Iron lab work

I am going for lab work tomorrow.  I want to be sure I get all I need.  Please tell me what I need to ask for icw Iron.  I think it needs to be broken down, but I do not know what to ask for.   I had RNY 2 1/2 years ago and was not started on Iron.  I put myself on it a few months ago after reading about problems people were having on this site.  I am 62, so it was once thought it was not too much of a problem for older women. Please Help Patricia 262/130 RNY 3/2005 5'1' 62 years old   

Here are Vitalady's recommendations. Lab Tests and Ranges for Gastric Bypass Patients by Vitalad 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* **************************************************************************************************

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.comere are Vitalady's recommendations:

Thanks for posting that. I got here late.

But let me reiterate that what I recommend is not medical advice.

BTW, in order to practice medicine without a license, you must:
1. SAY you are practicing medicine (saying I am a doc, nurse, whatever)
2. charge money for services rendered under that shingle

anything we discuss among ourselvs is simply back fence chatter, like what to take for a cold

Michelle I appreciate your input and understand your comment.  I had labs yesterday.  The nurse (never see surgeon) ordered most of the test on your list.  The lab tech said it read like a grocery list.  LOL   I do not care what they think.  I am more interested in my health than anyone else!!!  I am trying to look out for Number One. Thanks again. Patricia 262/130 5'1" 62 years old 3/11/2007    (2 1/2 years today) 

Nobody cares about you as much as you. For some reason, it takes us awhile to grasp the our docs are taking care of 100 ppl, best as they can, but they can never deliver us the special kind of attention we can give ourselves simply by monitoring our own blood work.

I see you the same size I was at start, 5'1" and 262. My 13th surgiversary is Oct 5