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[SPAM] Re: Labs

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How often are you all checking these

values?

From:

[mailto: ]

On Behalf Of payal batra

Sent: Thursday, August 09, 2007

2:37 PM

Subject: [sPAM] Re:

Labs

Serum calcium does not adequately represent calcium

status hence we also do a Serum ionized calcium, serum PTH and 25 Hydroxy

Cholecalciferol for all our bypass patients as a protocol.

In addition to blood glucose, insulin is also on our list as insulin

resistance is more common than frank diabetes in our patient population

Would like to know what others are following as well.

Regards

Payal

jbach11

<knbachhotmail> wrote:

Just wanted to see what

other facilities out there are routinely

testing, as far as labs after gastric bypass surgery. We currently

check the following:

CBC

Electroylytes

BUN

Creatinine

Glucose

Calcium

Magnesium

Cholesterol

Triglycerides

T. BIli

T. Protein

Albumin

Alk Phos

AST

ALT

Serum Iron

TIBC

Serum Folate

B12

B1

Is there anything else that we should be testing on a regular basis?

Thanks!

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The entire list at baseline and yearly. Blood Sugar, HbA1c and insulin levels at 3, 6 and 12 mo for Diabetics. CBC, Proteins, Calcium and Vit D, Iron panel, B12 and Folic at 3, 6, 12, 18, 24 Mo and yearly thereafter. Regards Payal suem4 <suem4@...> wrote: How often are you all checking these values? From: [mailto: ] On Behalf Of payal batraSent: Thursday, August 09,

2007 2:37 PM Subject: [sPAM] Re: Labs Serum calcium does not adequately represent calcium status hence we also do a Serum ionized calcium, serum PTH and 25 Hydroxy Cholecalciferol for all our bypass patients as a protocol. In addition to blood glucose, insulin is also on our list as insulin resistance is more common than frank diabetes in our patient population Would like to know what others are following as well. Regards Payaljbach11

<knbachhotmail> wrote: Just wanted to see what other facilities out there are routinely testing, as far as labs after gastric bypass surgery. We currently check the following:CBCElectroylytesBUNCreatinineGlucoseCalciumMagnesiumCholesterolTriglyceridesT. BIliT. ProteinAlbuminAlk PhosASTALTSerum IronTIBCSerum FolateB12B1Is there anything else that we should be testing on a regular basis? Thanks! Fussy? Opinionated? Impossible to please? Perfect. Join 's user panel and lay it on us.

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Every 6 months.

Ava

>

> Just wanted to see what other facilities out there are routinely

> testing, as far as labs after gastric bypass surgery. We currently

> check the following:

>

> CBC

> Electroylytes

> BUN

> Creatinine

> Glucose

> Calcium

> Magnesium

> Cholesterol

> Triglycerides

> T. BIli

> T. Protein

> Albumin

> Alk Phos

> AST

> ALT

> Serum Iron

> TIBC

> Serum Folate

> B12

> B1

>

> Is there anything else that we should be testing on a regular

basis?

> Thanks!

>

>

>

>

>

>

> _____

>

> Fussy? Opinionated? Impossible to please? Perfect. Join

>

<http://us.rd./evt=48516/*http:/surveylink./gmrs/ya

hoo_pan

> el_invite.asp?a=7%20> 's user panel and lay it on us.

>

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We check the same levels as Payal (ser Ca ionized, Vit D3, PTH).... I recheck labs every 3 months to look for improvement. If levels do not improve with PO supps, I refer them to Endocrin. Specifically, my DS patients.

Angie , MEd, RD, CDN Nutritionist SIUH Center for the Surgical Treatment of Obesity 256 Mason Avenue Staten Island, NY 10305 718-226-1265

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