My first set of Labs - feedback welcomed

Hello all.....I've been lurking but not really posting since I'm still pissed about my OH email notifications not working .

Anywho....I'm 12 weeks out from my revision and while it's been slow going, I'm down 42 lbs and feeling great!!!!  The scale stalled for about 4-5 weeks before it started moving, but I'm finally on the way down again.  And I've been trying not to weight EVERY day, since I am a scale ***** and I just can't get enough of it. 

Last week my PCP drew labs.  Although I showed him the Vitalady suggested labs, he didn't order all of them.  I'm going to type what he did order and would like to know what you all think.  Although I received a phone call from his office today that my labs were "normal" I like hearing from my fellow DSers!   

I'm getting in 64 oz of fluids  and 100 g of protein a day.  
Is it normal for B12 to be so high?  Should I start taking it every other day?  I noticed I get tingling in my feet usually in the early morning after my B12 batch.  Could it be related?


   
Glucose, Serum 84 mg/dL (65-99) 

BUN 10 mg/dL (6-20) 

Creatinine, Serum .70 mg/dL (0.57-1.00) 

eGFR if NonAfricn Am 115 mL/min/1.73 >59 

eGFR if Africn Am 133 mL/min/1.73 >59 

BUN/Creatinine Ratio 14 (8-20) 

Sodium, Serum 138 mmol/L (135-145) 

Potassium, Serum 4.3 mmol/L (3.5-5.2) 

Chloride, Serum 106 mmol/L (97-108) 

Carbon Dioxide, Total 19 mmol/L (20-32) 

Calcium, Serum 8.8 mg/dL (8.7-10.2) 

Protein, Total, Serum 6.6 g/dL (6.0-8.5) 

Albumin, Serum 3.7 g/dL (3.5-5.5) 

Globulin, Total 2.9 g/DL (1.5-4.5) 

A/G Ratio 1.3 (1.1-2.5) 

Bilirubin, Total 0.7 mg/dL (0.0-1.2) 

Alkaline Phosphatase, S 67 IU/L (25-150) 

AST (SGOT) 16 IU/L (0-40) 

ALT (SGPT) 17 IU/L (0-40) 
   
Cholesterol, Total 158 mg/dL (100-199) 

Triglycerides 64 mg/dL (0-149) 

HDL Cholesterol 59 mg/dL >39 

VLDL Cholesterol Cal 13 mg/dL (5-40) 

LDL Cholesterol Calc 86 mg/dL (0-99) 
   
B12 1805 pg/mL (211-946) 

Folate (Folic Acid), Serum 14.1 ng/mL >3 
   
Vitamin D, 25-Hydroxy 37.4 ng/mL (32.0-100.0) 
   
Iron, Serum 97 ug/dL (35-155) 
   
Magnesium, Serum 1.9 mg/dL (1.6-2.6) 
   
Zinc, Plasma or Serum ???   *says TEST 001800 No specimen received* ??
   
What I take

Vitamin C                      2,000 mg
Copper                          2mg
Vitamin A                      100,000 IU
Calcium Citrate           1800mg
Magnesium Citrate     320mg
B Complex
Vitamin E                       800IU
Multi w/minerals          Twice a day
Zinc                                100mg
Vitamin D3                   50,000IU
Folic Acid                      1,000 mcg
Vitamin K-1                  1,000 mcg
Bifera Iron                     2 pills per day
Vitamin B12                  5,000 mcg daily


          

It sounds like you're doing well. For the vets to comment on your labs you might also post your vitamin regimen. Congratulations on your revision.

Thanks Gail....I'll add that info.

 
No wisdom here (I let normal be normal!)...but my B-12 was high back in the day, too, soon after surgery.  I stopped taking the supplement.  I do take a b-complex but it doesn't have 12 in it.  My B-12 is normal now.

This may help until the lab gurus come take a gander.

docs.google.com/Doc

Thanks for the link Beem

B12 is ok to be high but if you want to cut back just do the dots 5 days a week instead of 7. The tingle in your feet could be from the B-complex. I get a hot flush and red rash when I take it, and only take it once a week now.

You might want to increase your 50K dry D3 to twice a day for 3 months and retest.

Your liver enzymes are very nice-- below 40 is a great thing.

Looks like you might want to eat more eggs or add a shake or 2. You want your albumin in the 4's and protein closer to 7.

Keep up the great work though.

--gina
 

Thanks Gina....I see my pcp again in 3 months and I'll request that he repeat the labs.  I'll take my B12 Mon-Fri and skip the weekend and I'll add a 2nd D3 pill.  It's funny because my pcp looked alarmed when he learned how much D3 I was taking after surgery.  Wait until he learns I've doubled it!  HHAHAHAHA

Which test is for the liver enzymes?

Also, I'll start having an egg for breakfast and I'll add a 2nd protein shake.

Thanks for all your advice!!!  You rock!

No PTH run?  Parathyroid hormone?  That's how you know whether your blood calcium level is from what you're taking or if you're body is robbing your bones.  BTW, I agree with Gina/ Major Mom on the albumin, protein, & D . . . I don't get a reaction from B vites.  I know that a lot of people shoot for over 1000 for B12 & some for 1200+.  1800 does "sound" high to me also based on ranges people shoot for, but I also don't know of any ill effects from that level.

Lisey....I'll ask my pcp why he omitted those test and ask him to order them in 3 months.  Thanks!