It’s been 14 months since my last blood test update on the site, and I thought I’d share my latest test with you guys.

I had this test done because I’ve been feeling more fatigued than normal, and I’ve had a few instances where I’d get really shaky for no apparent reason.  It didn’t feel like anemia, but I’d say it felt close to when I’d do bowel prep and not eat for several days and just feel completely drained (physically).

Here are the results, which have been condensed to exclude certain tests like glucose, eGFR and urine tests:

Blood test comparison Nov 2012 - April 2015

Highlight = out of normal range
TestReference rangeApril 9, 2015 (fasting)Feb 6, 2014 (fasting)Nov 8, 2013 (pre-op, fasting)Nov 22, 2012 (fasting)
Creatinine60-127 umol/L646563 54 
Urate180-450 umol / L261302n/a210
Sodium135-146 mmol/L139140137138
Potassium3.5-5.2 mmol / L3.
Chloride95-108 mmol / L103105107105
Albumin35-50 g/L4943n/a 20 
Alt4-43 u/L2726n/a 3 
Cholesterol<5.2 mmol / L3.62.96n/a1.78
Triglycerides<1.71 mmol / L1.251n/a0.5
HDL cholesterol>1.0 mmol / L1.21.38n/a 0.83 
LDL Cholesterol< 2.0mmol / L1.831.12n/a<1.0
Chol/HDL ratio< 4.5 mmol/L32.1n/a2.15
Vitamin B12>200 pmol/L 126  196 n/a 202 
Vitamin D (25 hydroxy)75-200 nmol/L 52  43 n/a 38 
Ferritin25-200 ug/L29 24 n/a 14 
Hemoglobin135 - 180 g / L148 117  83  91 
Hematocrit0.37 - 0.54 L/L0.438 0.36  0.267  0.296 
Wbc count4-11 x10 9/L6.76.29.536.6
Rbc count4.5 - 6.5 x10 12/L5.024.62 3.2  4.21 
Mcv80-97 fl87 79 83.4 70.4 
MCH27-32 PG29.5 25  25.9  21.7 
MCHC320-360 G / L338323 311  308 
RDW11-14.5 %13.2 19.7  16.5  19.7 
Platelet count150-400 x10 9 / L207251180 474 
Neutros2-7.5 x10 9 / L4.44.47.174
Lymph1.1-3.3 x10 9 / L1.71.431.41.9
Mono0-0.8 x10 9 / L0.50.31 0.95 0.6
Eos0-0.5 x10 9 / L0.010.0600.1
ESR2-25 mm/h116 (March 2014)n/a 49 (Sept 2011) 
hs-CRP<1.0 mg/L 3.7  3.5 (Mar 2014) n/a 40.8 

I’ll be honest, I’m really happy with the look of things – nearly everything is normal except vitamin B12 and vitamin D, which are typical concerns for vegans, ostomates, IBDers and Canadians alike! But I will confess that I’ve been terrible in keeping up with supplementing those two.  Since I don’t eat many fortified foods, supplementation is a must for those two vitamins.

The good news is that even without iron supplementation, my levels are now normal and I’m no longer anemic. I’m willing to bet that if my anal wound hasn’t been bleeding for the last year, the levels would be even better, but I’m not going to complain too much.

My electrolyte levels are also looking good, which is a relief.  I know that electrolytes are a concern for ileostomates, so I’m glad that’s not an issue for me right now.

I am puzzled by the hs-CRP, which is an inflammatory marker, but considering that I still have an anal wound, this may not be too out of the ordinary.  My GP wasn’t concerned, but I did say that I would follow up with my GI sometime in the summer when I schedule another ileoscopy.

I was also taken back by my weight, which is now 183lbs, and is probably the heaviest I’ve been – ever.  I’m not happy about this, and will work to get that weight down to a healthier level. Inactivity + night-time binges + eating waaaaay too much at dinner time + “making up for lost meals” = uncontrolled weight gain.

The Game Plan
I picked up a different type of B12 supplement to try.  I was offered monthly injections, but I’d like to see if I can get my levels up through regular supplementation (my levels were always on the high end of normal). One difference with the new B12 is that they are tablets, not sub-lingual, so I don’t know if that’ll positively or negatively impact my levels. Also, because they don’t contain added folic acid, I feel more comfortable taking them more often.
For vitamin D, I will make it a habit to take my supplements more regularly. I do have a vegan vitamin D3, which is suppose to absorb better than traditional vitamin D2, but that’s only if you take it!  I also plan on getting natural vitamin D through sun exposure this spring/summer.
I’m going to make an attempt to eat more regularly, which might help with the shaky feeling I was having, but will reduce the volume of food I eat at one time.
Question: Have you had your lab work done recently? How were the results?