Low Vitamin D
Michele,
The following is from Vitalady. The recommended levels are at the bottom. I wasn't that high on Vitamin D but my labwork indicated that I was in range for someone who was supplementing. My hemotologist wasn't concerned at all (that doesn't mean he shouldn't be - 1 doctor can't know it all). It's great that you're doing your research.
Part of the problem for RNYs is absorbing oil based vitamins. Vitalady does sell DRY vitamins which absorb better for us.
Here is the information with her website address as well. You can also e-mail her as she is always happy to help!
I hope this helps you! Lab Tests and Ranges for Gastric Bypass Patients by Vitalady [Edit Post] on August 9, 2007 4:07 pm Published
Not to be construed as medical advice, this list includes labs we have had performed as gastric bypass patients:* 10231 - comprehensive metabolic profile (sodium, potassium, chloride, glucose,BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase)
* 84134 - pre-albumin
* 7600 - lipid profile (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)
* 10256 - (hep panel, includes ALT (SPGT) & GGT)
* 593 - LDH
* 718 - phosphorous – inorganic
* 83735 - magnesium
* 905 - uric acid
*7444 - thyroid panel (T3U, T4, FTI, TSH)
* 1759 - hemogram with platelets
* 7573 - iron, TIBC, % sat
* 457 - ferritin
* 945 - zinc
* 921 - vitamin A
* 680 – D (25-hydroxy)
* 4052 - vitamin B-1 (thiamin)
* 84207 – vitamin B-6 (Pyridoxine)
* 7065 - B-12 & folate
* 83970 - serum intact PTH
*31789 - homocysteine, cardio
* 83921 - MMA
* 367 – cortisol
* 84255 – selenium
For diabetics: *496 - HEMOGLOBIN A1C
DIAGNOSIS CODES:
269.2 hypovitaminosis
244.9 hypothryoidism
268 vitamin D deficiency
250.0 diabetes
401.9 hypertension
276.9 electrolyte and fluid disorders
579.8 calcium malabsorption
579.8 intestinal malabsorption
272.0 hypercholesterolemia
275.40 calcium deficiency
266.2 cyanocobalamin deficiency
280.9 iron-deficiency anemia
269.3 zinc deficiency
281.0 pernicious anemia
281.2 folate deficiency anemia
281.1 other B12 deficiency anemia
285.9 anemia, unspecified
By preference, do not use *579.3 surgical malabsorption*
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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: 60-80
calcium: 9-0-9.4
PTH: 30-40
B1: mid- to top- range
B6: mid- to top- range
mag: mid-range
zinc: mid-range
B12: 1000 +
folate: 10-20
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.
Thanks,
Michelle
Vitalady, Inc. ™
http://www.vitalady.com
I have two sides to my brain - a right side and a left side. The trouble is sometimes there is nothing left in the right side and nothing right in the left side.
Post-Op RNY 6.5 years
HW 252 GW 140 CW 140
While some are taking some D3 in their calcium, we start our proximals AND bands on 10,000 IU of dry form D3. (that's two 5,000's) and even so, it may not be enough. The sun might raise your level 2-3 pts, maybe even 12 pts, but if you are 40 points below normal, that's not much help.
Dry form vit D3 comes in as high a dose as 50,000 units (and is still a teensy pill). The rx vit D 50,000 is vit D-TWO and it's in oil, so fairly useless to us.
being a proximal rny does not save you from malabsorption of the fat soluble vites. A, D & E still need to be addressed sparately from your multis, calcium citrate + D and your iron + C.
Yes, some bone or joint pain, sluggishness and moodiness acan be among the signs of low D. The bright side is that once you start taking a high enough dose of the RIGHT D, you can actually feel a hair better in a week. Not like a power surger or anything, but just "less bad".
Michelle
RNY, distal, 10/5/94
P.S. My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.
