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Doctor insights on: Oxegen Akg

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Take lopressor (metoprolol tartrate) 100mg for arrythymia-sometimes arrythymia very bad. Does magnesium/potassium help-also have hypertension-take atacand 12mg daily?

Take lopressor (metoprolol tartrate) 100mg for arrythymia-sometimes arrythymia very bad. Does magnesium/potassium help-also have hypertension-take atacand 12mg daily?

Ask your doctor. : Magnesium (mg) and/ or potassium (k) supplements would be useful if you are prone to deficiencies which can lead to arrhythmias, but check with your doctor first. Other medical problems like kidney disease may increase levels of mg & k, making supplementation risky. Also, Atacand (candesartan) can increase your serum k level. Best to ask your doctor who is measuring your electrolytes. ...Read more

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What does it mean if my blood test shows high ast, alt, vitm b12, calicum, bun/creati, neutrophils & sed rate. Low hct, hgb?

What does it mean if my blood test shows high ast, alt, vitm b12, calicum, bun/creati, neutrophils & sed rate. Low hct, hgb?

Insufficient info: All lab results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. It would also help to know the actual values of the test results. ...Read more

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What causes high glucose serum, calcium serum, albumin serum, total cholesterol, LDL cholesterol calc, vitamin b12, but low sed rate westergren?

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

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High globulin and total protein levels. Google says 'concerning'. Doctor isn't worried. Why?

High globulin and total protein levels. Google says 'concerning'. Doctor isn't worried. Why?

Tx the pt, not the #: The levels you describe, can't be meaningfully interpreted since there's no clinical context (Why were the tests done? Were you ill when the tests were done? Are you feeling better?) "Google's statement is too general- abnormal levels can be "concerning" but doesn't have your doc's luxury of knowing your specific event. If you are still worried, Go ahead and ask your doctor for clarification. ...Read more

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Exam showed normal blood work, but ua = high protein (18.0 mg/dl) high microalbumin/creatinine (36.76 mg/gcrea) and high microalbumin (5.0 mg/dl)?

Exam showed normal blood work, but ua = high protein (18.0 mg/dl) high microalbumin/creatinine (36.76 mg/gcrea) and high microalbumin (5.0 mg/dl)?

Urine protein: Are you diabetic or have history of kidney ds? Your doc may want to do 24-hour urine collection to determine total protein/24 hours as well as other tests of kidney function (creatinine clearance). Doc may advise no soda pop & examine your list of meds for possible causes. ...Read more

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Does toprol (metoprolol) XL raise potassium levels?

Does toprol (metoprolol) XL raise potassium levels?

No: It should't raise potassium levels. Check renal function. Recheck to rule out pseudohyperkalemia. Check with md! ...Read more

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Hi ,would you say this is stage 1 ckd serum creatinine 56umol,serum potassium 4.6 ,sodium 140mmol. GRF calcuated abbreviatd MRDR 90ml/min1.73m2. )?

Hi ,would you say this is stage 1 ckd serum creatinine 56umol,serum potassium 4.6 ,sodium 140mmol.     GRF calcuated abbreviatd MRDR 90ml/min1.73m2. )?

Yes: Stage 1 CKD is defined as a GFR of 90 or more with some kidney function abnormality. Normal kidney GFR ranges 90 to 110 for more people but increases with certain conditions, especially pregnancy. If your urine is normal, blood pressure is normal and other blood tests are normal, you have normal kidney function. ...Read more

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Plasma Vitamin D <4.2 ng/mL Serum Vitamin B12 -197 Serum TSH-2.805 Serun Alkaline Phosphatase-356 WBC-3300 MCV-103 MCH-34 Platelet-141k?

Plasma Vitamin D  <4.2 ng/mL
Serum Vitamin B12  -197
Serum TSH-2.805
Serun Alkaline Phosphatase-356
WBC-3300
MCV-103
MCH-34
Platelet-141k?

Need Vits D3 and B12: You are severely deficient in Vitamins D3 and B12. I recommend 10,000 IU of Vit D3 per day, and 1,000 mcg methylcobalamin each day. Your D3 levels should be 60-70 ng/dl. ...Read more

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S Potassium is 5.54 mmol/l. Doc prescribed Losartan Potassium for HTN & CKD. Will it further increase S. Potassium level? Isn't Telmisartan better?

Class effect: Both Losartan and Telmisartan could increase potassium. Perhaps there was a reason the potassium was elevated (if blood sits too long before running the sample for example) so maybe the doctor to that into consideration. I would confirm with your doctor though as he/she may want to repeat the test. ...Read more

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12 weeks pregnant. Have high folate (folic acid) serum levels blood test-is this ok or dangerous? Do i stop vitamins? (takin pregnacare max with calc vit d &omega

12 weeks pregnant. Have high folate (folic acid) serum levels blood test-is this ok or dangerous? Do i  stop vitamins? (takin pregnacare max with calc vit d &omega

TOTALLY SAFE: There is absolutely no known toxicity from folic acid. It is far better to have high levels than low. This just means you have more in your blood than most people but, again, this is not harmful in any way and will protect your baby from birth defects. ...Read more

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Increased aldolase, complement c3/c4 serum, sed rate, c-react. Protein, beta globulin, monocytes, bun/creatin low mcv-mch, vit d-possible causes?

Increased aldolase,  complement c3/c4 serum, sed rate, c-react. Protein, beta globulin, monocytes, bun/creatin low mcv-mch, vit d-possible causes?

Complicated: When i was doing clinical medicine, these were collectively sort of the flags for sarcoid disease but I am not saying that's the case here. This is because sarcoid is a diagnosis of exclusion so the advice is to rule out other diseases with additional diagnostic tests which can be done by a primary care physician or rheumatologist. ...Read more

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Bun/creatinine ratio = 20...Taking Diovan (valsartan) hct 160/12.5 for htn-could diuretic in BP med be affecting level?

Bun/creatinine ratio = 20...Taking Diovan (valsartan) hct 160/12.5 for htn-could diuretic in BP med be affecting  level?

Likely: We have a saying in laboratory medicine, "treat the patient, not the numbers." you may be a little dry from your diuretic or simply not having drunk water before the exam. Generally, there's little reason to focus on your lab numbers; look at how your medication is affecting you generally, and how you feel. ...Read more

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What creatine level or GFR level makes dyalysis necessary?

What creatine level or GFR level makes dyalysis necessary?

Ten: It is generally accepted that a GFR of 10 or less or a serum creatinine level of 10 or higher to the point at which dialysis is started. However, dialysis is started when all other therapies have or are failing and the only alternative left is dialysis. Why? Because dialysis is a huge life changer for anyone irrespective of age. ...Read more

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Total ck, sed rate, ana, ip ace, serum protein panel normal but gamma globulin (.6) cortisol am (30.8) Hx of low vit d and K. What could this mean?

Total ck, sed rate, ana, ip ace, serum protein panel normal but gamma globulin (.6) cortisol am (30.8)
Hx of low vit d and K. 
What could this mean?

Not much-: An important thing to remember is that lab results are not useful unless there is a clinical context. Advice is based on focusing on the patient, not the numbers. Though you mention a history of low vit D and K, did symptoms exist when the labs were drawn? Why were they drawn in the first place? Otherwise, it is best to ask your ordering doctor what the results mean. ...Read more

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Serum protein electrophoresis - hight beta fraction, what does this mean?

Serum protein electrophoresis - hight beta fraction, what does this mean?

Unimportant: Tell us your values of all proteins. The only two that matter are Albumin and Gamma Globulin. A M spike(monoclonal peak) can be abnormal...so look for this, otherwise you are ok and can ignore the beta fraction. ...Read more

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Ferritin, rbc, haematocrit, globin all normal but low serum iron, gp gave me ferrous fumarate, but im not anaemic?

Ferritin, rbc, haematocrit, globin all normal but low serum iron,  gp gave me ferrous fumarate,  but im not anaemic?

More info needed!: Low iron level by itself does not always indicate iron deficiency. To interpret the results, we interpret it in conjunction with ferritin, TIBC and iron saturation. Low iron level can some times be seen if you have an inflammatory / infectious condition at the time of blood draw. It is very unusual to have iron deficiency in a young man as it is usually seen in young females due to menstruation. ...Read more