3 Month Lab Results.. Help deciphering would be greatly appreciated!
Ok so here are my Lab results.. Just had them done this morning. Not sure on what some of them mean, but I know some are good, while others seem low.. But I don't exactly know how to interpret all of it.. I do know that this is the second time that my EGFR result has shown chronic kidney disease.. Not to sure what to make of that.. But if anyone who can read these things help decipher it, I would appreciate that as I do not go back to the Doctors for another 2 weeks.. On a good not, almost 75 pds down!!
August 6th, 2013 This side is what the normal range is:
This side is my results:
CBC AUTO Diff:
WBC 7.6 x10 (3) /uL 4.0-10.5
RBC 4.81 x10 (6) /uL 4.20-5.40
HGB 13.8 g/dL 1 2.5-16.0
HCT 42.5 % 37.0-47.0
MCV 88.3 fL 78.0-100.0
MCH 28.6 pg 27.0-31.0
MCHC 32.4 g/dL 3 2.0-36.0
RDW 14.0 % 11.5-14.0
MPV 9.8 fL High 6.0-9.5
PLT 241 x10 (3) /uL 150-450
Lab:
Iron (Fe) 65 μg/dL 50-175
Total Iron Binding Capacity:
Tibc 256 μg/dL 250-450
Transferrin Saturation% 25 % 20-55
AMA Comprehensive Metabolic
Panel (CMP):
Glucose-Blood 86 mg/dL 74-106
Blood Urea Nitrogen 7 mg/dL 7-24
Creatinine-Blood 0.6 mg/dL 0.6-1.3
Sodium Blood 140 mmol/L 136-145
Potassium-Blood 4.1 mmol/L 3.5-5.1
Chloride Blood 102 mmol/L 100-109
Total Co2 Blood 25 mmol/L 21-32
Anion Gap 13 mEq/L 7-18
Calcium Blood 9.4 mg/dL 8.5-10.2
Ast 35 #/uL High 12-32
Alt 47 #/uL 20-65
Alkaline Phosphatase 115 #/uL 50-136
Bilirubin Total 0.7 mg/dL 0.2-1.0
Protein Total-Blood 7.3 g/dL 6.4-8.2
Albumin-Blood 3.6 g/dL 3.4-5.0
eGFR Result >60.00 mL/min >=60.00
Differential-Auto:
Neut 66.3 % 44.0-74.0
Anc 5039 U/L
Lymph 25.8 % 24.0-44.0
Mono 4.4 % .0-10.0
Eos 2.5 % .0-5.0
Baso 1.1 % .0-2.0
Lab:
Mg-Bld 1.9 mg/dL 1.8-2.4
AMA Lipid Panel:
Cholesterol 171 mg/dL
Triglycerides 91 mg/dL
HDL 55 mg/dL 40-59
LDL 98 mg/dL
Lab
Ferritin 106.4 ng/mL 8.0-252.0
PreAlbumin 17.9 mg/dL Low 20.0-40.0
Folate 18.0 ng/mL >=5.4 4
VitB12 658 pg/mL 220-1000
All looks good to me except I'd take some more iron.
And I'd ask your doc about the kidney thing.
I'm guessing some of the vitamin and mineral levels aren't back yet if you just had them done. Like vitamin D? A? Copper? Zinc? Thiamine?
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
Your protein level is low (prealbumin). I'd also caution you to watch your B-12 IMO for me I wanted it above 1000. How much B-12 sublingual are you taking and how often?
I don't see Vitamin D, PTH, B-1 or B-6.
Proximal RNY Lap - 02/21/05
9 years committed ~ 100% EWL and Maintaining
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Personally, at 3 months your pre albumin is a little low, but albumin is OK. Pre albumin has a shorter 1/2 life so is indicative of recent protein intake. Both are fairly flawed at assessing visceral protein status/ malnutrition. So... I would not worry much about that. Keep working on your protein intake and stay hydrated.
Personally I would want my B 12 a little higher, and I would make sure I'm getting enough quality Iron... ferritin is good, but iron is on low end and that can drop quickly, especially if you get a period (mine was nonstop for several months post op!) Or you develop an ulcer.
Again, this is what I would and would not worry about. Be sure to make a list of questions and concerns to discuss with your doctor.
