One Year Labs

[sbp7]

First post on the new board.

I am 51 weeks post-op and have lost 230 lbs. Surgery weight was 420 lbs I am down below goal to 190 lbs.

I have been religious about taking vitamins since day one. Vitalady plan. Here are my most recent labs. I am looking for feedback from the experts here before I have my one year follow-up visit next week.

Thanks in advance for all your help!

CBC
WBC 4.4 (4.0-11.0)
RBC 4.36 (4.14-5.60)
HGB 13.8 (12-17)
HCT 40.8 (35.2-49.2)
MCV 93.6 (80-100)
MCH 31.6 (26-34
MCHC 33.7 (32.5-35.8)
RDW 14.7 (11.9-17.7)
PLT 231 (150-450)
MPV 9.2 (6.8-10.2)
Neutrophil% 60.4 (43-82.3)
Lymphocyte% 30.4 (6.8-45.2)
Monocyte% 7.5 (4.3-13.3)
Eosinophil% 1.3 (0.1-6.8)
Basophil% 0.4 (0.0-2.0)
Neutrophil Abs Ct 2.6 (2.4-8.8)
Lymphocyte Abs Ct 1.3 (0.6-3.4)
Monocyte Abs Ct 0.3 (0.3-1.0)
Eosinphil Abs Ct 0.1 (0.0-0.5)
Basophil Abs Ct 0.0 (0.0-0.2)

Chem12
Sodium, Serum 141 (135-145
Potassium, Serum 4.2 (3.4-5.1)
Chloride, Serum 104 (98-109)
Glucose, Fasting 86 (70-99)
BUN 13 (6-26)
Creatinine, Serum 0.8 (0.5-1.2)
Calcium, Serum 9.3 (8.5-10.5)
Protein, Total 6.6 (6.4-8.3)
Albumin, Serum 4.5 (3.4-5.2)
Bilirubin, Total 1.0 (0.0-1.0)
Alk Phos, Serum 61 (40-129)
SGOT (AST) 34 (0-40)
Carbon Dioxide 28 (23-31)
SGPT (ALT) 59 H (0-50)
GFR 116 (70-162)
GFR 141 (70-162)

Iron 79 (45-160)

Ferritin 296 (30-400)

Vitamin B12 538 (211-946)

Pth, Intact 40.1 (15-65)

Pre-Albumin Qt 19.4 (13-38)

Transferrin 245 (202-336)

Hemocrit 40.8% (35.2-49.2)
RBC Folate 777 (238-99999)

Vitamin D 25 Oh Total 68.8 (30-100)

Vitamin E
Tocoperol-beta/gamma 0.5 (<=4.3)
Tocopherol-alpha 5.1 L (5.7-19.9)

Vitamin A 45 (38-98)

Zinc 65 (60-130)

Selenium 112 (63-160)

[freckled1]

Hi there,

If these were my labs I'd be increasing zinc, A, protein, and B12. I'm not sure about the E, usually it's not a big deal but I don't know much about it going low.

So with the protein I would be increasing my egg consumption because of the high bioavailability. Do you do shakes? I have to or my levels are not happy regardless of how much protein I actually eat.

As far as the A, I got my D and A up by taking my supplements in the middle of the night when I get up to use the bathroom. (2 babies, small bladder) I took tons for over 2 years and couldn't raise my levels but they shot up in a few months when I began taking them at night. I think it's because I am taking them away from food.

I think you could probably take the zinc at night also. No problem with interaction that I am aware of.



Way to stay on top of things! Hope this helps!

Edited to add: Get that B12 up with some sublinguals! You need to get that reading up, up, up!!!

[Deleted]

More zinc, A, E, B12, B complex, calcium, protein, possibly D (depending on why the PTH is so high), iron (I'd be hollering for infusions with those results because I don't absorb oral at all).

I'd probably also be hollering for a couple of B12 injections. I'm not happy unless my B12 is in four digits. I'd be symptomatic with that level.

[RedSkittles]

Not bad.

Nice CBC and electrolyes. Your iron is good. Ferritin nearly 300 is amazingly high for us. I disagree that you need an infusion based on that number.

The ALT is a liver enzyme so I would give it a little more time past your massive weight loss before worrying about it being high. Though with that bilirubin teetering near the high end, I do think you should definitely keep watching it. (High bilirubin is what causes jaundice -- yellowing skin/eyes).

I agree I would like to see B12, Vit A, Zinc, and Vit E higher. It would be best to take the zinc away from other minerals like copper and iron. In order to do so, some people like to take zinc on alternating days as copper.