Serum calcium from the CBC is 9.8, which is consistent with past results that fluctuate between 9 and 10. No ionized serum calcium.
I've had four CMP's run this year.
1/5/23: protein 7.1, albumin 4.7, globulins 2.4. This is typical for me.
2/28/23: protein 6.7, albumin 4.7, globulins 2.
4/3/23: protein 6.6, albumin 4.6, globulins 2.
4/14/23: protein 7.4, albumin 4.8, globulins 2.6.
The first three were taken in the morning after an overnight fast of 12 hours. The last one was taken in the afternoon 2-3 hours after breakfast, so that may be artificially increasing the values?
I'll get another CMP run when I retest my copper levels in a few weeks.
As of right now the nose bleed has been fixed with a few days with nasal packing they put in at the hospital.
Alkalinity can drive the calcium into albumin, which can lower the ionized fraction.
Yes I think eating is a huge confounder and you should always measure labs you are comparing in the same state.
Fasting makes things easier because so many labs do require fasting, and because most literature values are from the mornings after an overnight fast.
When I see these values it looks to me like you were in the 2.4-2.6 range and temporarily dipped to the 2.0 range, or perhaps that you are always in the 2.0-2.4 range during an overnight fast and nothing changed.
Serum calcium from the CBC is 9.8, which is consistent with past results that fluctuate between 9 and 10. No ionized serum calcium.
I've had four CMP's run this year.
1/5/23: protein 7.1, albumin 4.7, globulins 2.4. This is typical for me.
2/28/23: protein 6.7, albumin 4.7, globulins 2.
4/3/23: protein 6.6, albumin 4.6, globulins 2.
4/14/23: protein 7.4, albumin 4.8, globulins 2.6.
The first three were taken in the morning after an overnight fast of 12 hours. The last one was taken in the afternoon 2-3 hours after breakfast, so that may be artificially increasing the values?
I'll get another CMP run when I retest my copper levels in a few weeks.
As of right now the nose bleed has been fixed with a few days with nasal packing they put in at the hospital.
Alkalinity can drive the calcium into albumin, which can lower the ionized fraction.
Yes I think eating is a huge confounder and you should always measure labs you are comparing in the same state.
Fasting makes things easier because so many labs do require fasting, and because most literature values are from the mornings after an overnight fast.
When I see these values it looks to me like you were in the 2.4-2.6 range and temporarily dipped to the 2.0 range, or perhaps that you are always in the 2.0-2.4 range during an overnight fast and nothing changed.