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RE: Angie -- blood work

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Dear Angie,

Have your pcp do the tests. A year is way too long to wait on some of

the issues (particularly your b-12 levels). If you become deficient in

b-12 and stay that way, you can cause permanent, irreversible

neurological disorders which include memory loss, numbness in the

extremities, etc. and you don't want to do that.

Bloods should be run every 3 months the first year out and then every 6

months there after. If you have a good relationship with your primary

care doc, I would say to let him do your follow-up. Here's the list of

what you need tested:

This list includes labs we have performed as gastric bypass patients

* comprehensive metabolic profile (sodium, potassium, chloride,

glucose,BUN, creatinine, calcium, total protein, albumin, total

bilirubin, alkaline phosphatase, aspartate aminotransferase)

* pre-albumin

* lipid profile (cholesterol, HDL, LDL, triglycerides, chol/HDL

ratio)

* ALT (SPGT)

* GGT

* LDH

* phosphorous - inorganic

* uric acid

* hemogram with platelets

* B-12 & folate

* iron, TIBC, % sat

* vitamin A & D (25-hydroxy)

* vitamin B-1

* thyroid panel (T3U, T4, FTI, TSH)

* zinc

* magnesium

* ferritin

* serum intact PTH

DIAGNOSIS CODES: 579.3 post-surgical malabsorption

269.2 hypovitaminosis

244.9 hypothryoidism

Good luck. I hope your doctors do the right thing and that you have

great follow-up care. It is essential to your health.

live each day like it's your last... love like you've never been hurt...

Deb in Hazlet, NJ

" Debbie Dancer "

distal rny

September 3, 2002

386/212/165

BMI 60/31/24

-174

-100 "

Angel to Bill, Debbie, Ilene, Roy, and Ro

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Dear Angie,

Have your pcp do the tests. A year is way too long to wait on some of

the issues (particularly your b-12 levels). If you become deficient in

b-12 and stay that way, you can cause permanent, irreversible

neurological disorders which include memory loss, numbness in the

extremities, etc. and you don't want to do that.

Bloods should be run every 3 months the first year out and then every 6

months there after. If you have a good relationship with your primary

care doc, I would say to let him do your follow-up. Here's the list of

what you need tested:

This list includes labs we have performed as gastric bypass patients

* comprehensive metabolic profile (sodium, potassium, chloride,

glucose,BUN, creatinine, calcium, total protein, albumin, total

bilirubin, alkaline phosphatase, aspartate aminotransferase)

* pre-albumin

* lipid profile (cholesterol, HDL, LDL, triglycerides, chol/HDL

ratio)

* ALT (SPGT)

* GGT

* LDH

* phosphorous - inorganic

* uric acid

* hemogram with platelets

* B-12 & folate

* iron, TIBC, % sat

* vitamin A & D (25-hydroxy)

* vitamin B-1

* thyroid panel (T3U, T4, FTI, TSH)

* zinc

* magnesium

* ferritin

* serum intact PTH

DIAGNOSIS CODES: 579.3 post-surgical malabsorption

269.2 hypovitaminosis

244.9 hypothryoidism

Good luck. I hope your doctors do the right thing and that you have

great follow-up care. It is essential to your health.

live each day like it's your last... love like you've never been hurt...

Deb in Hazlet, NJ

" Debbie Dancer "

distal rny

September 3, 2002

386/212/165

BMI 60/31/24

-174

-100 "

Angel to Bill, Debbie, Ilene, Roy, and Ro

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