Need Review of First Lab Results

Surgeon's office was pretty happy with my results, but I am also going to my PCP to go over them and get him up to speed with DS.  Can all of you lab vets please take a look and let me know how this looks?

it would be much easier if you didn't string your numbers together.  Would you please go back and edit your post to put some space between YOUR value and the reference values?  Thank you.  First glance, I see some issues, but my eyes are going buggy with all the numbers strung together.  

When I posted originally it was in columns with spaces.

Your B12 is fine don't worry about the lab calling it high. Keep doing what you're doing. Are you starting up with Vitalady's recommendations or what? 

I see some issues ahead with iron and the sooner you can start taking Proferrin and carbonyl iron, the better.

D3 is climbing because you're supplementing with at least 50,000 IUs of dry D3 a day, correct?  

Protein markers are in good shape.

The AST and ALT are going to be elevated because your liver is stressed with the weight loss. Totally normal.

If you're taking a B-complex, you can cut back to maybe 5 days a week.

Otherwise, looks pretty good.

--gina

What does the C-Reactive Protein mean?  That one is very high, and the lab report says it is an indicator of cardiac problems.

I have been taking 10,000 units of D3, and the surgeons office wanted me to pull back to 5,000 daily (I am ignoring that)!  I'll work on getting the iron up; they only had me on 36 mg a day.

Thank you so much for your review - re-posting the numbers with better (I hope) spacing.

Test                                                            Result          Reference  Flag

Vitamin A, Serum                                    27                 18-77            

Vitamin E                                                  10.6             4.6-17.8       

CBC with Differential/Platelet:                                                         

WBC                                                          9.7                4.0-10.0       

RBC                                                           4.89             3.77-5.28     

Hemoglobin                                             13.4             11.1-15.9     

Hematocrit                                                41.3             34-6.6           

MCV                                                           85                 79-97            

MCH                                                          27.4             26.6-33        

MCHC                                                       32.4             31.5-35.7     

Platelets                                                    469              140-415       

Neutrophils                                               64                 40-74            

Lymphs                                                     23                 14-46            

Monocytes                                                9                   4-13              

Eos                                                             4                   0-7                

Basos                                                        0                   0-3                

Neutrophils (Absolute)                           6.2                1.8-7.8          

Lymphs (Absolute)                                 2.2                .7-4.5            

Monocytes (Absolute)                            0.8                .1-1               

Eos (Absolute)                                         0.4                0-.4               

Baso (Absolute)                                       0                   0-.1               

Immature Granulocytes                         0                   0-2                

Immature grans (Absolute)                   0                   0-.1               

Comp. Metabolic Panel:                                                                   

Glucose, Serum                                      85                 65-99            

BUN                                                           11                 41449           

Creatinine, Serum                                  0.53             .57-1.0         Low

eGFR                                                         113              >59               

BUN/Creatinine Ratio                             21                 9-23              

Sodium, Serum                                       4.6                3.5-5.2          

Potassium, Serum                                  4.6                3.5-5.2          

Chloride, Serum                                      102              97-108         

Carbon Dioxide Total                             20                 20-32            

Calcium, Serum                                      9.9                8.7-10.2       

Protein, Total                                            7.3                6.0-8.5          

Albumin, Serum                                      4.2                3.5-5.5          

Globulin, Total                                         3.1                1.5-4.5          

A/G Ratio                                                   1.4                1.1-2.5          

Bilirubin, total                                           0.3                0-1.2             

Alkaline Phosphates                              115              25-150         

AST (SGOT)                                             43                 0-40              

ALT (SGPT                                               32                 0-32              

Lipid Panel with LDL/HDL Ratio:                                                    

Cholesterol, Total                                    122              100-199       

Triglycerides                                            75                 0-149            

HDL Cholesterol                                     50                 >39               

VLDL Cholesterol Cal                            15                 5-40              

LDL Cholesterol Cal                               57                 0-99              

LDL/HDL Ratio                                        1.1                0-3.2             

Iron and TIBC:                                                                                     

Iron Bind.Cap. (TIBC)                             383              250-450       

UIBC                                                          330              150-375       

Iron, Serum                                              53                 35-155         

Iron Saturation                                         14                 15-55           Low

PT and PTT:                                                                                        

INR                                                             0.9                .8-1.2            

Prothrombin Time                                   10.4             9.4-12.0       

aPTT                                                          31                 24-33            

Vitamin B12 and Folate:                                                                   

Vitamin B12                                             1363            211-946      High

Folate, Serum                                          18.4             >3.0              

Vitamin D, 25 Hydroxy:                                                                     

Vitamin D, 25 Hydroxy:                          44.4             30-100         

C-Reactive Protein, Cardiac                 10                 0-3.0            High

Vitamin B1                                                206.6           66.5-200     High

Vitamin K1                                                0.97             .28-1.78       

Zinc                                                            80                 56-134         

Ferritin, Serum                                         50                 13-150         

Calcium, Ionized, Serum                       5.1                4.5-5.6          

PTH, Intact                                                31                 15-65          

Hi, thanks for the new format, it makes it much easier for these old eyes of mine!

Glad you aren't following the doc recommendation to drop your D3.  I would suggest going up to Vitalady's recommendation of 50,000 IU of D now, rather than later, it's easier to keep it up with higher levels now than to have it drop taking too less ... Catching it back up is much tougher.  

Yes, you definitely need to increase your iron.  Carbonyl iron and Proferrin combo is the way to go,  And adding Vitamin C improves your iron availability for absorption.  Your H and H is going to be lower post surgery, but you don't want it to go any lower and with higher doses, improve.  

CRP is elevated with inflammation.  I'd say that surgery as an insult to the body is a pretty big inflammatory response.  If you have a chronic condition like Rheumatoid arthritis or celiac, it will always be elevated.  Soon it should normalize but if it doesn't go down, have your doc redraw along with sed rate and another cbc to see if you have something else going on.  

I'm going to assume your sodium is normal like on the first sheet, yes?  thinking you typed out the potassium twice!

I would take more b12 myself, methylcobalamin.  How much A are you now taking?  You might want to increase that as well.  

If you take a B50 every day, you might cut that down to every other day just to see if it will make a difference in your level.  Not all B flushes out of the body in the urine, so you want to watch that.  

All in all, for 3 month labs, pretty darn good, just tweak a little and see how your next draw goes.  

And again, thanks for changing the format!

Patti

Thanks Patti!