18 Month Lab Work

Here are all my labs. Warning, this will be very long. I have this typed into a spreadsheet but since that won't cut and paste well... I typed this in. Comments are noted where appropriate. I'm very, very happy overall with my results. The handsful of supplements I take is paying off. The big observations are: 1. My protein is now is at 7.1 is down about .4 from my last labs. Lab normal range is 6.0 to 8.3. The difference from my last labs, well I've been slacking on my 3rd protein shake each day. And funny, last year, my protein was 7.1 or so and I added that 3rd shake a day and that brought it up to about 7.5. So, it appears that the extra 30 grams of protein equates to .4 on my protein reading. Interesting, eh? I know that 7.1 is in normal range but I like it at 7.5 which is my pre-op reading. 2. My liver enzymes which were checked a couple of months ago AST was back to normal and were better - ALT was down to 70ish from much more than that are now back up. My AST is now 42 (normal range 3-35) and ALT is now 110 (normal range is 3-40). After some high readings (ALT was over 300), I started taking milk thistle (500 mg twice a day). Milk thistle (sillymarin) helps cleanse the liver. My readings improved quite a bit and doc was happy. I just realized that the new bottle of MT was 175 mg per capsule not 500 mg. So, I'm going to go back to 1000 mg a day and recheck with the doctor. I'm trying to avoid liver biopsy. Have an appointment with my surgeon next week to go over results and will consult with him. Lots of post-ops with elevated liver enzymes. 3. My Vitamin D level is finally up to 44. It had been in the 20s which is technically considered normal but our nutritionists now want it to be a minimum of 40. After reading on the vitamindcounsel.com website... I'm going to try to get that up to 50 by adding one more (small) capsule to each day and see how it goes. 4. My calcium and PTH are doing very well. I had a parathryoid tumor pre-WLS and that messed up my calcium levels and bone density. The tumor has been out about 9 months now and my levels are looking good. Next bone density scan will be February, one year after tumor removal. Hope there is some improvement. Kathy Complete Blood Count (CBC) WBC (reference range 3.8-10.8) - 12/07/2004 (Consult): 7.7, 04/29/2005 (Pre-WLS): 5.5, 09/12/2005 (4 Mos. Post-Op): 6.0, 11/28/2005 (6 Mos. Post-Op): 5.1, 05/16/2006 (12 Mos. Post-Op): 6.9, 11/16/2006 (18 Mos. Post-Op): 5.1 RBC (reference range 3.80-5.10) - 12/07/2004 (Consult): 4.62, 04/29/2005 (Pre-WLS): 4.76, 09/12/2005 (4 Mos. Post-Op): 4.46, 11/28/2005 (6 Mos. Post-Op): 4.31, 05/16/2006 (12 Mos. Post-Op): 4.34, 11/16/2006 (18 Mos. Post-Op): 4.23 Hemoglobin (reference range **** 15.5) - 12/07/2004 (Consult): 13.2, 04/29/2005 (Pre-WLS): 13.2, 09/12/2005 (4 Mos. Post-Op): 12.3, 11/28/2005 (6 Mos. Post-Op): 12.3, 05/16/2006 (12 Mos. Post-Op): 12.8, 11/16/2006 (18 Mos. Post-Op): 13.1 Hematocrit (reference range 35.0-45.0) - 2/07/2004 (Consult): 38.0, 04/29/2005 (Pre-WLS): 39.2, 09/12/2005 (4 Mos. Post-Op): 37.4, 11/28/2005 (6 Mos. Post-Op): 36.8, 05/16/2006 (12 Mos. Post-Op): 37.5, 11/16/2006 (18 Mos. Post-Op): 37.6 MCV (reference range 80-100) - 12/07/2004 (Consult): 82, 04/29/2005 (Pre-WLS): 82.1, 09/12/2005 (4 Mos. Post-Op): 84, 11/28/2005 (6 Mos. Post-Op): 85, 05/16/2006 (12 Mos. Post-Op): 86, 11/16/2006 (18 Mos. Post-Op): 89 MCH (reference range 27-33) - 12/07/2004 (Consult): 28.6, 04/29/2005 (Pre-WLS): 27.6, 09/12/2005 (4 Mos. Post-Op): 27.6, 11/28/2005 (6 Mos. Post-Op): 28.5, 05/16/2006 (12 Mos. Post-Op): 29.6, 11/16/2006 (18 Mos. Post-Op): 30.7 MCHC (reference range 32-36) - 12/07/2004 (Consult): 34.7, 04/29/2005 (Pre-WLS): 33.6, 09/12/2005 (4 Mos. Post-Op): 32.8, 11/28/2005 (6 Mos. Post-Op): 33.5, 05/16/2006 (12 Mos. Post-Op): 34.2, 11/16/2006 (18 Mos. Post-Op): 34.7 RDW (reference range 11-15) - 12/07/2004 (Consult): 14.3, 04/29/2005 (Pre-WLS): 12.9, 09/12/2005 (4 Mos. Post-Op): 15.1, 11/28/2005 (6 Mos. Post-Op): 19.3, 05/16/2006 (12 Mos. Post-Op): 13.6, 11/16/2006 (18 Mos. Post-Op): 13.6 Platelets (reference range 140-400) - 12/07/2004 (Consult): 262, 04/29/2005 (Pre-WLS): 295, 09/12/2005 (4 Mos. Post-Op): 303, 11/28/2005 (6 Mos. Post-Op): 240, 05/16/2006 (12 Mos. Post-Op): 292, 11/16/2006 (18 Mos. Post-Op): 221 Mean PLT Vol (reference range 7.5-11.5) - 04/29/2005 (Pre-WLS): 8.4, 09/12/2005 (4 Mos. Post-Op): 9.0, 11/28/2005 (6 Mos. Post-Op): 9.4, 05/16/2006 (12 Mos. Post-Op): 8.9, 11/16/2006 (18 Mos. Post-Op): 8.4 Comprehensive Metabolic Panel (CMP) Sodium (reference range 135-146) - 12/07/2004 (Consult): 137, 04/29/2005 (Pre-WLS): 142, 08/19/2005 (3 Mos. Post-Op): 138, 11/28/2005 (6 Mos. Post-Op): 140, 03/03/2006 (9 Mos. Post-Op): 139, 05/16/2006 (12 Mos. Post-Op): 139, 11/16/2006 (18 Mos. Post-Op): 141 Potassium (reference range 3.5-5.3) - 12/07/2004 (Consult): 4.4, 04/29/2005 (Pre-WLS): 4.5, 08/19/2005 (3 Mos. Post-Op): 4.7, 11/28/2005 (6 Mos. Post-Op): 4.1, 03/03/2006 (9 Mos. Post-Op): 5.0, 05/16/2006 (12 Mos. Post-Op): 4.3, 11/16/2006 (18 Mos. Post-Op): 4.0 Chloride (reference range 98-110) - 12/07/2004 (Consult): 101, 04/29/2005 (Pre-WLS): 103, 08/19/2005 (3 Mos. Post-Op): 102, 11/28/2005 (6 Mos. Post-Op): 106, 03/03/2006 (9 Mos. Post-Op): 105, 05/16/2006 (12 Mos. Post-Op): 104, 11/16/2006 (18 Mos. Post-Op): 105 Carbon Dioxide (reference range 21-33) 12/07/2004 (Consult): 23, 04/29/2005 (Pre-WLS): 27, 08/19/2005 (3 Mos. Post-Op): 30, 11/28/2005 (6 Mos. Post-Op): 25, 03/03/2006 (9 Mos. Post-Op): 19 L, 05/16/2006 (12 Mos. Post-Op): 26, 11/16/2006 (18 Mos. Post-Op): 28 Glucose (was diabetic pre-op - reference range 65-99) - 12/07/2004 (Consult): 132 H, 04/29/2005 (Pre-WLS): 116 H, 08/19/2005 (3 Mos. Post-Op): 105 H, 11/28/2005 (6 Mos. Post-Op): 92, 03/03/2006 (9 Mos. Post-Op): 86, 05/16/2006 (12 Mos. Post-Op): 91, 11/16/2006 (18 Mos. Post-Op): 76 Urea Nitrogen/BUN (reference range 7-25) - 12/07/2004 (Consult): 11, 04/29/2005 (Pre-WLS): 13, 08/19/2005 (3 Mos. Post-Op): 20, 11/28/2005 (6 Mos. Post-Op): 22, 03/03/2006 (9 Mos. Post-Op): 24, 05/16/2006 (12 Mos. Post-Op): 20, 11/16/2006 (18 Mos. Post-Op): 16 Creatinine (reference range 0.5-1.3) - 12/07/2004 (Consult): 0.6, 04/29/2005 (Pre-WLS): 0.7, 08/19/2005 (3 Mos. Post-Op): 0.7, 11/28/2005 (6 Mos. Post-Op): 0.7, 03/03/2006 (9 Mos. Post-Op): 0.9, 05/16/2006 (12 Mos. Post-Op): 0.9, 11/16/2006 (18 Mos. Post-Op): 0.6 BUN/Creatinine Ratio (reference range 6-25) - 12/07/2004 (Consult): 18, 08/19/2005 (3 Mos. Post-Op): 29.8 H, 11/28/2005 (6 Mos. Post-Op): 31.4 H, 03/03/2006 (9 Mos. Post-Op): 26.7 H, 05/16/2006 (12 Mos. Post-Op): 22.2, 11/16/2006 (18 Mos. Post-Op): 26.7 H Calcium (reference range 8.5-10.4) - Had parathyroid tumor (adenoma) - these tests prior to parathyroidectomy - 12/07/2004 (Consult): 10.8 H, 04/29/2005 (Pre-WLS): 11 H, 08/19/2005 (3 Mos. Post-Op): 11.4 H, 11/28/2005 (6 Mos. Post-Op): 10.3 - These tests after parathyroidectomy - 03/03/2006 (9 Mos. Post-Op): 9.5, 03/20/2006 (9 Mos. Post-Op): 9.3, 05/16/2006 (12 Mos. Post-Op): 9.5, 11/16/2006 (18 Mos. Post-Op): 9.8 Protein, Total (reference range 6.0-8.3) - 12/07/2004 (Consult): 7.5 - After 3 month high protein pre-op diet - 04/29/2005 (Pre-WLS): 8.1 H, 08/19/2005 (3 Mos. Post-Op): 7.4, 11/28/2005 (6 Mos. Post-Op): 7.2 - Added 3rd protein shake a day - 03/03/2006 (9 Mos. Post-Op): 7.5, 05/16/2006 (12 Mos. Post-Op): 7.4 - Been skipping my 3rd protein shake a day - 11/16/2006 (18 Mos. Post-Op): 7.1 - Will be adding my 3rd shake back in! Albumin (reference range 3.5-4.9) - 12/07/2004 (Consult): 4.4, 04/29/2005 (Pre-WLS): 4.8, 08/19/2005 (3 Mos. Post-Op): 4.8, 11/28/2005 (6 Mos. Post-Op): 4.6, 03/03/2006 (9 Mos. Post-Op): 4.6, 05/16/2006 (12 Mos. Post-Op): 4.7, 11/16/2006 (18 Mos. Post-Op): 4.5 Globulin, Calculated (reference range 2.2-4.2) - 12/07/2004 (Consult): 3.1, 04/29/2005 (Pre-WLS): 3.3, 08/19/2005 (3 Mos. Post-Op): 2.6, 11/28/2005 (6 Mos. Post-Op): 2.6, 03/03/2006 (9 Mos. Post-Op): 2.9, 05/16/2006 (12 Mos. Post-Op): 2.7, 11/16/2006 (18 Mos. Post-Op): 2.6 A/G Ratio (reference range 0.8-2.0) - 12/07/2004 (Consult): 1.4, 04/29/2005 (Pre-WLS): 1.5, 08/19/2005 (3 Mos. Post-Op): 1.8, 11/28/2005 (6 Mos. Post-Op): 1.8, 03/03/2006 (9 Mos. Post-Op): 1.6, 05/16/2006 (12 Mos. Post-Op): 1.7, 11/16/2006 (18 Mos. Post-Op): 1.7 Bilirubin, Total (reference range 0.2-1.3) - 12/07/2004 (Consult): 0.5, 04/29/2005 (Pre-WLS): 0.4, 08/19/2005 (3 Mos. Post-Op): 0.4, 11/28/2005 (6 Mos. Post-Op): 0.6, 03/03/2006 (9 Mos. Post-Op): 0.6, 05/16/2006 (12 Mos. Post-Op): 0.4, 11/16/2006 (18 Mos. Post-Op): 0.6 AST (reference range 3-35) - 12/07/2004 (Consult): 15, 04/29/2005 (Pre-WLS): 21, 08/19/2005 (3 Mos. Post-Op): 18, 11/28/2005 (6 Mos. Post-Op): 24, 03/03/2006 (9 Mos. Post-Op): 39 H, 05/16/2006 (12 Mos. Post-Op): 37 H - Was over 50 in June in the hospital but came back down into normal range on it's own and along with taking milk thistle (1000 mg a day). Then noticed my new bottle of MT was lower dosage - 11/16/2006 (18 Mos. Post-Op): 42 H Will increase dosage back to original 1000 mg and see if it improves ALT (reference range 3-40) - 12/07/2004 (Consult): 22, 04/29/2005 (Pre-WLS): 39, 08/19/2005 (3 Mos. Post-Op): 24, 11/28/2005 (6 Mos. Post-Op): 51 H, 03/03/2006 (9 Mos. Post-Op): 73 H, 05/16/2006 (12 Mos. Post-Op): 94 H - Was over 300 in June in the hospital but came back down into the 70s on it's along with taking milk thistle (1000 mg a day). Then noticed my new bottle of MT was lower dosage - 11/16/2006 (18 Mos. Post-Op): 110 H Will increase dosage back to original 1000 mg and see if it improves Alkaline Phosphatase (reference range 20-125) - 12/07/2004 (Consult): 50, 04/29/2005 (Pre-WLS): 53, 08/19/2005 (3 Mos. Post-Op): 60, 11/28/2005 (6 Mos. Post-Op): 57, 03/03/2006 (9 Mos. Post-Op): 51, 05/16/2006 (12 Mos. Post-Op): 35, 11/16/2006 (18 Mos. Post-Op): 31 Iron (reference range 35-175) - 08/19/2005 (3 Mos. Post-Op): 77, 11/28/2005 (6 Mos. Post-Op): 56, 05/16/2006 (12 Mos. Post-Op): 47 - Switched from 2 Vitron-C (66 mg each elemental iron (132 mg total) - ferrous fumerate) to 8 Tender Iron (25 mg each elemental iron (200 mg total) - carbonyl iron) - 11/16/2006 (18 Mos. Post-Op): 86 TIBC (reference range 250-400) - 08/19/2005 (3 Mos. Post-Op): 308, 05/16/2006 (12 Mos. Post-Op): 320, 11/16/2006 (18 Mos. Post-Op): 300 % Saturation (reference range 15-50) - 08/19/2005 (3 Mos. Post-Op): 25, 05/16/2006 (12 Mos. Post-Op): 15, 11/16/2006 (18 Mos. Post-Op): 29 UIBC (reference range 110-370) - 08/19/2005 (3 Mos. Post-Op): 231, 05/16/2006 (12 Mos. Post-Op): 273, 11/16/2006 (18 Mos. Post-Op): 214 Ferritin (reference range 10-232) - 08/19/2005 (3 Mos. Post-Op): 121, 11/28/2005 (6 Mos. Post-Op): 154, 05/16/2006 (12 Mos. Post-Op): 157, 11/16/2006 (18 Mos. Post-Op): 141 Hemoglobin A1C (reference range < 6.0) - 08/19/2005 (3 Mos. Post-Op): 5.5, 11/28/2005 (6 Mos. Post-Op): 4.8, 11/16/2006 (18 Mos. Post-Op): 5.1 Lipid Panel Cholesterol (reference range < 200) - 11/28/2005 (6 Mos. Post-Op): 100, 05/16/2006 (12 Mos. Post-Op): 129, 11/16/2006 (18 Mos. Post-Op): 149 Triglycerides (reference range < 150) - 11/28/2005 (6 Mos. Post-Op): 57, 05/16/2006 (12 Mos. Post-Op): 76, 11/16/2006 (18 Mos. Post-Op): 38 HDL Cholesterol (reference range > 39) - 11/28/2005 (6 Mos. Post-Op): 37 L, 05/16/2006 (12 Mos. Post-Op): 51, 11/16/2006 (18 Mos. Post-Op): 66 LDL Cholesterol (reference range 0-100) - 11/28/2005 (6 Mos. Post-Op): 52, 05/16/2006 (12 Mos. Post-Op): 63, 11/16/2006 (18 Mos. Post-Op): 74 Magnesium (reference range 1-5-2.0) - 03/03/2006 (9 Mos. Post-Op): 1.8, 05/16/2006 (12 Mos. Post-Op): 1.8, 11/16/2006 (18 Mos. Post-Op): 1.6 Phosphorus (reference range 2.5-4.5) - 03/03/2006 (9 Mos. Post-Op): 4.3, 11/16/2006 (18 Mos. Post-Op): 3.6 PTH, Intact (reference range 10-65) - Had parathyroid tumor (adenoma) - these tests prior to parathyroidectomy - 12/07/2004 (Consult): 60, 04/29/2005 (Pre-WLS): 122.8 H, 08/19/2005 (3 Mos. Post-Op): 40, 11/28/2005 (6 Mos. Post-Op): 67 H - These tests after parathyroidectomy - 03/20/2006 (9 Mos. Post-Op): 35, 11/16/2006 (18 Mos. Post-Op): 35 T3, Free (reference range ) This test after partial thryoidectomy (no meds) - 03/03/2006 (9 Mos. Post-Op): 2.37 T4, Free (reference range 0.8-1.8) - 08/19/2005 (3 Mos. Post-Op): 1.01 - These tests after partial thyroidectomy (no meds) - 03/20/2006 (9 Mos. Post-Op): 1.10, 11/16/2006 (18 Mos. Post-Op): 1.28 TSH (reference range 0.4-5.5) - 12/07/2004 (Consult): 1.938, 04/29/2005 (Pre-WLS): 0.803, 08/19/2005 (3 Mos. Post-Op): 1.400 - These tests after partial thyroidectomy (no meds) - 03/20/2006 (9 Mos. Post-Op): 3.165, 11/16/2006 (18 Mos. Post-Op): 2.4 Vitamin A (reference range (38-98) - 08/19/2005 (3 Mos. Post-Op): 52, 05/16/2006 (12 Mos. Post-Op): 65, 11/16/2006 (18 Mos. Post-Op): 57 Folate, Serum (reference range > 5.4) - 11/28/2005 (6 Mos. Post-Op): > 24.0, 05/16/2006 (12 Mos. Post-Op): > 24.0, 11/16/2006 (18 Mos. Post-Op): > 24.0 Vitamin B12 (reference range 200-1100) - 11/28/2005 (6 Mos. Post-Op): 1477 H, 05/16/2006 (12 Mos. Post-Op): 1179 H - Increased sublingual B12 - 11/16/2006 (18 Mos. Post-Op): > 2000 Vitamin D, 25-Hydroxy (reference range 20-100) - 08/19/2005 (3 Mos. Post-Op): 23 - (checked many times along with calcium and PTH) Increased to 800 ius Vitamin D (dry) - 11/16/2006 (18 Mos. Post-Op): 44 - Increased to 1200 ius Carotene, Serum (reference range 6-77) - 11/16/2006 (18 Mos. Post-Op): 23 Selenium (reference range 110-160) - 05/16/2006 (12 Mos. Post-Op): 83 L - Added supplement 200 mg/day - 11/16/2006 (18 Mos. Post-Op): 139

You go Kathy. I really feel that you calling is in the medical field..( yessss..i know your degree is in computers) but you are so knowledgeable on all this stuff you put me to shame girl !!! You need to be giving online consultations or something !!! Big hugs..Hope you and Rich had a nice Thanksgiving !!! I HATED it..was torture..Hopefully it will get easier !! Dana

When I grow up I want to be a nurse, doctor, physician's assistant, psychological counselor, nutritionist or something like that.... LOL! T-day was nice. Thanks! It was a small event with gastric bypass friendly food choices so no torture here. Sorry yours was rough. Hugs, K