Doctor insights on:
Ionized Calcium Calculation
See below: Serum calcium is measured by a blood test.It is the amount of calcium in your blood stream.Calcium is an electrolyte, like sodium and pottassium. Calcium is mainly present in bones and the level in the blood is under control of several hormones. It should be in the normal range as specified by the laboratory.Low and high levels have to be investigated for various causes. ...Read more
Most calcium in the blood is bound to a molecule called albumin, and this calcium fluctuates depending on the level of albumin. The rest is "ionized" calcium and this is freely available for biologic processes. Labs used to only be able to measure total calcium - calcium bound to Albumin + ionized. Now we can measure ionized calcium and not be mislead that calcium is low ...Read more
Interpret a bun level of 5(mg/dl), creatinine of 0.76(mg/dl), sodium. 136(mmol/l), potassium. 4.10(mmol/l), chloride. 98(mmol/l), bicarbonate (sodium bicarbonate). 22(mmo?
What causes high glucose serum, calcium serum, albumin serum, total cholesterol, LDL cholesterol calc, vitamin b12, but low sed rate westergren?
Means nothing alone: As a pathologist who's devoted a lifetime to lab medicine, my teammates and i are always reminding people that lab results mean nothing whatever in the absence of a history & physical exam. Please don't take this the wrong way, and i appreciate your proactive approach to health. But no one can do anything with this. Ask instead, "could high Albumin out-of-range be from dehydration?" etc. ...Read more
Ionized Calcium 4.65, PTH 133, Calcium 10.3, Vitamin D 7, Phosphorus 4.9, recurrent Kidney stones. Thyroid lobe, two parathyroids removed in 2004.
Uncertain: These test results don't add up to a straight forward answer. However, I would be concerned about the possibility of recurrent primary hyperparathyroidism. You should take Vit D to eliminate Vit D deficiency as a cause for high PTH levels. Once this is done, if you still have high PTH with high calcium levels, you have recurrent primary HPTH and will need surgery again. ...Read more
Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?
Have bone density scan tomo morn. No calcium supplmnts BUT drank 3 glasses almondMilk:135% daily value calcium (fortified w/tricalcium phosphate).Bad?
If too much sugar: It can be bad if the almond milk has sugar added, which it probably does. Drinking sweetened drinks is a fast way to down many, many grams of sugar. Sugar is bad stuff (but a little bit is ok). As for the bone density scan, no worries. Calcium-fortified foods and drinks won't alter one's bone density overnight. ...Read more
Just watch it: This is at the upper limit of normal for most reference ranges, and these in turn are set up so that several percent of healthy people will fall on either side. Watch and see what it's like on your next routine set of labs unless you develop symptoms. ...Read moreSee 1 more doctor answer
Sodium 142, potassium 3.7, total calcium 9.7 ionized calcium 4.6, magnesium 2.2. Muscle twitches/crawls and skipped beats?
Low serum phophate/creatinin+phosphate excretion 24h urine, high tubular phophate reabsorption+urine d-pyr/crea ratio. Normal CA/PTH/Dvit/intake. Bad?
Do not worry: probably not problematicGet a more detailed answer ›
Depends on context: More information is needed, especially in regards to a correction factor against the serum albumin in hypocalcemia. Ionized calcium is a good measure too, but again, context is necessary. Please see your doctor to help you with clinical context of laboratory values, because the values are not really significant until they are applied to your clinical situation. ...Read moreSee 2 more doctor answers
Albumin deficiency: Total calcium is attached to albumin, an important protein in the blood. Your serum calcium may be erroneously normal if your ionized calcium is significantly elevated, look at Albumin level and also repeat the calcium tests to make sure no mistake. May need to look at mg, phos, and intact pth. ...Read moreSee 1 more doctor answer
Low vitamin D - 7
High parathyroid- 133
Recurrent kidney stones
Low normal ionized calcium 4.65
Are kidney stones due to low vitamin D?
No: Hi. Nope, stones NOT due to low vitamin D. You should do an accurate 24-hour urine for creatinine (for validation), calcium, oxalate, citrate, phosphate, and sodium; UA for urine pH. Your total calcium looks a tad high; confirm total calcium and albumin, and ionized calcium. You should see an experienced endocrinologist or nephrologist for a thorough evaluation. Good luck! ...Read more
Replace vitamin d: Vitamin d deficiency is very common. You need vitamin d to absorb calcium from the intestines. When you don't have enough vitamin d, in order to keep your blood calcium levels normal, your make more PTH to pull calcium from the bones and that raises the alkaline phosphatase. Replacing vitamin d should normalize all the tests. ...Read more
Total protein 8.3, serum albumin 4.2 , serum globulin 3.8, albumin globulin ratio 1.2.. Is this abnormal?
Abnormal labs: It would be helpful that for the labs mentioned above. If you. Can find the normal range or reference range and list it than our answer can be more educated and helpful. The reference range does vary from one lab to another. ...Read more
I like to know what albumin serum 4.4 calcium serum 9.8 creatinine serum and posassium serum 3.8 protein total serum 6.9 and sodium serum 142
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