Labs 120 days in to retrograde

Re-Ride · Apr 20, 2017

Last labs in November, which were textbook perfect, documented remarkable progress in two years of healthy diet and lifestyle and self guided care. In no particular order here are few accomplishments after only 120 days of trading real food ,whey, aminos, supplements for 7-11 sandwich of the day, frozen burritos and dynamic living arrangements.
12 hour fasting labs last week:

Heamatocrit up to 54.8 from 48.3

vit d 25h - dropped 8 points to 43

hemo A1c was 5.1% , now who knows , new doc refused to order

Cholesterol total, 159 to 207

Chol to HDL ratio was 3.9

HDL was 41,

LDL up to 141 from 94

microalbumin/creatinine is more than double the upper limit whatever that means

trigs up to 172 from 120

VLDL up to 34 from 24

hormone levels unknown, five different new docs have refused to run them. My telemed doc will provide lab orders of course but I'm not going back to get re-stuck

Cbc, Platelet, No Differential

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]

[/TD]

Hepatic Function Panel (7)

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]

[/TD]

Renal Panel (10)

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]

[/TD]

Lp+Ldl Direct

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]

[/TD]

Cardiovascular Report

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]

[/TD]

Vitamin D, 25-Hydroxy

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]

[/TD]

Microalb/Creat Ratio, Randm Ur

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]

[/TD]

Daeodon · Apr 20, 2017

Re-Ride said:
Last labs in November, which were textbook perfect, documented remarkable progress in two years of healthy diet and lifestyle and self guided care. In no particular order here are few accomplishments after only 120 days of trading real food ,whey, aminos, supplements for 7-11 sandwich of the day, frozen burritos and dynamic living arrangements.
12 hour fasting labs last week:

Heamatocrit up to 54.8 from 48.3

vit d 25h - dropped 8 points to 43

hemo A1c was 5.1% , now who knows , new doc refused to order

Cholesterol total, 159 to 207

Chol to HDL ratio was 3.9

HDL was 41, LDL was 94

microalbumin/creatinine is more than double the upper limit whatever that means

trigs up to 172 from 120

VLDL up to 34 from 24

hormone levels unknown, five different new docs have refused to run them. My telemed doc will provide lab orders of course but I'm not going back to get re-stuck

Cbc, Platelet, No Differential

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]
[/TD]

Hepatic Function Panel (7)

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]
[/TD]

Renal Panel (10)

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]
[/TD]

Lp+Ldl Direct

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]
[/TD]

Cardiovascular Report

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]
[/TD]

Vitamin D, 25-Hydroxy

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]
[/TD]

Microalb/Creat Ratio, Randm Ur

[TD="class: ccrCol1"][/TD]
[TD="class: ccrCol2"]
[/TD]

Man after all of that hard work...why??

Vince · Apr 20, 2017

Looks like your were better off eating, "7-11 sandwich of the day, frozen burritos and dynamic living arrangements"

Re-Ride · Apr 20, 2017

Please vote:
Not high enough for a phlebotomy?
Hematocrit 54.8 ( 37.5 - 51.0 )

My local PC doctor's assistant is saying on the phone: "No phlebotomy required"

Opinions please!

edit: My telemed doctor has just rendered his opinion which I'll reveal after the votes come in here.
Reply: (1) no action required
(2) borderline , it's your call
(3) High, order extra leeches asap
http://www.biopharm-leeches.com/maintenance--products1.html

CoastWatcher · Apr 20, 2017

Re-Ride said:
Please vote:
Not high enough for a phlebotomy?
Hematocrit 54.8 ( 37.5 - 51.0 )

My local PC doctor's assistant is saying on the phone: "No phlebotomy required"

Opinions please!

edit: My telemed doctor has just rendered his opinion which I'll reveal after the votes come in here.
Reply: (1) no action required
(2) borderline , it's your call
(3) High, order extra leeches asap
http://www.biopharm-leeches.com/maintenance--products1.html

At my doctor's practice, the vote would be a non-panicked "3" - leeches optional.

Nelson Vergel · Apr 20, 2017

Re-Ride

Did your doctor tell you that you do not need therapeutic phlebotomy at a hematocrit of 54?

Re-Ride · Apr 20, 2017

Nelson Vergel said:
Re-Ride

Did your doctor tell you that you do not need therapeutic phlebotomy at a hematocrit of 54?

That's what In said in post 4. Specifically she said she asked the doc and that's what she was told by him. No local docs here want to order it.
Also as stated above my telemed doc sent out an order within an hour of calling for a phlebotomy.

Re-Ride · Apr 21, 2017

Went to see the PC. He said I'd need a full work-up to determine the cause even though he knows I'm on HRT. By that time I had the email from tele-med md with a pdf script. He refused to print it out "because of HIPAA" and "doubts" it's valid". He did not have any comments on any of the test results. He wants to "refer to a specialist for a full work up to determine the cause of high HCT. Such a specialist would be the only doc who can refer me to the "Transfusion Center". I asked him to look at my new pt questionaire as he would find the cause there. I'm going to repeat the test at 30 day? intervals and see what happens.

Low alkaline phosphatase- http://www.drkaslow.com/html/alkaline_phosphatase.html

zinc deficiency, hypothyroidism, adrenals , deficiencies of phosphorous, b, c vitamins, or protein, high D intake and more. I though I could rule out all but thyroid, adrenals but after read kaslow I'm not sure.

I returned to a diet sufficient in vits and minerals weeks prior to this draw. High D intake was noted as a cause. I take one Bio Tech D3-50 ( 50,000 IU ) per week for about a year? This is the only thing that worked to bring me up from single digit . Until this draw my serum level has been slowly climbing. This is the first reversal of the trend.

Re-Ride · May 4, 2017

Two weeks later:
The "specialists" havent found the cause of the high hematocrit yet. I did manage to find an infusion center and a M.D. willing to undetake the highly risky and experimental therapeutic phlebotomy. I was scheduled today. They cancelled an hour prior because "the last land you had were in September". Im seriously consider never setting foot inside another medical clinic.

Re-Ride · May 9, 2017

The computer glitch which caused 3 years of repeating failure in the lab computer has been identified. With any luck at least one manor obstacle in getting labs is behind. New set of labs drawn today at the phlebotomy. I'll be looking forward to the results.

CoastWatcher · May 9, 2017

Re-Ride said:
The computer glitch which caused 3 years of repeating failure in the lab computer has been identified. With any luck at least one manor obstacle in getting labs is behind. New set of labs drawn today at the phlebotomy. I'll be looking forward to the results.

Good luck.

Re-Ride · May 19, 2017

O.K. new labs were drawn on 5/9 during the therapeutic phlebotomy. Both the Quest ms/lc/lc u. sensitive test and reg estradiol were run from the phlebotomy blood.

Quest u. sensitive: 94 pg/mL with a standard less than 29
reg estradiol: 61 (less than 56)

Past E2 results:

< OR = 29 pg/mL

[TH="class: scroll, bgcolor: #F5F5F5, align: left"]6/9/15[/TH]
[TH="class: scroll, bgcolor: #F5F5F5, align: left"]9/8/15[/TH]
[TH="class: scroll, bgcolor: #F5F5F5, align: left"]12/31/15[/TH]
[TH="class: scroll, bgcolor: #F5F5F5, align: left"]1/19/16[/TH]
[TH="class: scroll, bgcolor: #F5F5F5, align: left"]6/1/16[/TH]
[TH="class: scroll, bgcolor: #F5F5F5, align: left"]11/7/16[/TH]
[TH="class: scroll, bgcolor: #F5F5F5, align: left"]1/17/17[/TH]
[TH="class: scroll, bgcolor: #F5F5F5, align: left"]5/9/17[/TH]
[TH="class: scroll, bgcolor: #F5F5F5, align: left"]5/9/17[/TH]
[TH="class: buffer scroll, bgcolor: #F5F5F5, align: left"][/TH]

[TD="class: name fixed"]Estradiol (E2)

[/TD]
[TD="class: rsltflag_5 scroll"]83 H[/TD]
[TD="class: scroll"]50[/TD]
[TD="class: rsltflag_5 scroll"]34 H[/TD]
[TD="class: abnormal scroll"]41.9 A[/TD]
[TD="class: scroll"]27[/TD]
[TD="class: rsltflag_5 scroll"]88 H[/TD]
[TD="class: scroll"]25[/TD]
[TD="class: rsltflag_5 scroll"]94 H[/TD]
[TD="class: rsltflag_5 scroll"]61 H[/TD]

The columns above when adjusted should read [27] = January 17 draw. I was using 0.25mg anastrozole twice weekly. I've been injecting EOD fairly regularly for the 6 weeks prior to draw except a few times where I went 3 days.

The 11/7 E2 result of 27 was Labcorp ultrasensitive

Re-Ride · May 19, 2017

Phlebot. blood hematocrit was considerably lower than last month at 49.8

[TD="class: nameCol srchbl"]White Blood Cell Count[/TD]
[TD="class: valueCol"]11.4 K/uL[/TD]
[TD="class: rangeCol"]4.0 - 11.0 K/uL[/TD]
[TD="class: flagCol"]H[/TD]

[TD="class: nameCol srchbl"]Red Blood Cell Count[/TD]
[TD="class: valueCol"]5.25 M/uL[/TD]
[TD="class: rangeCol"]4.40 - 6.00 M/uL[/TD]
[TD="class: flagCol"][/TD]

[TD="class: nameCol srchbl"]Hemoglobin[/TD]
[TD="class: valueCol"]17.0 g/dL[/TD]
[TD="class: rangeCol"]13.5 - 18.0 g/dL[/TD]
[TD="class: flagCol"][/TD]

[TD="class: nameCol srchbl"]Hematocrit[/TD]
[TD="class: valueCol"]49.8 %[/TD]
[TD="class: rangeCol"]40.0 - 52.0 %[/TD]
[TD="class: flagCol"][/TD]

[TD="class: nameCol srchbl"]MCV[/TD]
[TD="class: valueCol"]95 fL[/TD]
[TD="class: rangeCol"]80 - 100 fL[/TD]
[TD="class: flagCol"][/TD]

[TD="class: nameCol srchbl"]MCH[/TD]
[TD="class: valueCol"]32.4 pg[/TD]
[TD="class: rangeCol"]27.0 - 33.0 pg[/TD]
[TD="class: flagCol"][/TD]

[TD="class: nameCol srchbl"]MCHC[/TD]
[TD="class: valueCol"]34.1 g/dL[/TD]
[TD="class: rangeCol"]31.0 - 36.0 g/dL[/TD]
[TD="class: flagCol"][/TD]

[TD="class: nameCol srchbl"]RDW[/TD]
[TD="class: valueCol"]14.0 %[/TD]
[TD="class: rangeCol"]<16.4 %[/TD]
[TD="class: flagCol"][/TD]

[TD="class: nameCol srchbl"]Platelet Count[/TD]
[TD="class: valueCol"]151 K/uL[/TD]
[TD="class: rangeCol"]150 - 400 K/uL[/TD]
[TD="class: flagCol"][/TD]

[TD="class: nameCol srchbl"]Differential Type[/TD]
[TD="class: valueCol"]Automated

[/TD]

Re-Ride · May 19, 2017

other results from 5/9