2 year lab results

Hi all Im sorry im posting and deleting so much I can not figure out how to get all on here at once!
any input would be greatly appreciated. Thanks all.

Range

WBC                                                                                                        6.9                                                     4.0 - 11.0 10e9/L

RBC Count                                                                                              4.44                                                   3.8 - 5.2 10e12/L

Hemoglobin                                                                                            14.3                                                   11.7 - 15.7 g/dL

Hematocrit                                                                                              43.2                                                   35.0 - 47.0 %

MCV                                                                                                         97                                                      78 - 100 fl

MCH                                                                                                        32.2                                                   26.5 - 33.0 pg

MCHC                                                                                                      33.1                                                   31.5 - 36.5 g/dL

RDW                                                                                                        14.2                                                   10.0 - 15.0 %

Platelet Count                                                                                         128 (*)                                               150 - 450 10e9/L

COMPREHENSIVE METABOLIC PANEL

Component                                                                                            Value                                                Range

Sodium                                                                                                    141                                                    133 - 144 mmol/L

Potassium                                                                                               3.7                                                     3.4 - 5.3 mmol/L

Chloride                                                                                                  107                                                    94 - 109 mmol/L

Carbon Dioxide                                                                                      25                                                      20 - 32 mmol/L

Anion Gap                                                                                              9                                                        6 - 17 mmol/L

Glucose                                                                                                  86                                                      60 - 99 mg/dL

Urea Nitrogen                                                                                         9                                                        5 - 24 mg/dL

Creatinine                                                                                               0.54                                                   0.52 - 1.04 mg/dL

GFR Estimate                                                                                         >90                                                    >60 mL/min/1.7m2

GFR Estimate If Black                                                                            >90                                                    >60 mL/min/1.7m2

Calcium                                                                                                   8.3 (*)                                                8.5 - 10.4 mg/dL

Bilirubin Total                                                                                         0.3                                                     0.2 - 1.3 mg/dL

Albumin                                                                                                   3.2 (*)                                                3.9 - 5.1 g/dL

Protein Total                                                                                           6.2 (*)                                                6.8 - 8.8 g/dL

Alkaline Phosphatase                                                                           71                                                      40 - 150 U/L

ALT 20                                                                                                     0 - 50 U/L

AST                                                                                                          48 (*)                                                 0 - 45 U/L

MAGNESIUM

Component                                                                                            Value                                                Range

Magnesium                                                                                             1.6                                                     1.6 - 2.3 mg/dL

PHOSPHORUS

Component                                                                                            Value                                                Range

Phosphorus                                                                                           3.9                                                     2.5 - 4.5 mg/dL

LIPID PROFILE

Component                                                                                            Value                                                Range

Cholesterol                                                                                             124                                                    0 - 200 mg/dL

Triglycerides                                                                                          49                                                      0 - 150 mg/dL

HDL Cholesterol                                                                                    77                                                      50 - 110 mg/dL

LDL Cholesterol Calculated                                                                  36                                                      0 - 129 mg/dL

VLDL-Cholesterol                                                                                  10                                                      0 - 30 mg/dL

Cholesterol/HDL Ratio                                                                          1.6                                                     0.0 - 5.0

PARATHORMONE INTACT

Component                                                                                            Value                                                Range

Parathormone Intact                                                                              76 (*)                                                 12 - 72 pg/mL

VITAMIN B12

Component                                                                                                                                           Value                                                                         Range

Vitamin B12                                                                                                                                           781                                                                              >210 pg/mL

FERRITIN

Component                                                                                                                                           Value                                                                         Range

Ferritin                                                                                                                                                       23                                                                                 10 - 120 ng/mL

FOLIC ACID RBC

Component                                                                                                                                           Value                                                                         Range

Folic Acid RBC                                                                                                                                  467                                                                              280 - 791 ng/mL packRBC

VITAMIN D DEFICIENCY SCREENING

Component                                                                                                                                           Value                                                                         Range

Vitamin D Deficiency screening                                                                                         33                                                                                 30 - 75 ug/L

COPPER LEVEL

Component                                                                                                                                           Value                                                                         Range

Copper                                                                                                                                                      84                                                                                  80 to 155 ug/dL

ZINC

Component                                                                                                                                           Value                                                                         Range

Zinc                                                                                                                                                              62                                                                                  60 to 120 ug/dL

VITAMIN A

Component                                                                                                                                           Value                                                                         Range

Vitamin A                                                                                                                                                 0.28 (*)                                                                      0.30 to 1.20 mg/L

Retinol Palmitate                                                                                                                              0.02                                                                             0.00 to 0.10 mg/L

VITAMIN B1 WHOLE BLOOD

Component                                                                                                                                           Value                                                                         Range

Vitamin B1 Whole Blood Level                                                                                            124                                                                               70 to 180 nmol/L

VITAMIN B6

Component                                                                                                                                           Value                                                                         Range

Vitamin B6                                                                                                                                              49.9                                                                             20.0 to 125.0 nmol/L

 

Formatting labs on OH is near impossible...you did good!

You're protein and albumin are too low and you risk protein malnutrition, which will also hamper your system from absorbing other vitamins and minerals.

Your vitamin D3, calcium and PTH are terrible. D3 and calcium being way too low is causing your PTH to be too high. You are likely leaching bone calcium to feed your soft organs such as your heart.

Watch your iron serum (missing here), hematocrit, hemoglobin and ferritin. That ferritin is getting way lower than you want it. You want iron serum around 80-100, ferritin between 200 and 300, hematocrit and hemoglobin at the top of the ranges.

Vitamin A stinks. You risk night blindness or worse.

B12 is barely ok. It's better to be up and over 1000.

Zinc is getting too low.

Potassium could be better. You might want to start drinking a low sodium V8 juice every day.

What is your vitamin and mineral regimen?

--gina

Gina,

Can you provide a study/reference for your recommendation of ferritin being 200-300? Thanks!

No study. Just going by Vitalady, Dina and my own dietitian and doc the past 5 years. Ferritin is your iron stores and you want it at the top of the range.

My hematologist thinks those levels are insane so I'm trying to find something to back up their (VL in particular) recommendations. I have asked a number of people and can't get anything concrete.

The higher the ferritin the more indication for disease too which is why my hema is leery of a high one. If you have high ferritin and get sick it's hard to tell. Ferritin naturally rises when you get certain diseases and illness and it's an indicator of illness but when you naturally increase them that becomes difficult--from what I understand.

I know many who think100 is perfectly fine and it's a goal I'm shooting for but want to find something to back up the oft repeated 200-300 level.

Well, Vitalady always has my vote over medical folks that haven't really studied us malabsorbers specifically. But, here is another person saying the same thing that works day in and day out with malabsorbers like us.

Per DINA MCBRIDE -

 

WARNING: We don't typically hand out lists of what numbers are for labs because many of us have had patients say, "ooh, mine isn't at that number - I'm gonna fix it" and then manage to nearly kill themselves trying to fix stuff they don't know enough about. This is for information purposes only. None of these things are looked at individually - there are NINE levels involved that we look at when determining what's going on and they tie in to other sets of labs, too. This is complex stuff! Please respect that.

Let's talk Iron!

When we talk about your iron labs there are a number of levels that we care about. They are:

Iron: We want the number to be AT LEAST the number of years you are old. I.e., I'm 48, so my number should AT LEAST be 48. But, since I'm me and a malabsorber, I'm happier if it's closer to the 75 to 100 range! :)

 

Hematocrit: Bottom line - at least 36.0

Hemaglobin: Bottom line - at least 12.0

Ferritin: I want to see at least 100, but ideally, between 200 and 300. If it drops below 100 we star****ching for signs of IDA (iron deficiency anemia). Some people are SUPER sensitive and need help way before they get to 100. Any number less than 20 and I start getting nervous. NO - your MD - and sadly maybe not your surgeon or even your hema - may not know this or understand this! If your ferritin level is super high - that means there's inflammation and/or infection somewhere. Not good!

B-12: Yes, I know - this is a B vitamin! But it pertains BIG TIME to what's going on with your iron levels. Normal range is for NORMIES - we are not normies - we are malabsorbers. A malabsorber needs a level between 1400 and 2000. A level below 300 can actually be the cause of permanent brain damage. I know post-ops who have suffered this. You don't want to join their ranks!

TIBC: Higher is not better on this one. I'm happiest when I see it in upper half of the 200's.

The other levels that we watch are transferrin, folate, and iron saturation.

We want to see how they relate to one another. We want to see how they relate to other panels. And we want to know what kind of symptomology you've got going on.

We all come to the table with a unique physiology and individual issues and diagnoses. those have to be factored in as well. We want to know what you've been taking, for how long, and what your trends are. This is complex stuff. BUT - it's good to know what your numbers are - don't just drop the ball and say it's someone else's job to take care of or keep track of. It's not. It's yours!
  

Thanks. I like seeing the explanations ... I'll chew on this awhile. I'm working to get mine to 100 at this point.

Pay attention to what Gina says... but on a positive note, your lipid profile is fantastic! 

What are you taking for vites?  There are a lot of problems here.  Your A is dangerous.  You need to be taking a lot of dry vit A to get that up.  Your D is too low.  You need to be taking 100,000 units dry d3 per day to get that up.  Your cal is too low.  What and how much are you taking.  Your protein labs stink.  Add two shakes a day.  Your ironn labs stink.  Getting in with a hemotologist would be a good idea.

 I could use some help figuring out a vitamin regimine if Gina or anyone with good knowledge of malasorbers could help me... my email is [email protected]. If you email me I will explain what has been going on and what I have been dong for vits. In the past I have pretty much based my vit intake on Michelle's vit schedule. Just tweeked to what I thought I needed to do... Thank you!