I no longer have a bariatric surgeon and my PCP recently attended a conference and they told him he needed to be doing more labs on me, this is according to him.  I would like a list of what all needs to be done to take to him this week when I see him.  Hope all you all are doing great,  I need to come back and read and post more often and get back with the program.  Thanks in advance. 

A list of labs and targets is available at the Vitalady web site.  Her site is a great place to learn about surgery and to buy vitamins. 

Vitalady's Lab List and Recommended Ranges

posted 1/19/10 10:52 am

From Michelle (vitalady)
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.

 1^st 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:

2^ND 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

I don`t see a CBC on here?           and do we need all these tests?     

PT , PTT, MMA, Homocysteine, Hep Panel, (he says it is in the CMP)I think he means ALT and AST? 

Osteocalin, C Reactive, cardio to name a few ?

My PCP does alot of these tests but he doesn`t do these , he does include a CBC

White Dove, do you have all these labs?

Hi Bucketta,

I have used vitalady's lab list for years and it has worked well.  Thanks WhiteDove for sharing.   The key thing to remember is check your labs and if there has been a decline on any of them that I when to take action. Normally the PCP will wait until you drop below the "range" but for us any sign of decline is a red flag.  Be sure and share this with your PCP.

Good luck to you

Thank you all, I had been to her site and tried to find them and never could.  I appreciate you posting them.  I do order from her often. 

Is their an actual link for this list? I can never find it either, and I'd like to bookmark it.

There used to be a link but it does not work anymore.  I keep them in a Word document.

Thank you very much.  I took the list to my doctor and he disagreed and said all those were not necessary unless you are having problems,  well I am not and he does most of the first section and parts of the other, so I am OK with that.  

HERE is Pam Tremble's list. She is very knowledgeable.

Pams` list is from Vitaladys` site, but there is no link to Vitaladys`,  so glad you posted Pams link !!

Poet Kelly also has a very good shorter version of labs.