what labs do you get now after WLS

What labs do you get for watching your levels?
I have been having rtouble with being extremely cold and legs pain and cramps so I am having labs done this week where I work and wanted to make sure I cover all I need.
Thanks, Guys!

This is from my profile.

LAB TESTS
-Not to be construed as medical advice-
-This list includes labs suggested regularly for gastric bypass patients-

Regularly (every 3-6 months depending on your previous results)

Keep track of any levels that are declining from one set of tests to the next, even if not yet in the low range. Make any corrections necessary in your diet and vitamin regimen before the levels get too low.

*10231 - COMPREHENSIVE METABOLIC PROFILE (sodium, potassium, chloride, glucose, BUN, creatinine, calcium, total protein, albumin, total bilirubin,alkaline phosphatase, aspartate aminotransferase) (Nc,K,C1,CO2,Glu,BUN,Cr,Ca,TP,Alb,Tbili,AP,AST,ALT)

*84134 - PRE-ALBUMIN

*7600 - LIPID PROFILE (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)
((Fasting specimen) , Tchol,Trig,HDL,Calc,LDL)

*10256 - Hep panel - ALT (SPGT) & GGT

*593 - LDH

*718 - PHOSPHORUS - INORGANIC

*905 - URIC ACID

*1759 - CBC (HEMOGRAM/PLT/DIFF)

*7065 - B-12 & FOLATE

*7573 - IRON, TIBC, % SAT (Transferrin)

*31789 - HOMOCYSTEINE, CARDIO

*457 - FERRITIN

*4052 - Vitamin B-1 (Thiamin)

*84207 - VITAMIN B-6 (Pyradoxine)
*921 - VITAMIN A

*680 - VITAMIN D (25-hydroxy)

*7444 - THYROID PANEL (T3U, T4, FTI, TSH)
*945 - ZINC

*83735 - MAGNESIUM

*83970 - SERUM INTACT PTH

*367 - CORTISOL

*496 - HEMOGLOBIN A1C


SUGGESTED YEARLY - DEXA SCAN for bone density.

Darlene, as usual you are the one who comes through every time!  Thanks Girlfriend.

Hope all is well with you in CA.

Busy working for Oncologist Office.

And here is the updated version.

Not to be construed as medical advice, this list includes labs we have had performed as gastric bypass patients. The first group, every 3 to 6 months for life, as we are able. The second group, annually, as long as the results were comfortably within normal limits for more than 2 years in a row.



1st Group



*80053 Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose,BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) (10231)

* 84134 Pre-albumin:

* 7600 Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)

* 10256 Hep panel: includes ALT (SPGT) & GGT)

* 84100 Phosphorous - Inorganic: (718)

* 83735 Magnesium:

* 84550 Uric Acid: (905)

* 7444 Thyroid panel: (T3U, T4, FTI, TSH) (84437; 84443; 84479; 84480)

* 85025 Hemogram with platelets: (1759)

* 7573 Iron: TIBC, % sat

* 83550 Ferritin: (457)

* 84630 Zinc: (945)

* 84446 Vitamin A: (921)

* 82306 Vitamin D: (25-hydroxy) (680)

* 84052 Vitamin B-1: (Thiamin) (4052)

* 84207 Vitamin B-6: (Pyridoxine)

* 7065 Vitamin B-12 & Folate: (82607; 82746)

* 83970 Serum intact: PTH

* 83937 Osteocalcin:

* 84597 Vitamin K:

* 85610 PT:

* 85730 PTT:



2ND GROUP



* 593 LDH:

* 31789 Homocysteine, Cardio:

* 83921 MMA:

* 367 Cortisol:

* 84255 Selenium:

* 84590 Vitamin E:

* 82525 Copper:





For diabetics: *496 - HEMOGLOBIN A1C













POSSIBLE DIAGNOSIS CODES





269.2 Hypovitaminosis



268 Vitamin D deficiency



275.40 Calcium deficiency



266.2 Cyanocobalamin deficiency (B12)



281.1 other B12 deficiency anemia



281.0 Pernicious anemia



280.9 Iron-deficiency anemia



281.2 Folate deficiency anemia



285.9 Anemia, unspecified



269.3 Zinc deficiency



244.9 Hypothryoidism



250.0 Diabetes



401.9 Hypertension



276.9 Electrolyte and fluid disorders



272.0 Hypercholesterolemia

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -



*579.3 Surgical malabsorption*



*579.8 Intestinal malabsorption *





* Bands or sleeves should not use these codes as they are not accurate.



*Some insurance companies will not pay for any procedure that uses these codes.





LAB TARGETS





This is NOT medical advice, just my own targets for the main blood levels I watch.



Protein: 7's

Albumin: 4's

Pre-Albumin: 20-30's



Iron: 80-100

Ferritin: 200-300

HGB: 12+

HCT: 36+



Vit A: 60- 80

Vit D: 80-120



Calcium: 9.0-9.4

PTH: 20-40



Vit B1: Mid to top of range

Vit B6: Mid to top of range

Magnesium: Mid range (but also go by if we have leg/foot cramping)

Zinc: Mid range



Vit B12: 1000 +

Folate: Top of range



AST (sgot): Below 40

ALT (sgpt): Below 40



We usually want to "meet or beat" pre-op levels. In some cases, higher is better, and in other cases (Cholesterol, PTH for example), lower is better.



The only things *I* don't mind being on the high end of out of range are Ferritin and B12. But that applies to ME.



My doctors don't show interest in any of these until I am out of range. *I* am interested when I begin heading that direction.

Aloha Joan.....I just had almost ALL of the tests Darlene just listed......took something like 7 or 8 vials of blood. All was good, even news that I could reduce Vit. A to 3 times a week rather than 5, and my cholesterol was excellent....154 I think, and the HDL, the healthy kind went up 30 points!!

It's so good that we have this kind of measure of our health since we do eat so differently than others, but must always remember to take those daily handful of vitamins our nuts prescribe. I am religious about that....even brought all of them with me in a little two week separated box. I have added (just for my own benefit) Omega 3 fish oil, Olive leaf extract, and glucosomine/condroitan for beginnings of arthritis in several places.

Let us know your results.

Aloha nui loa,

Maui Karen (From chilly Calif!!.........I have such a COLD!!...I can hardly speak....and when I yell at my grandbabies, I croak!! Big mean old tutu!! LOL<

Karen

I don't believe for one minute you yelled at those grandbabies or if you did they got a big hug afterward.  Your visit in California will be over before you know it so give them hugs, hugs and more hugs.

I, too just had my cholesterol checked and it was 157 so I was happy.  I have, however, been neglecting to take my vitamins.  I used to take them religiously.  I'm not sure how I got out of the habit but I must get that going again.