Lab/Vits help please

Have not taken any vitamins in over 8 months and I'm starting to feel the effects.... Vitalady hoping you can give me the kick in the butt I need.. would like to order form you just not sure where to start?????  These were your recomendations that someone emailed  to me the * are my results..... Seeing my surgeon on Thursday and will get updated labs done
                                                 Range 

Protein: 7's                           

6.2-8.3

*6.3

Albumin: 4's                           

3.4-5.2

*3.3

Pre-Albumin: 20-30's

                                                     ?

Iron: 80-100                              

FE 40-150 TIBC 261-478 %SAT 20-55

*Fe 142 TLBC 390 %Sat 36%

Ferritin: 200-300                        

11.0-306.8

*59.8

HGB: 12+                                       

11.4-15.5

*12.3

HCT: 36+                                       

33.7-45.2

*36

Vit A: 60- 80                                  

38-98

*81

Vit D: 80-120                                 

30-100

*42

Calcium: 9.0-9.4                           

8.5-10.5

*9.2

PTH: 20-40                                    

10-65

*20

Vit B1: Mid to top of range            

9-44

*13

Vit B6: Mid to top of range

                                                              ??

Magnesium: Mid range
(but also go by if we have
leg/foot cramping)                       

1.7-2.8

*1.9

Zinc: Mid range                          

60-130

*99

Vit B12: 1000 +                          

180-914

*294

Folate: Top of range                     

>3.0

*7.9

AST (sgot): Below 40                 

0-40

*21

ALT (sgpt): Below 40                 

8-51

*11

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 sent you a PM and will send you Vitalady's RNY schedule. You need to get a handle on that B12 tonight if possible. Sublingual B12 or shots ASAP!

Vitamin D is not looking good, so I'd say 20,000IUs a day minimum or you could do 50,000IUs a day for a couple of months and retest. Don't worry about taking a doctor's prescription for D. They almost always only prescribe an oil based D2 which is worthless to us.

Your protein and albumin are showing you aren't absorbing much protein. Best source of protein we can absorb is whey protein isolate like what you'll find in the Syntrax Nectars, Champion Nutrition, etc. I'd go with a minimum of 120 grams a day or 4 30 gram shakes a day.

Get back on Vitalady's Tender iron and also add a Proferrin ES, or prescription Proferrin Forte.

Since you're already having constipation, you'll want to get some magnesium oxide to go with every calcium dose you take. I'll look for Vitalady's constipation ritual and send it along to you too.

I think if you start back on her basic RNY plan for some of the other things, you'll be fine in time.

--gina

WannA send her the fixit?

It's got those higher doses on it til she can work her way back to the starter version

Your B12 is scary low.  Got numbness and tingling in your hands and feet yet?  Are you exhausted?  Depressed?

I'd start B12 shots right away, 1000 mcg a week for a couple months.

Kelly

Exhausted and depressed YES!!!!

It's your B12.

Kelly