Protein first in the morning, I eat chicken first..High protein, definitely in the mornimg...above 30 grams. Some people do 100 grams with food a say. I start offy day at least 30, min.

Enough iron with Vitamin C

Vitamin B-12 1,000 (2) for a couple weeks.

2 multi morning, 2 evening....some peope take 2 in afternoon

50,000 per day vitamin D

Start with a Vitamin B Complex to see how that works

Limit set by MY Dr was 20-50 , counting all carbs.w/ low fat and High protein, 90grams orig goal and i maintain that most of the time.remain within 10-15 lbs of goal after more than 2 decades. find what works for you. I never count calories. only protein and always carbs.fat tolerance is low. pouch reminds me if i eat too much.2-3 days of not counting carbs is a precursor to carb cravings which are really difficult for me to break...since blood sugar drops also accompany those.

Is that a typo? 400 carbs is 1600calories. Add "a lot" of protein and fat to that and your calories would have to be 3000 or more.

I don't know if Kaiser has the provision to reimburse you for outside charges (probably difficult as they like to do everything themselves in house.) I suspect that this is one of those situations where they need to be "trained" on what you need, and once that is done, it should go easier the next time. Would Dr. K be willing to call your primary doc there and explain to him why these labs are so important (and how it will save them in the long run)? Failing that, it may be worth trying to go through it the hard way with their multiple appeals, documenting their necessity.

Kaiser is certainly not a DS friendly group, as they don't have the ability to perform them in house, but quite a few have had them done in their ticket after the appeals get to the state level and they are directed to cover it, so they can be familiar with what is required for it. One of the guys in our SoCal support group (loosely taken over by Dr. ****il covid hit and everything went virtual) had a DS that SoCal Kaiser revised (lengthened his common channel), so they do know how to treat DS patients, but you may have to rub their nose in it to get them to respond.

In short, it is probably worth the effort to be pushy, but if it is too much for you, then it may well be better to go with another insurance provider. My wife has had little problem getting her annual labs done with the carriers we have had (PPO type coverage) even though she was a self pay on her DS (from the "investigational/experimental" days.)

Good luck, and be a squeeky wheel.

Antonis

try this email.....

[email protected]

hope you get some help.