Labs-ETA Reference Ranges

[momtoteens]

I posted this here because I was afraid this wouldn't be seen on the labs board. First of all, this is my first set of labs. I know there are lots missing, even though I gave my PCP the list of labs and targets from Vitalady. I am working on getting those that are missing. They faxed the orders, so I didn't know until they were done that some were missing. My PCP is learning as we go, so I am trying to be patient.

Here are the results for what I have:

CBC with Diff (Reference Range)

WBC 4.7 (3.6-11.1)
RBC 3.40 (L) (4.20-5.40)
HGB 10.7 (L) (11.3-15.0)
HCT 31.1 (L) (33.0-45.0)
MCV 91.5 (79.0-99.0)
MCH 31.3 (27.0-33.0)
MCHC 34.2 (32.0-36.0)
RDW 14.1 (11.9-15.1)
PLT 208 (147-390)
NE% 68 (43-72)
LY% 25 (20-45)
MO% 6 (4-12)
EO% 2 (0-3)
BA% 0 (0-1)
NE# 3.2
LY# 1.2
MO# 0.3
EO# 0.1
BA# 0.00

Comprehensive Metabolic Panel

Sodium 143 (136-145)
Potassium 3.2 (L) (3.5-5.1)
Chloride 106 (98-107)
Carbon Dioxide 24.4 (21.0-32.0)
Glucose 94 (70-110)
BUN 12 (6-20)
Creatinine 0.6 (0.6-1.0)
BUN/CREAT Ratio 20.0 (7.0-37.0)
Calcium 8.7 (8.5-10.1)
ALT (SGPT) 45 (27-65)
AST (SGOT) 15 (13-37)
Alkaline Phosphatase 126 (50-136)
Total Bilirubin 0.49 (0.00-1.00)
Albumin 3.5 (3.4-5.0)
Total Protein 6.4 (6.4-8.2)
Globulin 2.9 (2.2-3.9)

CRP Screen 0.09 (0.00-0.33)

Gamma GT 7 (5-85)

Iron 50 (35-150)
Iron Binding Capacity 374 (250-450)
Iron Saturation 13.37 (L) (30.00-35.00)

Magnesium 2.0 (1.8-2.4)

Phosphorous 3.7 (2.5-4.9)

Uric Acid 1.4 (L) (2.6-6.0)

Ferritin 16 (10-322)

Folate 17.01 (5.38-24.00)

Free T4 1.08 (0.89-1.76)

T3 Uptake 43.5 (22.4-36.7)

TSH 3.18 (0.35-5.50)

PTH Intact 92.7 (H) (11.1-79.5)

Prealbumin 20 (20-40)

Thyroid Stim Immunoglobulin 44 (0-139)

Vitamin B1, Whole Blood 163.2 (66.5-200.0)

Zinc, Plasma or Serum 83 (70-150)

25-Hydroxy, Vitamin D 21 (32-100)

25-Hydroxy, Vitamin D-2 <1.0
25-Hydroxy, Vitamin D-3 21

Protime 11.1 (9.3-11.7)
INR 1.1



Please give me your advice and tell me exactly what else I need to have run. I'm very willing to learn, but feeling a bit overwhelmed at the moment. Thank you in advance for all of your help!

Oh, and I am following Vitalady's vitamin schedule, with the exception of the tender iron, which I have just started recently, as I'm having a hard time tolerating it.

[RedSkittles]

Initial tips: please post your labs with normal ranges please

Potassium: hard to raise based on our limited intake. Usually need a prescription. I would ask for one. I'd recommend capsules or tablets instead of powder because the powder drink mix is horrid.

I think it may be too late for the iron. You are already anemic. How far out are you? If these are your first labs, I am thinking you may not have started out very high so it may have been an existing condition. If you have decent insurance coverage, I would consider going to a hematologist and potentially getting an iron infusion.

Vitamin D is pretty bad. I would go above vitalady starter ranges on that. 100k iu/day.

What is your folate range on the lab slip? For some reason, I am thinking it should be over 25 but I may be getting that mixed up.

Protein ranges seem a little slaggy -- how's your intake?

Since your PCP seems willing to learn I would consider making your own lab order form that your PCP just signs and that way you know what is done. I believe Becky and Larissa have both posted samples before.

Your TSH is a little on the high side. Are you hypothyroid at all?

[momtoteens]

Thank you for your help. I will post with normal ranges next time...sorry! I will go back and try to fix that.

Folate range on lab slip is 5.28-24.00

I will definitely up the protein. I currently do one 1.5 scoop shake daily and get between 110-125 g of protein with food. I will do an extra shake to increase that total. Do you think that will be enough?

I am not hypothyroid that I'm aware of. I am going in to discuss labs, so will ask about that reading as well as the potassium and iron (hematologist).

Thanks so much for tolerating this newbie. I'm trying, reading, learning, but I know I still will need a ton of guidance. I'm glad so many vets are willing to help.

Susan

[joanlaptods]

I took K lyte dissolviing tablets 25 meq each one a day for a week. My potassium has dipped a couple of times since and I use the k lyte sporadically. It tastes like orange soda.
I couldn't tolerate iron either so I have been using proferrin an hemem iron since a few weeks postop. It is easy on the stomach and can be taken with calcium. Most people respond to it well but my iron results are not responding well, guess I am not absorbing most of it. I am taking 3 a day.