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Bloodwork Results


Joni63

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Joni63 Collaborator

Hello,

I'm confused about what my Doctor has tested me for and what vitimins I should be taking supplements for. Apparently all my bloodwork comes out looking good, but I don't think I'm being tested for some vitimins I should be checked for. I'm still very fatigued all the time and think this is the reason. All the numbers below are within range so I didn't bother posting everything, but this is what I have been tested for. Please help with suggestions. I'm making an appointment tomorrow and need some answers. I should be feeling better by now, but am still really tired. Thanks!

WBC

RBC

Hemoglobin

Hematocrit

MCV

MCH

MCHC

RDW

Platelets

Neutrophils

Lymphs

Monocytes

Eos

Baso

Glucose Serum

GLom Filt Rate

Vun/Creatinine Ratioj

Sodium,Serum

Potassium, Serum

Chloride, Serum

Carbon Dioxide, Total

Calcium, Serum

Protein Total, Serum

Globulin, Total

A/G Ratio

Bilirubin, Total

Alkaline Phosphatase, S

AST

ALT

On my own, I've been taking a multivitimin, extra C, Calcium, Magnesium, Zinc, D, B12 and B6. I have not taken any probiotics or enzymes yet. Are these necessary?


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Lisa Mentor
Hello,

I'm confused about what my Doctor has tested me for and what vitimins I should be taking supplements for. Apparently all my bloodwork comes out looking good, but I don't think I'm being tested for some vitimins I should be checked for. I'm still very fatigued all the time and think this is the reason. All the numbers below are within range so I didn't bother posting everything, but this is what I have been tested for. Please help with suggestions. I'm making an appointment tomorrow and need some answers. I should be feeling better by now, but am still really tired. Thanks!

WBC

RBC

Hemoglobin

Hematocrit

MCV

MCH

MCHC

RDW

Platelets

Neutrophils

Lymphs

Monocytes

Eos

Baso

Glucose Serum

GLom Filt Rate

Vun/Creatinine Ratioj

Sodium,Serum

Potassium, Serum

Chloride, Serum

Carbon Dioxide, Total

Calcium, Serum

Protein Total, Serum

Globulin, Total

A/G Ratio

Bilirubin, Total

Alkaline Phosphatase, S

AST

ALT

On my own, I've been taking a multivitimin, extra C, Calcium, Magnesium, Zinc, D, B12 and B6. I have not taken any probiotics or enzymes yet. Are these necessary?

Hi Joni,

I am by far an expert!!! Have you been tested for Thyroid? I believe that low thyroid could cause fatigue. Here are the tests I had:

TSH

Thyroxine (T-4)

T3 Uptake

Free Thyroxine Index

Joni63 Collaborator

The only thyroid test I've ever had was TSH. It was 1.817, in the normal range. They never tested me for any other thyroid numbers. I will talk to her about that, too. Thanks!

itchygirl Newbie

How about a...

Sed rate

C-reactive protein

B-12

D (or ADEK if he feels adventurous :)

That should cover some possible immune and vitamin sources of fatigue-very broadly, there are a lot more specific tests.

Have you had and ANA before?

YoloGx Rookie
Hello,

I'm confused about what my Doctor has tested me for and what vitimins I should be taking supplements for. Apparently all my bloodwork comes out looking good, but I don't think I'm being tested for some vitimins I should be checked for. I'm still very fatigued all the time and think this is the reason. All the numbers below are within range so I didn't bother posting everything, but this is what I have been tested for. Please help with suggestions. I'm making an appointment tomorrow and need some answers. I should be feeling better by now, but am still really tired. Thanks!

WBC

RBC

Hemoglobin

Hematocrit

MCV

MCH

MCHC

RDW

Platelets

Neutrophils

Lymphs

Monocytes

Eos

Baso

Glucose Serum

GLom Filt Rate

Vun/Creatinine Ratioj

Sodium,Serum

Potassium, Serum

Chloride, Serum

Carbon Dioxide, Total

Calcium, Serum

Protein Total, Serum

Globulin, Total

A/G Ratio

Bilirubin, Total

Alkaline Phosphatase, S

AST

ALT

On my own, I've been taking a multivitimin, extra C, Calcium, Magnesium, Zinc, D, B12 and B6. I have not taken any probiotics or enzymes yet. Are these necessary?

You need to make sure your vitamins etc. have no trace gluten in them. And yes enzymes really do help.

texasmama Rookie

I second testing for B12. You can be in the low normal range and still have some nasty symptoms. It happened to me. I am on B12 weekly self injections and it helps so much.

WW340 Rookie

I also agree with the B 12. I had low normal as well, but my doctor decided to try the B 12 injections. My fatigue improved greatly with the first injection and has continued to improve. My tremor went away along with the caffine sensitivity I had been having.

Fatigue was the only complaint I had left after a year gluten free.

I am not 100% yet, but getting so much better.


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YoloGx Rookie
I also agree with the B 12. I had low normal as well, but my doctor decided to try the B 12 injections. My fatigue improved greatly with the first injection and has continued to improve. My tremor went away along with the caffine sensitivity I had been having.

Fatigue was the only complaint I had left after a year gluten free.

I am not 100% yet, but getting so much better.

I'll just add I tend to be B 1 deficient, not B 12. They don't make B 1 injections. So I take co-enzyme multiple vitamins to get 100 mg. of the B 1 each day -- balanced with the other B's (B 12 is in there however). The co-enzyme quality makes the B's go directly into the blood stream rather than having to be digested in the gut. As such one has to take it at least 2 hours after and 1 hour before eating--though in actuality I just take it either late at night or early in the morning. I avoid the sublinguals since they often have sorbitol which can have gluten. B 1 deficiency makes making use of basic protein and carbohydrates dicey as well as undermines the nervous system in general.

confusedks Enthusiast

You may also want to have an iron panel run. It usually includes your ferritin, total iron binding capacity (TIBC or IBC), iron saturation and it has a couple other things.

It is either called an iron/anemia panel or hematology panel. Even though your hemoglobin may be within normal range, these other numbers can be low which makes you iron deficient, not anemic.

That will cause lots of fatigue.

Joni63 Collaborator

I went back to my older bloodwork and found that I had been tested for the Iron and TIBC and also B12 and folate. This was taken 1 month after I went gluten free (the end of August)

Iron Bind. Cap. TIBC 338 250-450

UIBC 230 150-375

Iron, Serum 107 35-155

Iron Saturation 32 15 - 55

B12 659 211-911

Folate, Serum >24 >5.4 normal

Wonka Apprentice
You may also want to have an iron panel run. It usually includes your ferritin, total iron binding capacity (TIBC or IBC), iron saturation and it has a couple other things.

It is either called an iron/anemia panel or hematology panel. Even though your hemoglobin may be within normal range, these other numbers can be low which makes you iron deficient, not anemic.

That will cause lots of fatigue.

I've never seen a iron panel ordered as a hematology panel. The hematology panel is the Hgb, Wbc, Differential, Hct etc... this is usually done by a machine and if any of the tests done in a panel are abnormal then a technologist makes a slide and does the differential manually. The full iron studies has to be ordered as a full iron studies (at least in the labs I worked in).

itchygirl Newbie
I'll just add I tend to be B 1 deficient, not B 12. They don't make B 1 injections. .

Yolo! You will hopefully be pleased to learn that they do make thiamine injections. Just search on "Thiamine Hydrochloride Injection, USP" :)

Here is a PDF file with lots of info

Open Original Shared Link

Your doc should be able to get these for you, if you are interested

This vitamin has become very popular for injection in the past few years because large numbers of people who have had gastric bypass surgery are deficent in it.

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    • marion wheaton
      Thanks for responding. I researched further and Lindt Lindor chocolate balls do contain barely malt powder which contains gluten. I was surprised at all of the conflicting information I found when I checked online.
    • trents
      @BlessedinBoston, it is possible that in Canada the product in question is formulated differently than in the USA or at least processed in in a facility that precludes cross contamination. I assume from your user name that you are in the USA. And it is also possible that the product meets the FDA requirement of not more than 20ppm of gluten but you are a super sensitive celiac for whom that standard is insufficient. 
    • BlessedinBoston
      No,Lindt is not gluten free no matter what they say on their website. I found out the hard way when I was newly diagnosed in 2000. At that time the Lindt truffles were just becoming popular and were only sold in small specialty shops at the mall. You couldn't buy them in any stores like today and I was obsessed with them 😁. Took me a while to get around to checking them and was heartbroken when I saw they were absolutely not gluten free 😔. Felt the same when I realized Twizzlers weren't either. Took me a while to get my diet on order after being diagnosed. I was diagnosed with small bowel non Hodgkins lymphoma at the same time. So it was a very stressful time to say the least. Hope this helps 😁.
    • knitty kitty
      @Jmartes71, I understand your frustration and anger.  I've been in a similar situation where no doctor took me seriously, accused me of making things up, and eventually sent me home to suffer alone.   My doctors did not recognize nutritional deficiencies.  Doctors are trained in medical learning institutions that are funded by pharmaceutical companies.  They are taught which medications cover up which symptoms.  Doctors are required to take twenty  hours of nutritional education in seven years of medical training.  (They can earn nine hours in Nutrition by taking a three day weekend seminar.)  They are taught nutritional deficiencies are passe' and don't happen in our well fed Western society any more.  In Celiac Disease, the autoimmune response and inflammation affects the absorption of ALL the essential vitamins and minerals.  Correcting nutritional deficiencies caused by malabsorption is essential!  I begged my doctor to check my Vitamin D level, which he did only after making sure my insurance would cover it.  When my Vitamin D came back extremely low, my doctor was very surprised, but refused to test for further nutritional deficiencies because he "couldn't make money prescribing vitamins.". I believe it was beyond his knowledge, so he blamed me for making stuff up, and stormed out of the exam room.  I had studied Nutrition before earning a degree in Microbiology.  I switched because I was curious what vitamins from our food were doing in our bodies.  Vitamins are substances that our bodies cannot manufacture, so we must ingest them every day.  Without them, our bodies cannot manufacture life sustaining enzymes and we sicken and die.   At home alone, I could feel myself dying.  It's an unnerving feeling, to say the least, and, so, with nothing left to lose, I relied in my education in nutrition.  My symptoms of Thiamine deficiency were the worst, so I began taking high dose Thiamine.  I had health improvement within an hour.  It was magical.  I continued taking high dose thiamine with a B Complex, magnesium. and other essential nutrients.  The health improvements continued for months.  High doses of thiamine are required to correct a thiamine deficiency because thiamine affects every cell and mitochondria in our bodies.    A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function.  The cerebellum of the brain is most affected.  The cerebellum controls things we don't have to consciously have to think about, like digestion, balance, breathing, blood pressure, heart rate, hormone regulation, and many more.  Thiamine is absorbed from the digestive tract and sent to the most important organs like the brain and the heart.  This leaves the digestive tract depleted of Thiamine and symptoms of Gastrointestinal Beriberi, a thiamine deficiency localized in the digestive system, begin to appear.  Symptoms of Gastrointestinal Beriberi include anxiety, depression, chronic fatigue, headaches, Gerd, acid reflux, gas, slow stomach emptying, gastroparesis, bloating, diarrhea and/or constipation, incontinence, abdominal pain, IBS,  SIBO, POTS, high blood pressure, heart rate changes like tachycardia, difficulty swallowing, Barrett's Esophagus, peripheral neuropathy, and more. Doctors are only taught about thiamine deficiency in alcoholism and look for the classic triad of symptoms (changes in gait, mental function, and nystagmus) but fail to realize that gastrointestinal symptoms can precede these symptoms by months.  All three classic triad of symptoms only appear in fifteen percent of patients, with most patients being diagnosed with thiamine deficiency post mortem.  I had all three but swore I didn't drink, so I was dismissed as "crazy" and sent home to die basically.   Yes, I understand how frustrating no answers from doctors can be.  I took OTC Thiamine Hydrochloride, and later thiamine in the forms TTFD (tetrahydrofurfuryl disulfide) and Benfotiamine to correct my thiamine deficiency.  I also took magnesium, needed by thiamine to make those life sustaining enzymes.  Thiamine interacts with each of the other B vitamins, so the other B vitamins must be supplemented as well.  Thiamine is safe and nontoxic even in high doses.   A doctor can administer high dose thiamine by IV along with the other B vitamins.  Again, Thiamine is safe and nontoxic even in high doses.  Thiamine should be given if only to rule Gastrointestinal Beriberi out as a cause of your symptoms.  If no improvement, no harm is done. Share the following link with your doctors.  Section Three is especially informative.  They need to be expand their knowledge about Thiamine and nutrition in Celiac Disease.  Ask for an Erythrocyte Transketolace Activity test for thiamine deficiency.  This test is more reliable than a blood test. Thiamine, gastrointestinal beriberi and acetylcholine signaling.  https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Best wishes!
    • Jmartes71
      I have been diagnosed with celiac in 1994, in remission not eating wheat and other foods not to consume  my household eats wheat.I have diagnosed sibo, hernia ibs, high blood pressure, menopause, chronic fatigue just to name a few oh yes and Barrett's esophagus which i forgot, I currently have bumps in back of my throat, one Dr stated we all have bumps in the back of our throat.Im in pain.Standford specialist really dismissed me and now im really in limbo and trying to get properly cared for.I found a new gi and new pcp but its still a mess and medical is making it look like im a disability chaser when Im actively not well I look and feel horrible and its adding anxiety and depression more so.Im angery my condition is affecting me and its being down played 
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