Getting blood work done in a couple hours

jetsamflotsam
jetsamflotsam Posts: 170 Member
edited December 2 in Social Groups
Anything in particular I should request? I'm wanting to have a starting point to compare to in a few months...

Replies

  • WBB55
    WBB55 Posts: 4,131 Member
    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.
  • jetsamflotsam
    jetsamflotsam Posts: 170 Member
    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... hmmmm
  • RalfLott
    RalfLott Posts: 5,036 Member
    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!
  • RalfLott
    RalfLott Posts: 5,036 Member
    edited June 2016
    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.

  • KarlaYP
    KarlaYP Posts: 4,436 Member
    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!
  • RalfLott
    RalfLott Posts: 5,036 Member
    edited June 2016
    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!





  • jetsamflotsam
    jetsamflotsam Posts: 170 Member
    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.
  • KnitOrMiss
    KnitOrMiss Posts: 10,103 Member
    @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.
  • jetsamflotsam
    jetsamflotsam Posts: 170 Member
    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... LOL
  • KnitOrMiss
    KnitOrMiss Posts: 10,103 Member
    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!
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