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izanmanyzanz

Blood Work? What Is Needed?

20 posts in this topic

OK, I am now 8 months post op and have never had all my blood work done as to make sure all my vitamins are in line. They have on different occassions checked my B12 as pcp said he didnt know what to test. My nut gave me some things she said should be checked but I was wondering if there are any others that should really be added to her list. This is what she wants tested:

serum ferintin

serum folate

serum b12

serum albumin

whole blood thiamine

vitamin d-25 hydroxy

p.t.h. parathyroid hormone for calcium

If anyone has any info on anything else that should be tested, please let me know as I go in on Thursday. Thanks everyone.

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Here is what I am having done on my 6 mo check up (in October):

CBC

CMP

TSH

Phos (phosphorus?)

Mag (magnesium?)

Lipids

Folic acid with B12

Vit D 25 Hyroxy

Vit D Dyroxy

HgbA1C

I just had my 3 month bloodwork and they took 8 vials of blood-- I didnt save a copy of my bloodwork order from my dr though.

I think I had a lot more taken at my 3 mo checkup than i will at my 6 mo checkup.

Hope this helps some.

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mines the same as Amity's and yep i saved a copy so i can compare at a year i suggest you do the same

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My 6 month bloodwork tested for:

Glucost

Urea Nitrogen

Creat

Bun / Creatinine

Sodium

Potassium

Chloride

Carbon Dioxide

Anion Gap 4

Osmolality, Calc

Calcium

Phosphorus

Albumin

Alanine Anminotr

Aspartate Amino

Gamma Gluty TR

Alk Phos

Total Bilirubin

Cholesterol

HDL

HDL/Cholesterol

Triglyceride

LDL

Iron

TIBC

Transferrin Sat

Magnesium

T Protein

HGB A1C

WBC

RBC

HGB

HCT

MCV

MCH

MCHC

RDW

PLT

MPV

LYMPH %

MONO %

NEUT %

EOS %

BASO %

LYMPH #

MONO #

NEUT #

EOS #

BASO #

Vitamin D

Vitamin A

B12

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I'm a long ways away from that, but my surgeon will be the one ordering my labs, not my PCP. From past experiences, the surgeon's office should run the labs since they know what to look for, and a copy should be sent to your PCP's office to keep on file. That what I've done all along with my pre-op blood work, as well as some post-op blood work I had done last week.

My surgeon said he is doing my blood work on month 1, month 3, month 6, month 9, and month 12- after first year, he'll do it every six months for as long as I'm alive (and him as well, lol).

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What blood tests should be done at the 4 week post op?

My surgeon is only ordering CMP and CBC (which is all he required pre-op)

The surgeon is originally wanted to use did much more extensive blood work.

My normal PCP runs a full lipids on me and full thyroid every 3 months.

I am going to surgeon to run these tests,as He has taken me off my lipid medication and thyroid post surgery.

What else should I request or ask him about?

Unless you have particular issues, I don't think it's the norm to have bloodwork done at 4 weeks (but I could be wrong).

It's my understanding that it's done at 3, 6 and 12 months.

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I just did my first bloodwork after my surgery, I am 3 months out.

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Izzy, this is what my surgeon checks:

CMP

Lipid Profile

CBC with differential

B12

Bili-direct

Ferritin

Iron/TIBC

Magnesium

RBC Folate

Thiamine (B1)

Uric Acid

Vitamin D, 25-OH

But they are talking about adding in the following:

PSH

Zinc

Phosphorus

Selenium

Edited by MiladyB

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I have no idea what they were testing for but at around 4 months out I had my bloodwork done - 14 vials.

At least it went better than pre surgery when they came and got me at the check out station and said "we forgot one"

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Well, got the blood work done today, God I hope I got it all. 10 vials, and running around like crazy. Then went for my B12 shot, and I don't feel a bit different. I just don't think they work for me. No energy boost at all. Thank you everyone for your help, I tried combining the two lists and the pcp, not my regular pcp, looked at me like I was crazy. I told him I compiled two different lists so some where repeated, as I took off what I knew I had already listed. Any way I hope it is all good, as I wont find out till next week. thank you again everyone.

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ok blood work came back and not too good. vitamin d and folic acid really low. calcium and protein ok, in normal ranges but the lower end. my thyroid is completely out of whack again, and something going on with liver I think, as total bilirubin level was really high. If anyone knows what that means it would be helpful. I just bought some folic acid and vitamin d and working one the protein and other vitamins. It seems when I take my vitamins everything seems to get stuck. I usually can't eat during or after. I have to take one at a time throughout the day. The dont seem to dissolve quickly enough for me. I almost accidently bought some folic acid and I was reading the bottle and it says it takes 45 minutes to dissolve. Damn I will have *&^% it out by 45 minutes, and still whole. I really have to pay attention to that. 45 minutes is a long time to dissolve anything.

Edited by izanmanyzanz
spelling.

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bump!!! if anyone has any other advice, waiting to hear from Dr.

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get some Centrum complete chewables....they have them for adults now.

They dont get stuck

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ok, heard from doctor. Not good at all. labs were bad I knew but I didnt think that bad. She said she had never seen someone with their folic acid so low before. Could be causes of miscarriages before and never getting pregnant, have not been on birth control in 20 years. Hmm, you think doctors could have figured that one out a long time ago when I was trying so hard to have one. Also my pth instead of pulling calcium from my teeth like most people it is pulling from my bones. Better not fall or for sure I will be in trouble. Iron is low, Gee could that be on monthly again!!!!! Vitamin D is awlful must increase that one by another 3 pills for 3 months. Have to switch my multi to prenatal because what I am taking isnt working. The only good thing was my B1 thiamine. *&^% I am screwed here. I feel like I need to start over from square one again. I am thinking of switching all my vitamins to Bariatric advantage or some other form just for bariatric patients. Anyways I think I am done crying.

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Izzy, Lord.....your labs SUCK don't they....No wonder you feel like crap. Dang. Well, I thought I share my 0.02 with ya. Maybe take your calcium with Vit D in it and see if that helps, shoot, I bet that is what you are doing already. I agree, if I was taking my vitamins everyday and my levels looked bad, I would just buy the Bariatric advantage. If that didn't work, I'd be at the surgeons office demanding that they make you feel batter. O' and my MD checks my thyroid about every 6 months or so. If I start feeling like crap,you know.....aching all over, hair falling out (thats my symptoms when my level shoots up) , I get it checked. My doctor will check my level, if its abnormal he will increase my dose and recheck it again in 1 month and keep doing that until the level stabelizes. Your vitamine D deficiency as well as TSH abnormal is whats making you feel so bad, I think, anyway. I hate that you are feeling so bad. Keep calling the doctors office until you get the answers you need.

And BTW: They say if you lay out in the sun, your body will absorb Vit. D from the sun light. I actually saw Dr. OZ talking about it the other day on Oprah. Take care.--Lisa

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Izzy - hang in there sweetheart. My early labs showed problems.

On the vitamin D. Make sure that what you're taking is D3 - Cholecalciferol. I had to take 50,000IU for a while to get my D level up. Vitalady.com has it in the proper form - most docs prescribe the little green capsules of ergocalciferol. That's pretty useless to us.

She also does a sublingual folic acid that's very effective.

And as for iron. Without her help, my iron (and ferritin) level would still be in the pan. She recommended polysaccharide 150 (generic Nifferex-150) together with carbonyl iron (Tender Iron). The polysaccharide works on the blood and the carbonyl is good for the iron storage system.

For a really good bariatric multi-vitamin - I can't sing the praises of celebrate vitamins enough. Bariatric Vitamins | Bariatric Surgery & Nutrition | Life after Bariatric Surgery The mandarin flavoured lozenges are great and the ingredient content is excellent.

You could do a lot worse than sending vitalady an email with your labs and asking for her advice. This is her site: Vitalady.com - Protein Supplements, Vitamins & Minerals, and Safe Snacks!

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Hi--here is the website that my surgeon's office gets their vitamins--you take 4 a day--has everything a bariatric patient needs. My surgery is not until Monday but I tasted them and they are good tasting. Good Luck--will send a prayer out for you!

Bariatric Fusion - Post gastric bypass surgery nutrition created by a bariatric surgery team.

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Hope you're feeling better. I don't have anything to really add...but I truly believe that we need superior quality for our vitamins. That is why I purchase mine from GNC (Women's Ultra Mega). My 6 month lab work was pretty good; had to add one tab of Vit D 400 since it was a tad low.

I wonder why doctors recommend Flintstones chews for the long haul...first few months post-op might be okay...but I didn't feel comfortable depending on them for life!

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have your copper levels checked if any one is exhibiting signs of low iron!!!

I have had chronic iron deficiency issues. Oral iron suplements do not work. For the last 2 years I have had to undergo several iron infusions. Which were minimally effective.

I recently found out that I am indeed copper deficient. (thanks Dyann)

If you have had any of these types of issues, I encourge you to have your copper levels checked.

Copper deficiency presents itself as iron deficiency, however, when iron is introduced into the body, it can not recognize it. This condition can lead to more serious health issues.

Copper deficiency is extremely rare, even among GBS patients, hoever, it does occur and most doctors don't know to look for it.

I reccommend that the next time you get labs done, that you request a copper level check....

Take a look at this article, it has some good info.......

http://findarticles.com/p/articles/mi_qa3762/is_200609/ai_n17193167/pg_1?tag=artBody;col1

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I just found this thread. I will be 6 months out in 11 days. My surgeon doesn't do blood work until 1 year out. I am going to my PCM today with a list of tests to run. All that I have seen on here. When my PCM did my blood work at 3 months she put me on b12 shots 2 times a month because it was low. I take the celebrate vitamins, calcium, iron, extra D3, biotin, and a few other mess for allergies and thyroid.

I can not get my hair to stop falling out. It seems like I am becoming a female version of Kenny G with hair loss.

I feel like crap lately. I am so tired and can not get comfortable to sleep. I have been having migraines that are lasting for weeks. The pain shots from the Dr office isn't even making it go away.

Here's to hoping for great bloodwork.

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