Vitamin Question

 

I just got my 6 month labs back and seen my DR on Monday. He said everything looked good except for my Vitamin A, told me to take 2 Vitamin A tablets a day. I am currently taking 4 Optisource Multi Vitamins a day, plus 3 250 mg Calcium Citrate, Bioten and a sublingual B12 once a day.I think some of my other levels are low but my DR said no. Should I add something else beside just the Vitamin A? 

 

Component Standard Range Your Value

SODIUM	135 - 145 MMOL/L	137
POTASSIUM	3.6 - 5.0 MMOL/L	3.9
CHLORIDE	101 - 111 MMOL/L	104
CO2	21 - 31 MMOL/L	28
ANION GAP		5
GLUCOSE	70 - 110 MG/DL	98
CREATININE	0.4 - 1.0 MG/DL	0.8
BUN	6 - 20 MG/DL	9
CALCIUM	8.5 - 10.5 MG/DL	8.8
PROTEIN TOTAL	6.7 - 8.2 G/DL	6.7
ALBUMIN	3.2 - 5.0 G/DL	4.0
T BILIRUBIN	0.2 - 1.0 MG/DL	0.5
ALP	42 - 121 IU/L	68
AST	10 - 42 IU/L	13
ALT	10 - 60 IU/L	11
OSMOLALITY	266 - 309	272
A/G RATIO		1.5
B/C	10 - 20	11
ESTIMATED GFR		80

 

Component Standard Range Your Value

WBC	3.4 - 11.3 THOU	6.2
RBC	3.65 - 5.16 MIL	4.40
HGB	11.1 - 15.4 G/DL	13.1
HCT	33.3 - 45.5 %	39.6
MCV	81.0 - 98.2 CU MIC	89.8
MCH	27.0 - 31.1 PG	29.6
MCHC	32.6 - 34.9 G/DL	33.0
RDW	11.5 - 14.5 %	15.6
MPV	6.9 - 9.9 fl	9.5
PLATELET CNT	146 - 374 THOU	225
NEUTROPHILS	48.8 - 75.9 %	59.4
LYMPHOCYTES	16.3 - 43.9 %	32.5
MONOCYTES	2.1 - 13.3 %	6.2
EOSINOPHILS	0.3 - 5.0 %	1.5
BASOPHILS	0.0 - 1.1 %	0.4
NEUTROPHILS ABS	1.6 - 8.5 10 3/uL	3.7
LYMPHOCYTES ABS	0.6 - 4.9 10 3/uL	2.0
MONOCYTES ABS	0.0 - 1.4 10 3/uL	0.4
EOSINOPHILS ABS	0.0 - 0.5 10 3/uL	0.1
BASOPHILS ABS	0.0 - 0.1 10 3/uL	0.0

PREALBUMIN

18 - 38 MG/DL

13

FERRITIN

11.0 - 306.8 NG/ML

8.3

PTH, INTACT 12.0 - 88.0 PG/ML 37.9

VITAMIN B-12

180 - 914 PG/ML

997

 

Thiamin (Vitamin B1), WB 138 nmol/L 70-180

 

Zinc, S 0.73 mcg/mL 0.66-1.10

Calcium, Ionized, S 4.75 L mg/dL 4.80 - 5.70

Vitamin E, S
A-Tocopherol, Vitamin E 7.9 mg/L 5.5 - 17.0

Vitamin A, S
Free Retinal(Vit A) 24.7 L mcg/dL 32.5-78.0

Copper, S 1.21 mcg/mL 0.75-1.45

 

 

Well, the ASMBS says we need 200% of the RDA of most things, so to get that, you'd need EIGHT Optisource a day, not four.

Your ferritin, which is iron storage, is super low.  When it gets around ten, hematologists often recommend iron infusions.  You're not taking any iron, besides what's in the Optisource?  How many of the Optisource do you take at a time?  More than 300 mg of calcium will block the absorption of iron, so if you take two at a time, you won't be able to absorb any of the iron in them.

I don't see a serum iron level listed.  Did you get your iron level checked?  If not, I would.  But I would start taking a BIG dose of iron with vitamin C, or probably see a hematologist to talk about your ferritin level.

I don't see a vitamin D level here.  Did you get that tested?  If not, I would.

Your pre-albumin is low, which means you probably need more protein.

The 4 Optisource has the 200%. I take them 1 at a time and space them at least 2-3 hours apart. I take my calcium at the same time as my Optisource so that might be why my Iron keeps dropping. I don't think the DR had them check the other levels that you mentioned, I will call Monday and see what they say. I forgot to mention the DR told me to up my protein. I was eating 70 a day and he wants me to add an extra shake a day till my level comes back up. Thanks for replying so quick.

I'm looking at the nutritional info here.

One tablet does have 50% of the RDA of some things.  But it only has 25% of vitamin C, riboflavin (B2), niacin (B3), B6, pantothenic acid (I think that's B5), magnesium, selenium and copper.  It only has 5% of biotin and 5% of phosphorus, and only 35% of vitamin A.  If I was only going to take four Optisource, I would at least add a B complex since it is low in so many of the B vitamins and take some C with my iron.

You may want to get some of  your other B vitamin levels checked, too, especially B6.

Always get a copy of your blood work (or any other test) and keep it to compare to prior tests. You could be in normal ranges, but have a big change within the range.  Just a suggestion.