Getting blood work done in a couple hours
jetsamflotsam
Posts: 170 Member
Anything in particular I should request? I'm wanting to have a starting point to compare to in a few months...
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Metabolic panel
Lipid panel
T4 free
TSH
CBC
Urine chemistry (not done with the blood, I don't think)
EGFR
Vitamin D
Vitamin B12
Really anything they'll order. The more data the better.1 -
I know they won't test Vit D unless I pay $95 for each test, it's not covered under our gov't medical plan. I had it tested when I was going through the process to get WLS last year and it was super low, so I just take Vit D to be on the safe side... On the other hand, because I had such a low test, maybe they'll cover the follow up... hmmmm0
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HbA1c should be a gimme if it's not already in the metabolic panel.
It's a long shot, but fasting (?) insulin and advanced lipid tests for lipoprotein subclasses might be helpful for future reference.
Since your diet may have radically changed, if you've had any possible allergic reactions, you might consider blood tests for allergies to your new staple foods.
Happy bloodletting!0 -
Well, he wouldn't do the Vit D again because I've already tested low and he said I just need to always take 2000 iu so no point in retesting. He didn't want to test hormones as the range for normal is so huge he doesn't feel it's the best way to gauge hormone function.
What he did order includes:
Haematology profile
Ferritin
Fasting Glucose
Hemoglobin A1C
Lipid Profile
Total HDL
non-HDL & LDL cholesterol
Triglycerides
TSH plus FT4
Sodium
Potassium
Albumin
Alk Phos
GGT
Creatine/eGFR
Interestingly he was VERY excited and supportive of me doing LCHF and has been doing it too to lose 15 lbs! He recommended I read up on the Banting diet by Tim Noakes (the author is South African, as is my doctor, so that's how he heard of it) and said its very compelling and he's been watching lots of YouTube videos on the topic. He said he has another patient who was diabetic, did LCHF very strictly and has lost 80 lbs, and is on no medications any longer.
I plan to go back for retesting in 6 months or 50 lbs lost, whichever happens first.9 -
jetsamflotsam wrote: »Interestingly he was VERY excited and supportive of me doing LCHF and has been doing it too to lose 15 lbs! He recommended I read up on the Banting diet by Tim Noakes (the author is South African, as is my doctor, so that's how he heard of it) and said its very compelling and he's been watching lots of YouTube videos on the topic. He said he has another patient who was diabetic, did LCHF very strictly and has lost 80 lbs, and is on no medications any longer.
Whoa, what a break to find a low-carbin' doc! Nice going.
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jetsamflotsam wrote: »Interestingly he was VERY excited and supportive of me doing LCHF and has been doing it too to lose 15 lbs! He recommended I read up on the Banting diet by Tim Noakes (the author is South African, as is my doctor, so that's how he heard of it) and said its very compelling and he's been watching lots of YouTube videos on the topic. He said he has another patient who was diabetic, did LCHF very strictly and has lost 80 lbs, and is on no medications any longer.
Whoa, what a break to find a low-carbin' doc! Nice going.
I know, right?!! He's been my doctor for about 8 years, and supported me through the process of getting approved for WLS (I dropped out just before I got a surgery date), has seen my weight go up and down over the years with my hormone issues, and has tried to help me with my PCOS by prescribing metformin (I'm off it now because it upsets my stomach so much and my cycle is pretty stable so there's no real reason anymore). Today he said he's found documented cases where PCOS was completely reversed by eating LCHF, so he highly recommends it for me. I left feeling very encouraged.5 -
Wow! It's wonderful that your doctor is on board with this woe, and the experience he's already had with other patients! Should help your peace of mind, and others around you too!0
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jetsamflotsam wrote: »He.. has tried to help me with my PCOS by prescribing metformin.
Should the need ever arise...
I'm in Month 2 of using Bristol-Myers Squibb brand-name Glucophage XR instead of generic metformin. As predicted by Dr. Bernstein, it's not only easier on my digestion, but I seem to be able to get by with less of it!
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I got my blood work results back today...
Almost everything is within normal range, thyroid and fasting glucose totally normal. Hemoglobin A1C is good. Sodium and potassium are perfect, which is good because I wondered how they would be as that's something that seems to become deficient with a LCHF diet.
Ferritin (iron) is on the low side at 19 ug/L, the normal range is 15-247... >100 is out of the deficiency range. I'll keep taking my iron supplement... I always test low in iron so it's a supplement I take daily anyway.
Cholesterol numbers are a bit out of normal ranges, so will be interesting to see how that changes in the coming months:
Cholesterol is 5.54 mmol/L (normal is 2.0-5.19)... was 6.49 last year, so it is down a bit.
LDL Cholesterol is 3.83 mmol/L (normal is 1.5-3.4)... was 4.38 last year, so down a bit now.
HDL Cholesterol is 1.16 mmol/L (normal is >1.19)... was 1.61 last year, so worse now.
Chol/HDL Risk Ration is 4.78 and should be <4.4... was 4.03 last year, so it's worse now.
Non HDL Cholesterol is 4.38 mmol/L and should be <= 2.6... was 4.88 last year so a bit lower now.1 -
@jetsamflotsam Something I found out lately about iron (my was lower than yours!) is that if you have low stomach acid, you won't absorb the iron from your foods well at all, something like 10-15%. If you won't absorb it from your foods, you won't absorb it from supplements.
My numbers were different than yours but still in the same portion, on the Ferritin 35 ng/mL (range is 8-388 ng/mL). So you were in the bottom 8% and I was in the bottom 9%, so we're very close on that. HA! Actually, looking at my whole panel, my total iron is 67 UG/DL, range was 50-170 on my test (different labs set different standards), so that was low, too. Iron saturation was 15%, and my binding capacity was at max. 449 UG/dl (range is 250-450)... I am assuming all that relates to low iron, but no one told me to take a supplement, since I already have bowel issues. Those tests are a year old, too. I wonder how they'd look now with me treating the low stomach acid.
FYI, the range given for TSH is not a good one, it's the lowest for all ages, highest for all ages crap that isn't a true representation. I was told that as an almost 40 year old female, my TSH should not be above 2 uIU/ML, and should in fact be lower than that. 9 months ago it was almost a 4, but still "in range" by the lab ranges. (I guess as you age, your TSH should be lower...) So I don't buy into labs telling me things are "in range" without checking independent sources. Also, with sodium and potassium, the test only measures what is in your blood, and your body fights to keep that balance, so your body may be leeching the nutrients out of your bones to maintain your blood electrolyte levels.
My cholesterol went up at first, then came back down, but mine uses an entirely different scale MG/DL, and I'm not feeling the google for how to translate them. Your HDL and Triglycerides are the most important. I don't see the trigs on your report...unless it's a me-translating error.1 -
I didn't post everything they tested for as most of it was within normal ranges... Just posted actual numbers for the stuff out of range. Triglycerides were 1.22 mmol/L and recommended range was <2.21.
My thyroid is on the high side... 4.59 mU/L, rec range is 0.32-5.04
I know it's a bit confusing to compare numbers between Canadians and Americans and I don't have the mental faculty to google either today. I have mild whiplash from my accident last Friday and have had a low grade headache ever since. Just was able to get in to see my chiro finally (he only works 2 days a week and was booked up till next Tuesday but had a cancelation). My RMT is booked up till next week too... Downside to living in a small rural community... there's limited services! Anyway, that's my excuse... LOL Haven't been sleeping well either because the area across the top of my back and shoulder blades is very achy and knotty. Stupid neighbour was running a wood chipper at the butt crack of dawn this morning too so... LOL1 -
The ratio of the HDL and trigs is most important. There is a ratio between them. With American numbers, the preferred ratio is 0-2. 4 is risky, and 6 is consider super bad! (Mine is right at that 2 range, so even though my LDL and total numbers are higher, this puts me in a lower risk category.)
That TSH seems WAY HIGH to me... My endocrinologist basically told me it shouldn't be over 50% of the range at age 40. By the seeming ratio for you, you're at 91%. My endo said that if your TSH is that high, you are definitely NOT in range and healthy. The TSH being that high might be okay for like a teenager, but not for 40 year old woman (I'll be in less than a month). Just a perspective to share so if you want to, you can take charge of your health and stop accepting ranges that don't fit EVERYONE... It's so frustrating to me, all the misinformation and settling we're expected to do!! Thank goodness for internet groups like this, medical crowdsourcing and info-sharing, not to mention the wonderful tool that is google!1
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