Lab Help Please

 "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? "

Yes, I'm totally kidding you. I pulled those numbers out of my butt... because that's my style. 

As I said previously, the 200-250 number (not 250-280) came from the Vitamin D council. It's right here:

http://www.vitamindcouncil.org/about-vitamin-d/what-is-vitamin-d/vitamin-d-toxicity/

They also say:

The large range between 25(OH)D’s upper limit [100] and its threshold value implies a degree of safety at serum levels up to 100 ng/mL (250 nmol/L), since concentrations twice this amount have yet to ever be associated with toxicity.

IOW, while 200-250 is listed as the toxic range, no one has ever seen symptoms of toxicity at 200 ng/mL. This is also reported in a Wikipedia article which says:

Based on the non-observation of toxicity at daily intakes of up to 50,000 IU per day, leading to calcidiol levels of more than 600 nmol/L, and the similar effect of supplementation and whole body exposure to one erythemal dose, some researchers argued in 2007 that 250 micrograms/day (10,000 IU) in healthy adults was guaranteed to be safe and can thus be adopted as the tolerable upper limit.^[103] Published cases of toxicity involving hypercalcemia in which the vitamin D dose and the 25-hydroxy-vitamin D levels are known all involve an intake of ≥40,000IU (1000 mcg) per day.<sup>[100]

I don't usually quote Wikipedia but the studies referenced are reasonable.

Also, according to WedMD, the NIH lists 200 ng/mL as "potentially toxic". Not 150. And only "potentially".

So there are a few sources, including the mainstream one of WedMD and the NIH who all dispute >150 as being toxic and they also suggest that while 200-250 is considered toxic that there actually isn't a lot of evidence to support that and actual toxic levels are probably higher, much higher.

VitaLady frequentlyl posts that toxic levels are more like 800. I don't know where she got that number, but I figured I'd stay with the Vitamin D council and the NIH for what I post to be conservative.</sup>

I don't see vitamin B-1 (thiamine) or Vitamin A.

It says Vit B1 (Thiamine) and Vit K1 will follow but I don't see that they took a Vit A test.

B12 is beautiful
vit D is a disaster

Where's the rest?

Here are the others.......Reults...............Reference
Hematocrit........................37.1..................34.0-44.0
MCH...................................31.4...................27.0-34.0
Platelets.............................200...................140-415
Monocytes..........................7.........................4-13
Eox.......................................3.........................0-7
Basos..................................1........................0-3
Lymphs (Absolute)...........2.1.....................0.7-4.5
Monocytes (Absolute).......0.3...................0.1-1.0
Eos (Absolute)..................0.1....................0.0-0.4
Baso (absolute)................0.0....................0.0-0.2
Immature Granulocytes (abs) 0..............0-2
Vit A & E will follow
BUN.....................................11......................6-24
Creatinine, Serum............0.78................0.57-1.00
eGFR in Non African Am..95....................>59
eGFR If African Am...........109...................>59
BUN/Creatinine Ratio.......14.....................9-23
Sodium, Serum................141....................135-145
Carbon Dioxide, Total.......20.....................20-32
Albumin, Serum.................4.5....................3.5-5.5
Globulin, Total....................2.3....................1.5-4.5
A/G Ratio.............................2.0.....................1.1-2.5
Alkaline Phosphatase......80......................25-150
AST (SGOT)........................15.......................0-40
ALT (SGPT)........................25........................0-40
Folate (Folic Acid), Serum >19.9...................>3.0

That's all that I have on this paper right now. I hope this helps. I still feel tired and I don't know why. I'm getting 7.5-9 hrs sleep most nights. I thought this would help me determine what could be the problem. I'm going to your site to order Vit D3 payday.
Thanks for your help.

One cause of fatigue is low Vitamin D.

First off, I would call your PCP and ask about your low Neutrophils and high Lymphs.  They aren't off by that much but it can be a sign of infection and your WBC are borderline low. The more important of the numbers it the absolute neutrophyls.

Your B12 is perfect - I wouldnt' touch it.  There is no danger in having a high number, just pee out excess but cutting your dose in half, will plummet your number which is not good. Low b12 levels puts you at risk for nerve damage. I Would go with high vs low anytime.

Your vitamin D is very low - go ahead and order the Dry D3 - 50,000  units - take it 2 times per week to start and get retested in 2months to see how you are doing then.

You are missing tons of tests - vitamin A, B1, B6, E, K, copper, zinc, magnesium, selenium, PTH, calcium, folate

I will call and see if she has them because I had them drawn and sent to the Weight Loss Clinic. I can fax them to her. OK, I will keep taking 2 B12 a day. The RN was the person who said cut back to one a day or take 2 every other day. Some of the test had not been completed. I'm not sure when they will be faxed since I did this test at August 1st at Lab Corp (independent lab). I will try to call them to see when the test that say "will follow" may come in. That was the Vit  A & E, B1, & K1. I'm not sure if they ordered copper, zinc, magnesium, selenium, & PTH. Calcium was 9.6 and Folate is 19.9. These things are confusing for a newby.