POST-op lab work ?

[Mrs.RRn 2,111]

I'll be visiting my PCP soon, and I want to know what kind of lab work did you guys have post- op. My surgeon won't be following these things, so I want to be sure I don't miss anything.

I'll be having my yearly thyroid level checked, but other than that, what should I suggest?

Thanks you guys!

[ChristineR 128]

Good question. I was wondering if mine would do lab work as well since they did a ton (on 2 separate occasions) pre surgery and while I was in the hospital. They were even checking my blood sugar levels in the hospital although I'm not diabetic.

[mokee 588]

Surgeon runs all blood work every 3 months. Mostly all Vitamin levels plus CBC and things PCP usually runs. The vit levels were never checked by my PCP. This is how I found out I was anemic the last time.

[Mrs.RRn 2,111]

Surgeon runs all blood work every 3 months. Mostly all Vitamin levels plus CBC and things PCP usually runs. The vit levels were never checked by my PCP. This is how I found out I was anemic the last time.

That's why I want to make sure my PCP orders everything I need. I love my doctor, but I know she's not a specialist in wls. I don't want to miss something like that.

[clk 3,519]

Since I self-paid I have my PCM run vitamins/minerals - it's especially important to check your Bs & D as well as your Iron and Calcium. I also got my A1c run again, but I was diabetic prior to surgery (not anymore!) and had my hormone panel run as well as my thyroid panel.

The main concern would be your Vitamins because I put off my labs until shortly after one year post op. I was seriously deficient in B12 and Iron and those two supplements changed my life. I went from feeling like a zombie to functioning like a normal person again.

~Cheri

[Corky6984 134]

I just had my post op labs done on Monday and had 6 different ones that they needed. Just an FYI, though. Ask if you have to fast or not. I assumed that I had to fast for them because they were listed under fasting labs, so I woke up Monday morning, went and got labs done. Girl said, "I have 2 more." Once she said that, my body ran cold and when she was done, all I saw was black spots. I had to sit there for a while, then ended up lying down on their bed. I was never like this before, so I figured when I had "all" of my stomach, it never bothered me. Just wanted to give you a heads up because that was NOT fun at all! Good luck!

Sent from my iPhone using VST

[kari61 128]

I have my RX in front of me to go for my Post op labs..I will list what it says for you..It does say fasting is required...* Prealbumin, Serum * CBS w/diff & Plt * Zinc * Comp Metabolic profile * PTH, intact & calicum * TIBC * Vit D, 25 hydroxy * Vit B12, Serum * Vitamin A * Folate, serum * Vit B1 plasma * Hemoglobin A1C * Lipid panel * Calcium Ionized * LFT (liver function test)....Dont' know what everything on here is, but this is what my prescription says..hope this helps..

[Mrs.RRn 2,111]

I have my RX in front of me to go for my Post op labs..I will list what it says for you..It does say fasting is required...* Prealbumin, Serum * CBS w/diff & Plt * Zinc * Comp Metabolic profile * PTH, intact & calicum * TIBC * Vit D, 25 hydroxy * Vit B12, Serum * Vitamin A * Folate, serum * Vit B1 plasma * Hemoglobin A1C * Lipid panel * Calcium Ionized * LFT (liver function test)....Dont' know what everything on here is, but this is what my prescription says..hope this helps..

Thanks so much for sharing that!!

[Rox 200]

Am glad that you shared your RX with us - I don't expect my PCP to know alot about weight loss surgery - since i'm having surgery in Mexico - my PCP is taking care of me post-op.

[lsereno 2,525]

Kaiser Fremont Bariatrics recommends the following labs at 6 mo., 1 year and then annually:

Chem 10, ALT, AST, PT, Albumin, Prealbumin, Ferritin, Iron/TIBC, CBC, Serum B12, RBC folate, B1, 25 OH Vit D, PTH, Alk phos(metabolic bone disease) Vit A, glucose, lipids, HbA1c. Use “PNL BAR” in Order Entry in HC, Consider copper deficiency if unresolved hypochromic anemia.

They also recommend annual bone density screening.

[rdt210 82]

I got mine done at 3 months post op and my order was identical to MrsRrn. Got the results back and everything was in normal range except B6 which was high. Will find out what that means at my appt in 2 weeks. I think my doc will order them again at 6 months.