blood work question

I am going to see my internist and have my blood work done at the same time.  What does he need to specifically test for?  I think one is B!2.  Any help would be greatly appreciated.  Thanks

My surgeon gives me an RX for req'd bloodwork.

When I had my 6 month blood work done, I had my surgeon fax my PCP a list of the extra things I need to be checked for, so I wouldn't have to go back.  I got everything taken care of in one blood draw.

I have my blood work done at my regular GP Dr. and then take the results to my surgeon.  The Dr. is very good about checking everything out and if the Bariatric surgeon wants more info he tells me.

Jeane

This is the list I have seen recommended. It's huge.

CBC with Differential/Platelet
	WBC
	RBC
	Hemoglobin
	Hematocrit
	MCV
	MCH
	MCHC
	RDW
	Platelets
	Neutrophils
	Lymphs
	Monocytes
	Eos
	Basos
	Neutrophils (Absolute)
	Lymphs (Absolute)
	Monocytes (Absolute)
	Eos (Absolute)
	Baso (Absolute)
Comp. Metabolic Panel (14)
	Glucose, Serum
	BUN
	Creatinine, Serum
	BUN/Creatinine Ratio
	Sodium, Serum
	Potassium, Serum
	Chloride, Serum
	Carbon Dioxide, Total
	Calcium, Serum
	Protein, Total, Serum
	Albumin, Serum
	Globulin, Total
	A/G Ratio
	Bilirubin, Total
	Alkaline Phosphatase, S
	AST (SGOT)
	ALT (SGPT)
Lipid Panel
	Cholesterol, Total
	Triglycerides
	HDL Cholesterol
	VLDL Cholesterol Cal
	LDL Cholesterol Calc
Prothrombin Time (PT)
	INR
	Prothrombin Time
Vitamin D, 25-Hydroxy
PTT, Activated
	APTT
Hemoglobin A1c
TSH
Folate (Folic Acid), Serum (Vit B9)
Phosphorus, Serum
Iron, Serum
Vitamin B12
Magnesium, Serum
Zinc, Plasma or Serum
Ferritin, Serum
PTH, Intact
Vitamin A, Serum
Copper
Selenium
K1
VITAMIN B1 (thiamine)
Need to Add Test:
K2
E
TIBC (transferrin)
AMYLASE, serum
TIBC (transferrin)
THYROXINE (T4)

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.