: (T3U, T4, FTI, TSH) (84437; 84443; 84479; 84480)

* 85025 Hemogram with platelets: (1759)

* 7573 Iron: TIBC, % sat

* 83550 Ferritin: (457)

* 84630 Zinc: (945)

* 84446 Vitamin A: (921)

* 82306 Vitamin D: (25-hydroxy) (680)

* 84052 Vitamin B-1: (Thiamin) (4052)

* 84207 Vitamin B-6: (Pyridoxine)

* 7065 Vitamin B-12 & Folate: (82607; 82746)

* 83970 Serum intact: PTH

* 83937 Osteocalcin:

* 84597 Vitamin K:

* 85610 PT:

* 85730 PTT:



2ND GROUP



* 593 LDH:

* 31789 Homocysteine, Cardio:

* 83921 MMA:

* 367 Cortisol:

* 84255 Selenium:

* 84590 Vitamin E:

* 82525 Copper:





For diabetics: *496 - HEMOGLOBIN A1C













POSSIBLE DIAGNOSIS CODES





269.2 Hypovitaminosis



268 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.





LAB TARGETS





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



AST (sgot): Below 40

ALT (sgpt): Below 40



We usually want to "meet or beat" pre-op levels. In some cases, higher is better, and in other cases (Cholesterol, PTH for example), lower is better.



The only things *I* don't mind being on the high end of out of range are Ferritin and B12. But that applies to ME.



My doctors don't show interest in any of these until I am out of range. *I* am interested when I begin heading that direction.



Michelle
RNY, distal, 10/5/94 

P.S.  My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.

yeaokaybye
on 3/20/10 7:58 am
Michelle,

ill have to look at labs from Dec and get back to you about iron.  K i did not have checked, but my d has always been higher than typical.  I have been taking 50k units of d3 daily for a few years before my surgery.  Its never dropped.  Im fortunate with it.

Here is my question,
When I go for labwork, what should I be tested for?  A huge problem with me is that giving blood keeps me down for 4-5 days.  It increases my fatigue and nausea terrible and even my MS symptoms.  I try to have every single test i ned done at the same time for this reason.

thanks in advance :)












I'm the Queen... my pantyhose say so!!!!!!!

rbb825
on 3/20/10 1:24 pm - Suffern, NY
bruising is usually due to either low platelets or vitamin K deficiency.  I have ITP - a very long name meaning low platelets.  I do bruise sometimes but not often.

Do you take vitamin K?  Is there any in your multi?

Here is a list of labs you should be getting.  I get them every 3 months.


CBC, Comprehesive Metabolic Panel, Iron, TIBC, Iron Sat %, Ferritin, B12, Folate, Vitamin D (25 Hydroxy), Phosporus, Calcium, PTH, Vitamin A, Vitamin E, Vitamin K, Lipid Panel, Zinc, Magnesium, Selenium, Copper, Vitamin B1 (Whole Blood), TSH and T3, HemA1C

 

yeaokaybye
on 3/21/10 10:46 am
Hey there!

I take the Bariatric advantage Multi Vitamin twice daily it says it has 120 mcg per serving
I have to reorder my Vits soon, I am going to wait for my results though.  I am curious to what this could be .
Do you take anything for your disorder?  Were you diagnosed after surgery?


   









I'm the Queen... my pantyhose say so!!!!!!!

rbb825
on 3/21/10 11:33 am - Suffern, NY
According to my hematologist there is nothing that can be done.  It is an autoimmune disorder and so far my platelets are low but not dangerously low.  If they get low enough, I might need a bone marrow biopsy but so far I haven't needed that and possibly some type of transfusion.  Normal is 150 - 400 and mine when last checked were 90.  He said if they get below 70, he will start to worry.

 

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