My first thorough labs...feed back please....

I say first thorough labs as I am 15 months and previous labs by PCP were not getting much of anything so I got these done with my surgeon's NUT. (she has not provided feedback yet) So, per the lab, only my AST and copper are out of sync. Do I need to supplement for these?

Are the comments under Homocysteine and Vitamin D general comments or are those specific to me based on my levels?

Everything look good?

(this shows the range on the right next to my level)

Test Name In Range Out Of Range Reference Range Lab
METHYLMALONIC ACID AND HOMOCYSTEINE (NUTRITIONAL AND CONGENITAL)
METHYLMALONIC ACID 172 87-318 nmol/L EZ
HOMOCYSTEINE (NUTRITIONAL EZ
AND CONGENITAL)
HOMOCYSTEINE, SERUM 6.2 5.4-11.9 umol/L
Homocysteine levels are increased in both folate and vitamin
B12 deficiencies. A methymalonic acid level can
differentiate the two disorders since it is increased in
vitamin B12 deficiency but not in folate deficiency.
COMPREHENSIVE METABOLIC RGA
PANEL W/eGFR
GLUCOSE 76 65-99 mg/dL
Fasting reference interval
UREA NITROGEN (BUN) 25 7-25 mg/dL
CREATININE 0.79 0.59-1.07 mg/dL
eGFR NON-AFR. AMERICAN 91 > OR = 60 mL/min/1.73m2
eGFR AFRICAN AMERICAN 106 > OR = 60 mL/min/1.73m2
BUN/CREATININE RATIO NOT APPLICABLE 6-22 (calc)
SODIUM 136 135-146 mmol/L
POTASSIUM 3.8 3.5-5.3 mmol/L
CHLORIDE 99 98-110 mmol/L
CARBON DIOXIDE 22 21-33 mmol/L
CALCIUM 9.5 8.6-10.2 mg/dL
PROTEIN, TOTAL 7.1 6.2-8.3 g/dL
ALBUMIN 4.3 3.6-5.1 g/dL
GLOBULIN 2.8 2.2-3.9 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 1.5 1.0-2.1 (calc)
BILIRUBIN, TOTAL 0.5 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 86 33-115 U/L
AST 34 H 10-30 U/L
ALT 25 6-40 U/L
VITAMIN D, 25-HYDROXY, EZ
LC/MS/MS
VITAMIN D, 25-OH, TOTAL 54 30-100 ng/mL
25-OHD3 indicates both endogenous production and
supplementation. 25-OHD2 is an indicator of exogenous
sources such as diet or supplementation. Therapy is based on
measurement of Total 25-OHD, with levels <20 ng/mL
indicative of Vitamin D deficiency, while levels between 20
ng/mL and 30 ng/mL suggest insufficiency. Optimal levels are
>=30 ng/mL.
VITAMIN D, 25-OH, D3 54 ng/mL
VITAMIN D, 25-OH, D2 <4 ng/mL
MAGNESIUM 2.1 1.5-2.5 mg/dL RGA
PHOSPHATE (AS PHOSPHORUS) 3.6 2.5-4.5 mg/dL RGA
ALKALINE PHOSPHATASE, EZ
BONE SPECIFIC 14.0 5.0-18.8 mcg/L

Test Name In Range Out Of Range Reference Range Lab
Adult Female Reference Ranges for Alkaline Phosphatase, Bone
Specific:
Premenopausal
(35-45 years): 5.0-18.2 mcg/L
OSTEOCALCIN, N-MID EZ
OSTEOCALCIN, N MID 14 8-32 ng/mL
NOTE: Please note the pediatric reference ranges, effective
4/11/2011.
VITAMIN A 44 38-98 mcg/dL EZ
VITAMIN B6 21 2.1-21.7 ng/mL EZ
Conversion Factor: Nanograms/mL x 4.046 = nanomoles/L
* VITAMIN B1 (THIAMINE), EZ
BLOOD 130 87-280 nmol/L
ZINC, RBC 11.6 9.0-14.7 mg/L EZ
COPPER, RBC 1.00 H 0.53-0.77 mg/L EZ
SELENIUM 132 63-160 mcg/L EZ
CBC (H/H, RBC, INDICES, RGA
WBC, PLT)
WHITE BLOOD CELL COUNT 3.8 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 4.13 3.80-5.10 Million/uL
HEMOGLOBIN 13.0 11.7-15.5 g/dL
HEMATOCRIT 38.1 35.0-45.0 %
MCV 92.4 80.0-100.0 fL
MCH 31.5 27.0-33.0 pg
MCHC 34.1 32.0-36.0 g/dL
RDW 13.5 11.0-15.0 %
PLATELET COUNT 191 140-400 Thousand/uL
IRON AND TOTAL IRON RGA
BINDING CAPACITY
IRON, TOTAL 126 40-175 mcg/dL
IRON BINDING CAPACITY 308 250-450 mcg/dL
% SATURATION 41 15-50 % (calc)
FERRITIN 105 10-232 ng/mL RGA
FOLATE, RBC 468 >280 ng/mL RBC RGA
C-REACTIVE PROTEIN <0.10 <0.80 mg/dL RGA
PREALBUMIN 27 17-34 mg/dL RGA

I don't see B12?

Your D is okay, but I'd be trying to up it, by increasing your Dry D3

I don't see PTH either?

hmmm, I will have to ask her as I am almost postiitive b12 & PTH were on the orders.

I have some Dry D as I was supplementing then it went WAY WAY WAY high, so I stopped, but I can add it back in.  Maybe just a few days a week rather than everyday. 

Try adding it in every other day.... I believe that we typically want it to be between 80 and 130 in spite of their reference ranges.

PTH should be low

and B12 is vital to be up 500 or higher because too low and there can be permanent damage.

A is saggy, too

should A be taken sublingually? 

I bought some from you, sublingual, but it's NAStY tasting and doesn't dissolve, so I swallow it.

No, doesn't have to be.

Only B12 HAS to be sublingual

Oh good... I didn't think it had to be.... so I've been swallowing them.

Will buy pills next time.

Thanks ladies!