Lab Work - Suggestions??

lerkhart
on 11/29/10 10:51 am, edited 11/29/10 11:00 am
Here is my lab work from my PCP so it does not include everything.  She only checks some things and for some reason won't do the list I tried to give her.  She took me off the cholesterol medicine and is retesting my AST & ALT next week.

I know I need to get the Milk Thistle and start taking it.  Any other suggestions?
Lab Work Reference Range 6/18/09 7/8/10 11/9/10
HGB 11.5 - 15.0 14.70 14.20 14.00
HCT 34.0 - 44.0 44.50 42.30 41.70
MCV 80.0 - 98 89.00 94.00 93.00
MCH 27.0 - 34.0 29.40 31.60 31.10
MCHC 32.0 - 36.0 33.00 33.60 33.60
RDW 11.7 - 15.0 13.40 13.90 13.60
Platelets 140 - 415 260.00 228.00 209.00
MPV 6.0 -11.0 10.20    
WBC 4.0 - 10.5 10.10 5.40 4.60
RBC 3.80 - 5.10 5.00 4.50 4.50
Sodium 135 - 145 139.00 142.00 141.00
Potassium 3.5 - 5.2 3.70 4.00 4.50
Choloride 97 - 108 99.00 103.00 103.00
C02 20 - 32 28.00 27.00 26.00
Glucose 65 - 99 92.00 86.00 81.00
BUN 5 - 26 19.00 25.00 26.00
Protein, Total,BLD 6.0 - 8.5 7.80 7.10 7.00
Albumin 3.5 - 5.5 4.50 4.50 4.40
ALT 0 - 40 25.00 108.00 132.00
AST(SGOT) 0 - 40 16.00 33.00 50.00
ALK Phos. 25 - 150 75.00 71.00 63.00
Bilirubin, Total 0.0 - 1.2 0.60 0.60 0.40
Calcium 8.7 - 10.2 10.80 9.40 9.80
Creatinine 0.57 - 1.00 0.90 0.71 0.72
eGFR >59 >60 >59 >59
Globulin 1.5 - 4.5 3.30 2.60 2.60
Albumin/Globulin Ration 1.1 - 2.5 1.40 1.70 1.70
Bun/Crea Ratio 8 - 27 21.10 35.00 36.00
Anion Gap 12.00    
Ferritin 13 - 150 63.60 201.00  
Folate >3 18.20 >19.9  
Glycohemoglobin A1C 4.4 - 6.4 6.10 5.70 5.70
H. Pylori.   Negative    
Cholesterol 100 - 199 229.00 168.00 156.00
HDL >39 48.00 54.00 52.00
Chol/HDL Ratio 0.0 - 2.9 4.80    
LDL, Calculated 0 - 99 90.00 99.00 89.00
Triglyceride 0 - 149 453.00 75.00 73.00
Non-HDL Cholesterol 181.00   104.00
Magnesium 1.6 - 2.6 2.30 2.20  
Methylmalonic Acid 73 - 376 260.00 117.00  
Prealbumin 20 - 40 37.00 24.00  
PTH, Intact 15 - 65 22.90 20.00  
TSH 0.49 - 4.67 1.45 2.17  
Vitamin B1(Thiamine) 66.5 - 200.0 72.10    
Vitamin B1(Thiamine) Plasma 4.0 - 20.0   24.60  
Vitamin B12 211 - 946 >1200 1710.00  
Vitamin D, 25-OH 32.0 - 100.0 24.20 78.50  
Zinc 70 - 150 94.00    
14.5 lost pre-surgery  5'1 1/2"                                      LW-Apple-Gold-Small.jpg image by PlicketyCat
MajorMom
on 11/29/10 6:00 pm - VA
Your D and PTH look very nice. I'm not sure why your calcium number is going back up rather than staying around 9.2. Perhaps add another dose of calcium with magnesium.

Don't let her scare you off your B12. It's fine.

What are you taking for your iron? Your ferritin score jumped like crazy. Did she not run an iron serum?

Yep, add milk thistle.

--gina



 

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Starting BMI between 35 and 40ish? 
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Price S.
on 11/29/10 8:52 pm - Mills River, NC
What does Milk Thistle do?

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lerkhart
on 11/29/10 9:58 pm
Is the calcium with magnesium my calcium chews?  Or do I need to get something else?

I still do my B12 everyday because I feel better when I do this.

I take the Bariatric Advantage Chewable Iron tablet in the morning on a totally empty stomach.  She only runs certain things every 3 months it really doesn't have anything to do with my WLS.  She has always done these.

Do I just take one of the Milk Thistle?  Can I take it anytime or does it have to be away from certain things?

Thanks

Linda
14.5 lost pre-surgery  5'1 1/2"                                      LW-Apple-Gold-Small.jpg image by PlicketyCat
Jody ***
on 11/29/10 10:34 pm - Brighton, MI
RNY on 10/21/08 with
Linda - I take the Milk Thistle too for elevated liver enzymes (ALT/AST).  I had the pills but they are BIG and had a problem choking them down - I also didn't know how much to take... and breaking the capsules open was just downright NASTY!!

So... I got the liquid form at Vitamin World - and its much more concentrated.  I take 1 or 2 droppers of it in the morning (which would be the equivalent of a bunch of pills) with my liquid B complex, hold it under my tongue for a minute before swallowing.  I know it has helped my levels go down some.  I've upped the amount I take to see if it helps get me back in the "normal" range.

After reading about NASH yesterday that someone posted on the board here, I wonder how common that is for us post-WLS patients?  I haven't done any research on it, but probably will.

HW-218/SW-208/CW-126/ Lowest Weight-121/Goal-125 - hit 8/23/09/Height-5'3"

Regain 30 lbs from 2012 to 2016 - got back on track and lost it.  Took 8 months. 
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Starting BMI between 35 and 40ish? 
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lerkhart
on 11/29/10 10:41 pm
Thanks Jody,
I just went back and read the post about NASH.  I had a fatty liver prior to surgery.  They found it a couple of years ago when running a lot of tests.  When I had my surgery, the surgeon said my liver looked good and had shrunk considerably so hopefully it is ok now, but I need to be careful with it.

I'm going to my surgeon next week and think I'll talk with him about this also.

I'll have to see if GNC has the liquid.  We don't have a Vitamin World here.  I'd have to order it on line.  Does the liquid taste nasty???

Linda
14.5 lost pre-surgery  5'1 1/2"                                      LW-Apple-Gold-Small.jpg image by PlicketyCat
Jody ***
on 11/30/10 10:58 pm - Brighton, MI
RNY on 10/21/08 with
It doesn't taste as nasty as the pills do when they dissolve in your mouth - YUK!!

HW-218/SW-208/CW-126/ Lowest Weight-121/Goal-125 - hit 8/23/09/Height-5'3"

Regain 30 lbs from 2012 to 2016 - got back on track and lost it.  Took 8 months. 
90+/- pounds lost      
BMI - 24 or so
Starting BMI between 35 and 40ish? 
Join us on the Lightweights Board!

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