my next set of requested tests will be to do with low stomach acid and so far includes:
- aluminum
i also need to check for bone resorption markers, on top of the bone formation markers:
- hydroxyproline urine, total + free (covered)
- c-terminal telopeptide (not covered)
- deoxypyridinoline - urine (dynacare only) (not covered)
+
- oxalate urine (covered), if i'm doing urine
there's apparently a long list of these, neither corporate lab seems to cover many of them and they're all of questionable value. let me just do the one, plus osteocalcin, for now. but ask if he has good ideas about that...
instead of igf-1, which is not covered, i could check for gh first. so,
-growth hormone <----formation marker, pre-cursor to igf-1 and potentially a fix
let's check for lyme disease, and ask about other parasites like giardia.
and, let's check this again (monthly standing):
- vitamin d
- calcium + albumin
- magnesium
- phosphorus
- alp
- b12
- ferritin + iron + iron sat + tibc
- estradiol + progesterone + estrone
- cholesterol + cbc + gastrin + reticulocyte
- pth + tsh + calcitonin + gh + cortisol + insulin
i'll take those out of the list as they become less of a concern.
for the gastro:
i'm still concerned about diverticulitis, but if the likelihood of tumours is minimal due to the cea test, i should ask for a virtual scope instead. that way, we can figure out if i need antibiotics or surgery without risking a tear, or agitating it further. ask about gardia fecal testing. also ask about low stomach acid (gastrin) & salicylates.
for the endo:
i need to do some more research on pth, as well, and what the following combo suggests:
- calcium, 9.6 (highish but normal)
- vitamin d, 35 ng/ml (lowish but normal)
- pth, 55 pmol/l (highish but normal)
- calcitonin, ?
- gh, ?
i can grasp by looking at the numbers that highish pth with lowish vitamin d makes sense, but it's not clear to me if that's clinically relevant, perfectly healthy or even just a random coincidence. and i think i need to wait for calcitonin to draw conclusions.
- i need to do research on how sporadic sleeping schedules might affect cortisol and if it might affect bone density.
- up estrogen intake to estrogen injections and estrace pills, until the testicles are taken out. do another bmd scan and try the formation medication after that?
=====
these tests are pending at lifelabs:
- asca <---crohn's
- mercury <---iron blocker
- p-anca/c-anca <----colitis
this test is pending from dynacare:
- fit test #2 <----colon cancer
this test requires a 12 hour fast:
- amino acid fractionation <-----total nitrogen
- gastrin (redo) <---low stomach acid
these tests can be done next time i go to lifelabs:
- calcitonin <----my tsh levels were lowish, so hyperthyroidism is a distinct possibility.
- osteocalcin ($65 at lifelabs) <--- bone turnover, so it also measures resorption. key.
+ 12-hour fasting tests
these tests can be done next time i go to dynacare <----not right away
- celiac ($90) <-----maybe. last thing to check....
- igf-1 ($70) <-----formation marker. wait for other markers, first. mostly of use if i try formation medication or as a metric for fracture risk and as a reaction to gh results.
- b-alp <----- formation marker. take with others.
- glutathione?
- pyruvate?
not yet ordered:
this test is covered by ohip but is not offered anywhere in the region:
- serum oxalate <----iron blocker
- pyruvate <----manganese
this test is only available in a california lab:
-hepcidin <----hormone that regulates iron absorption
these absorption tests were skipped, for now:
- vitamin e
- vitamin k <----inr, ptt fine
- selenium
- molybdenum
- manganese
- iodine <----?
- copper serum <----ceruloplasmin fine
and, here's my list for absorption regarding my diet:
a - absorbing at high levels
b1 - next time
b2 - next time
b3 - next time
b5 - next time
b6 - next time
b7 - next time
b9 - absorbing at high levels
b12 - absorbing, and increasing stores
c - absorbing, at saturated levels
d - absorbing, but a tad low. i should check again soon.
e - pending (paid)
cholesterol - perfect
k1 - pending (paid) <----but ptt, inr, fibrinogen normal
fluoride?
aluminum?
sodium - absorbing & regulating
potassium - absorbing & regulating
magnesium - absorbing & regulating
phosphorus - absorbing & regulating
chlorine - absorbing & regulating
calcium - absorbing & regulating
chromium - next time
manganese - pending (paid) <----but, pyruvate kinase is coming immediately
iron - not absorbing in food, but absorbing in pills
nickel - next time
copper - absorbing & regulating
zinc - absorbing & regulating
selenium - pending (paid) <----- need to find access to glutathione test, not priority right now
molybdenum - not available <---but pancreatic function is normal
iodine - pending (paid) <-----note that tsh is lowish. checking pth. no sign of goiter. dietary sodium is low...
mercury - pending
lead - low