update and checking in

Hi All,

I've been around only a bit lately but wanted to check in and update.  So things are going pretty well!  I went to my 3 month follow up this morning and I was 178!  HOORAY!  I am happy with my rate of weight loss and all my vitamin levels/labs were perfect and I am getting enough protein/fluids but would like to try to up my exercise a bit, but otherwise all is good.

So, there are only 2 issues that I am dealing with.  One, my hair is falling out in clumps!  My doc put me on biotin and said to just hang in there and my body will even out in a few months and that should taper off and come back.  From what I hear on here that is most likely true, so I won't worry too much.

The other issue (not even sure it is weight loss related) is a bit of a mystery.  I had an episode about three weeks ago where the entire back of my head went numb and radiated through the back of my ears.  Very strange, lasted about a minute and went away.  No big deal right?  Well the next week it happend twice, and with it came a dull pressure in the back of my head.  I took a tylenol thinking it was just a stress headache and didn't touch it at all.  so this past week, even more frequent, dizzy when I stand up too fast (I get those spots in my eyes and have to refocus, etc) and this numbing is more frequent and even one of my legs went numb yesterday.  The PA wasn't sure and the doc was busy.  since my labs were all good, she said she would corner the doc today and give me a call but she couldn't think of any reason for that to happen and I should mention it to my PCP.  Just wondering if any of you have any thoughts??

All in all though things are well!!!  Thanks all if you made it this far!
Ann Marie

Sounds like you're doing great. I've heard of folks having weird tingly feelings here and there after surgery...maybe it was that and probably nothing to worry about.

If you got a copy of your labs, I'd love to see the numbers.

--gina

Hi Gina,

Thanks!!  I do have a copy (hard copy) with 2 pages of info.  Here is what I have:

Glucose 96
Urea Nitrogen 12
Creatinine 0.77
eGFR >60
Sodium 141
Potassium 4.0
Chloride 106
CO2 9.0
Vitamin D 46 (D3 21 / D2 25)
B1 139
WBC 7.8
RBC 4.86
Hemoglobin 15.3
Hematrocrit 45
MCV 92.4
MCH 31.4
MCHC 34
RDW 12.9
Platelet Count 223
MPV 9.3
Abs Neutrophilis 4781
Abs Lymphocytes 2254
Abs Monocytes 530
Abs Eosinophils 179
Abs Basophils 55
Neutrophils 61.3
Lymphocytes 28.9
Monocytes 6.8
Esoinophils 2.3
Basophils 0.7
Iron total 56
Iron Binding Capacity 333
% saturation 17
Vitamin B 12 543
Folate 14.2
C-reactive Protein 0.36

I don't understand it all but for the reference ranges, looks like all are within range?

Any input would be great!  Thanks again!!
Ann Marie

Cool!!  I see 3 things that you might want to work on and increase or start supplementing: D3, folic acid and B12. You want your D coming in close to 100, your folate >20 and your B12 over 1000. Your hemoglobin and hematocrit are very nice but your iron serum is a little saggy. You want your iron around 80 - 100. If your D is a little low you might want them to also check your vitamin A soon.

Not bad otherwise. Rock on!

--gina

Thanks so much!!!

I went to Vitalady's website to look at what to order, but when I click on Iron, there are a few choices, etc....  hate to be a pest, but can you recommend brands/types of the D3, folic acid, B12 (I am taking one sublingual a day  now) and Iron I should take?

Totally appreciate all of your help!!!
Ann Marie

Sorry, I had to go back to work where we are blocked and I couldn't answer you back right away.

What Vitalady recommends for RNY folks is 1 - 1,200mcg Folic Acid sublingual, 4 - 5,000IU D3, and 6 -  25mg Tender Iron chewable. Here's the link to her RNY plan: https://docs.google.com/Doc?docid=0AU46vLsRDC9rZGhranhtcXpfN mhuYmh4c2Nr&hl=en  It's on Google docs so you may have to sign up for it, I'm not sure.

--gina

Thank you SO much Gina!  This is fabulous help!!

The hair is, well, happening to a lot of us.

the other may be related to blood pressure.  Was it high? are you still on meds for High?  You may want to check in with your PCP to be sure it isn't something you don't want to ignore for long.

Otherwise, sounds like you are doing great.

Hi Price,

BP is good (always was and never on meds for that thankfully).  Pre op was 112 / 70  and last week at my PCP it was 102 / 68.  Good thought though.  Just a scary feeling (i think I get neurotic and automatically go to brain tumor, you know?) 

Thanks again!!!
Ann Marie