Lab Help Please

I finally received a copy of my labs. I have no idea what they mean. Some look high  normal to me but I'm not sure if that is good or bad. Can someone help me with these? Here they are:
....................................    Actual            Reference
WBC...........................     4.1              4.0-10.5
RBC...........................     3.88            3.80-5.10
Hemoglobin.............     12.2            11.5-15.0
MCV...........................     96                80-98
MCHC.......................      32.9            32.0-36.0
RDW..........................     14.1             11.7-15
Neutrophils...............     38 (Low)    40-74
Lymphs......................     51 (High)   14-46
Neutrophils (Absolute)  1.5 (Low)  1.8-7.8
Glucose, Serum..........    86                65-99
Chloride, Serum..........   105             97-108
Potassium, Serum......    3.7             3.5-5.2
Protein, Total Serum...    6.8             6.0-8.5
Bilirubin, Total..............    0.4             0.0-1.2
Cholesterol, Total........    182           100-199
Triglycerides.................      45            0-149
HDL Cholesterol.........       79            >39
VLDL Cholesterol Cal         9             5-40
LDL Cholesterol Calc       94             0-99
Vit B12..........................     1999 High  211-946
Hemoglobin Alc..........      5.3              4.8-5.6
Vit D...............................       28.4           32.0-100.0
Iron, Serum..................       49               35-155
Ferritin, Serum............        135             13-150

Can someone tell me if I need to cut back on somethings, add somethings, etc. The bold are the same way on my paper. The RN told me to cut my B12 dose in half. Other than that I'm fine. Well I'm not sure looking at these numbers. By the way, I recorded the numbers that look high or low to me. I appreciate your help. Thank you

I'm no expert here.  Hopefully Gina will chime in soon but a few things do stand out.  First, do you have any results from previous visits?  It helps to see if your levels are going up or down.  Being in the normal range is not the only indication of problems but seeing if they are trending down is important.
Here is a link to Vitalady's recommendations on lab targets.  https://docs.google.com/Doc?docid=0AU46vLsRDC9rZGhranhtcXpfO GNxcDk2c2c0&hl=en&pli=1
Your B12 should be ok.  It is fine if it is high.  It shouldn't hurt to cut back a little, though.
Your D is pretty low.  It should be at least over 80 although I am aiming for over 100.  The prescription D is D2 and won't do you any good.  You want to go to vitalady.com and get her dry D3.  I take the D50, which is 50,000iu.

Thanks Laddytazz, this is my first lab draw at 6 months so I don't have a trend yet. I'm not sure how often then do them either. I will have to ask.  I will look at the dry D3 at Vitalady.com. I've heard they had good products. I have been using up what I currently have and waiting for these results before I ordered new stuff. I will keep these in a book so I can look for trends.

Don't cut your B12. It's a water soluable vit and it's easy to go down FAST on it.

My surgeon said not to worry about Neutrophils, Lymphs or Neutrophils. I think those only matter if other values are off too.

So they didn't tell you to supplement Vitamin D?? Your's is not just low, but out of the old range which is lower than the current thinking. The current range for normies is 55-150. I like to keep mine above 70 but under 100. So yours is WAY LOW compared to 55 or 70 or the 80 that some people like to be above.

Your ferrtin is nice but your iron is at the low end of normal. This could be a sign that you aren't supplementing enough, especially if it was higher pre-op. If it was me, rather than waiting to see if it goes out of range and maybe ferritin tanks too, I'd increase my supplement now and see how it looks in 6 months to a year.

Nice cholesterol numbers too.

Also, do you have more  labs coming because that's only about half what I get done? You need calcium and PTH, for sure.

MacMadame, thanks so much. I didn't record everything except things that looked high or low to me or what they said was high or low. She said to keep taking my one Vit D a day. She said it was a little low. I've always been anemic and on iron. I could increase my iron to 2 pills a day or at least 2 every other day. I'm going to get some of the vitalady Vit D to see if that helps with those levels.  I wasn't sure about the Cholesterol numbers so thanks. That helps. My calcium is 9.6 and the range is 8.7-10.2  I don't see PTH on here and I don't know what it stands for.

With high calcium and low Vitamin D, you want to make sure your PTH isn't high as well. If you have that combo, that means your body is pulling calcium from your bones to make your blood have enough. The solution is more Vitamin D and more Calcium. Yes, MORE calcium to lower your calcium! I know it's counter-intuitive.

I'm not sure what PTH stands for. Para-something. Gina might know.

PTH = parathyroid, which has nothing to do with THYROID, as you know it. These are 4 tiny things and they do not do the same job as thyroid. They just live in the same neighborhood (near your throat)

Which vit D are you taking, and how much? Which iron, how much, how taken?

We'd prefer calcium to be a hair lower, but yes, you take more to make it take up residence in the organs and tissue. The higher the number, the more of it is free floating in the blood, headed toward the organs. Primary mission: keep the heart beating. The heck with bones, teeth, etc. So, we keep plenty of calc citrate, vit D on board. Brings the D up, calc and PTH down, which is how a happy family should look.

WHere have you ever seen a vitamin D range of 55 to 150?  Yes, I like to keep mine between 80 and 100 but no labs has those ranges.  I go to several different labs - Quest, lab corp, Shiel, 2 different hospitals and my Endocrinologists office lab and they all have a range of 30-100.  I would love to see a lab report with a range of 55-150.  Any report I have ever seen says Toxic over 100.

I also dont' know a surgeon would say to never worry about Neutrophyls being low and lymphocytes being high - this is a sign of infection.  I was in the hospital last month for kidney stone surgery and they actually had me in private room because I had low neutrophyls.  Many times the Neutrophyl % will be off but the absolutes aer fine and that usually means it is okay but in her case both are off the % and the absolute - that isnt' normal

The labs are behind the times. Vitamin D Council and a few other medical groups are recommending that the ranges be raised to 50-55 as the bottom and 100-150 at the top.

Toxic is anything over 250-280, btw. I've never seen a lab say anything over 100 is "toxic". They just put H by it. Not that I care. They are labs, not doctors or medical experts.

As for things like Neutrophyls, you have to look at the big picture. If nothing else is there that indicates a problem, it's not an issue. If other indicators are there that there is a problem, then the doctors get more excited.

My neutrophyls have been Low and my Eosinophil High for the past two years and neither my PCP nor my surgeon got excited about it. My lymphocytes were low last year too (but not the year before). Both my surgeon and my PCP told me not to worry about it when I brought it up, independently of each other.

I would still like to see where you are getting this  information with the vitamin D levels - toxic over 250-280?  are you kidding me?  My D came back greater than 150 - couldn't measure it and it read toxic.  My Endo said my level was way too high - causes kidney stones and sure enough, 2 weeks later I was in surgery having emergency surgery for kidney stones.  3 months earlier, I had a CT scan and I had none, so they grew really quickly and I had/have lots of them. Still have to have more surgery for the other side which aren't obstructing.

According to my Hematologist - a specialist in blood disorders - having continually low neutrophyls need to be looked into especially if they are the absolutes. You need to watch your labs and see how low your Neuts are and if they continue - I would see a hematologist  Low lymphocytes usually just mean a viral infection.  High eosinophils are a totally different thing.  I just had a lab with high eosinophils and my allergist was very concerned.  He had me repeat the labs 2 weeks later and am waiting for the results. High eosinophils can be a number of things - as simple as an allergic response to something, can be due to parasites or can be due to various cancers.  Normal is up 5, mine was 11.8 which is very high.  When my allergies are bad, I have had levels of 7 but never this high.