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What Does This Blood Report Indicate?
Question: had blood work done recently cause I was feeling tired and anxiety has been a lot lately only talked to nurse who said it looked fine... folic acid 15.5...sodium 140.. potassium 3.9
chloride 106...Co2 24....agap 10..bun 19....creatinine 0.9..gfr afn amer. 85 ...non gfr afr amer 71...glucose 92....albumin 3.7...calcium 8.5.... total protein 6.9...alk phos 47...
bili total 0.7..ast 16...alt 33.....osmo calc 281...iron 73....b12 201 ...estradiol 62..luteinzing 9.3
chloride 106...Co2 24....agap 10..bun 19....creatinine 0.9..gfr afn amer. 85 ...non gfr afr amer 71...glucose 92....albumin 3.7...calcium 8.5.... total protein 6.9...alk phos 47...
bili total 0.7..ast 16...alt 33.....osmo calc 281...iron 73....b12 201 ...estradiol 62..luteinzing 9.3
Brief Answer:
most of them are fine!
Detailed Answer:
Hello,
besides the borderline levels of B12, the rest of the tests are perfectly fine!
B12 could be OK too, but its levels are a little on the low side. Measuring homocysteine and methylmalonic acid will help to determine whether B12 has affected your metabolism or not. If your complete blood count was normal then it's unlikely that B12 has affected you in a negative way.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.
Kind Regards!
most of them are fine!
Detailed Answer:
Hello,
besides the borderline levels of B12, the rest of the tests are perfectly fine!
B12 could be OK too, but its levels are a little on the low side. Measuring homocysteine and methylmalonic acid will help to determine whether B12 has affected your metabolism or not. If your complete blood count was normal then it's unlikely that B12 has affected you in a negative way.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.
Kind Regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Should I take a b12 supplement?
And if so how much and can I take with multivitamin?
And if so how much and can I take with multivitamin?
Brief Answer:
The tests are required to answer that
Detailed Answer:
Perhaps I wasn't clear enough, so I'll make it more clear now.
B12 levels cannot on their own reflect the adequacy of vitamin B12 in the body. Sometimes an even higher level is inadequate. Other times a lower level can be adequate.
There are ways to find out though. The simpler test to use is the complete blood count. Normal mean corpuscular volume, normal hematocrit and lack of microscopic evidence of B12 deficiency are very much against it, although early deficiency may remain hidden. Measuring methylmalonic acid and homocysteine will also help to find out but also not definitely. Examination of the bone marrow will also provide diagnostic information but I don't suggest you to do an invasive (minimally) test. I suggest you to do the rest of the tests though. Complementary tests include intrinsic factor antibody and antiparietal cell antibody. Serum gastrin would be elevated in case of atrophic gastritis (which is a common cause of B12 deficiency).
Regarding supplmentation, if you do have atrophic gastritis with antibody against the intrinsic factor, then it's doubtful that you would absorb any quantity of B12. If you're going to try taking B12 by mouth then using more 1mg or more per day is the required dosage to achieve adequate absorption. If atrophic gastritis is confirmed the intramuscular administration is recommended.
I hope this is more clear now!
Kind Regards!
The tests are required to answer that
Detailed Answer:
Perhaps I wasn't clear enough, so I'll make it more clear now.
B12 levels cannot on their own reflect the adequacy of vitamin B12 in the body. Sometimes an even higher level is inadequate. Other times a lower level can be adequate.
There are ways to find out though. The simpler test to use is the complete blood count. Normal mean corpuscular volume, normal hematocrit and lack of microscopic evidence of B12 deficiency are very much against it, although early deficiency may remain hidden. Measuring methylmalonic acid and homocysteine will also help to find out but also not definitely. Examination of the bone marrow will also provide diagnostic information but I don't suggest you to do an invasive (minimally) test. I suggest you to do the rest of the tests though. Complementary tests include intrinsic factor antibody and antiparietal cell antibody. Serum gastrin would be elevated in case of atrophic gastritis (which is a common cause of B12 deficiency).
Regarding supplmentation, if you do have atrophic gastritis with antibody against the intrinsic factor, then it's doubtful that you would absorb any quantity of B12. If you're going to try taking B12 by mouth then using more 1mg or more per day is the required dosage to achieve adequate absorption. If atrophic gastritis is confirmed the intramuscular administration is recommended.
I hope this is more clear now!
Kind Regards!
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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