Labs Help Please

Click here to read my labs at google docs.

Here is my current vitamin schedule:

Vitamins	Dose/Day	Waking	Breakfast	Lunch	Dinner	Bedtime
Multivitamin	RDV	X			X
Vitamin A	25,000 IU		XX	XX		XX
Vitamin D	50,000 IU					X
Vitamin E	400 IU					X
Vitamin K1	1000 mcg				X
Vitamin K2	150 mcg				X
Vitamin C	1000 mg			X
Calcium Citrate	300 mg	XX	XX	XX	XX
Magnesium	150 mg	X	X	X	X
Proferrin Heme Iron	12 mg	X				X
Copper	5 mg	X
Vitamin B12 & Folic Acid Sublingual	1000 mcg & 800 mcg	X
B Complex	B 50 Complex		X
Zinc	50 mg					X

Concerns? My iron/ferritin is so low I'm really hurting here. I've been taking 2 Proferrins a day (snapped in half) for a year and obviously it is not doing a damn thing. My doctor is referring me to a hemotologist. What should I tell her?

I don't understand the significance of my AST or my selenium being too high.

My B12 went down when I switched from 5000 mg a day to 1000 mg sublinguals. Should I change back? The doctor gave me a B12 shot today, is that ok? How does that affect my oral dose?

My B6 is also too high. Is this an issue? Should I stop taking my B50 complex seeing how all other B vitamins are in range?

On the other hand, my protein/albumin/prealbumin seems to be good!

I'm not sure what to tweak...and is low but in range mean I should up my doses?

 Go visit the other board. A lot of the vets are there so you might get a faster response there. 

:-)http://weightlosssurgery.proboards.com/index.cgi

Thanks. I posted over there, too.

I think it's time for iron infusions and you can keep using the Proferrin to help. 2 Proferrin aren't enough. Some of us do best with Tender and Proferrin. These are so low I don't think oral supplements are going to help. You might want to take the Proferrins together and away from other vites.

Try dropping the B-Complex to once a week but you may need to supplement B1 separately.

You could try cutting the selenium back to 5 days a week or every other day.

Try going back on the 5000mcg B12s and only take them 5 days a week but don't start that for 2 more weeks.

Your vitamin K needs a boost. Perhaps increase by another dose of K1 a day. It wouldn't hurt to take 2 K2s.

AST and ALT aren't terribly high. Mine run high like that and Dr E says they really aren't anything to worry about unless they start rising or go much higher.

I think that's all I have. :)

--gina

Thanks, Gina.

Only, I'm not taking any selenium that isn't already in my multi. Odd, huh?

Sure is. Maybe it's in your water supply too.

How are you feeling?  My ferritin, TBIC and Iron Sat were pretty low earlier this year and I felt like crap.  Thankfully my PCP understands WLS and ordered infusions.  I could tell a major difference in how I felt within a couple of days.  

Your iron numbers probably won't improve without an infusion at this point.

I agree. And I feel like total warmed-over crap on a plate. Some days I can barely stay awake.

Anyone else care to chime in?

I agree you need an iron infusion. Good luck.