6 month labs

Here are my 6 month labs -- would you give me your opinion??? I see protein needs to come up and a couple others... sorry for the paste job! NP left a message last night to push the fluids because some labs pointing to slight dehydration -- I have to call Monday to talk to her and get further info...

7/28 11/7/2011
WBC 5.4 6.6
RBC 4.65 4.37
Hemoglobin 14.1 13.5
Hematocrit 41.9 39.2
MCV 90.1 89.7
MCH 33.6 34.5
RBC Distribution 11.9
MCHC
RDW
Platelets 204 203
Mean Platelet Volume 8.9
Neutrophils
Lymphs 30
Monocytes 8
Eos 1.5
Basos 0.4
Neutrophils (Absolute)
Lymphs (Absolute) 25.4
Monocytes (Absolute) 8.7
Eos (Absolute) 1.7
Baso (Absolute) 0.6

Glucose, Serum 78
BUN 22
Creatinine, Serum 0.68
BUN/Creatinine Ratio 32
Sodium, Serum 135
Potassium, Serum 3.8
Chloride, Serum 101
Carbon Dioxide, Total 25
Calcium, Serum 9.1
Osmolality (calc) 285
Protein, Total, Serum 6.7
Albumin, Serum 3.8
Globulin, Total
A/G Ratio
Bilirubin, Total
Alkaline Phosphatase, S 56
AST (SGOT) 18
ALT (SGPT) 21

Cholesterol, Total 218
Triglycerides 97
HDL Cholesterol 57
VLDL Cholesterol Cal
LDL Cholesterol Calc 142
Chol, total/HDL 3.8
Non-HDL Chol (CHOL-HDL) 161
INR
Prothrombin Time
Vitamin D, 25-Hydroxy 40.2
PTT, Activated
Hemoglobin A1c
TSH 1.58
B-9 Folate (Folic Acid), Serum >24
Phosphorus, Serum
Iron, Serum 106 111
Total Iron Binding 502
Iron Saturation 22
Transferrin 337
Vitamin B12 543
Magnesium, Serum
Zinc, Plasma or Serum
Ferritin, Serum 210 178
PTH, Intact 19.4
Vitamin A, Serum
Vitamin K
Copper
Selenium
B1 Thiamin 83

Thanks!
Meg

Hi, I don't know much about the other labs, but your D3 and B12 seem on the low side.  Can you tell us how much of these you take?

You want your D3 from 80-100 and your B12 around 800-1000.

Thx for responding!!! I take 500mcg B12 (subl) once daily & Citracal Petite which has 500 IU D3. I've been taking 2 doses daily. Hmmmm what increase would you think appropriate ????

Meg

There are others here that will know better than me, but from what I've heard, buy the 50,000 IU D3 from Vitalady and take it for a month and get your D3 lab taken again to see whether to adjust.

I can't advise on the B12 dose, sorry.

Thx -- I appreciate your response!
I will look at Vitalady's site.
Meg

Hi Meg, sorry I'm late. My parents are visiting and I'm hit or miss online. I agree with Ramie about the D3 and B12.

Protein looks a little saggy. Your albumin could be a little higher. My protein serum comes in like yours but albumin and prealbumin are top of the range or over. My NUT says to watch albumin, prealbumin and transferrin for nutritional/protein health. You want your albumin in the 4s. You might want to add a protein shake or 2.

Your liver enzymes (AST and ALT) are excellent.

Your iron markers (hemoglobin, hematocrit, iron serum, and ferritin) are very very nice. I'd be jumping up and down about those. How much are you supplementing and what kind of iron are you taking?

Calcium and PTH look good even with a saggy D3. Keep an eye on those 3 together. You want calcium around 9.2, PTH in the low 30's and D3 up near 100.

Good job!

--gina

THanks Gina --- I knew you were busy!!! I appreciate your feedback. I'm not supplementing iron but my plan has me on prescription pre-natals so I'm not sure the amount of iron in them... I need to get a sheet from the pharmacy.

I'll get on that D3 and B12....

Have a good visit -- I'm sure they are lovin' that baby!

Meg