Showing posts with label labs. Show all posts
Showing posts with label labs. Show all posts

Saturday, February 12, 2011

Basic Tests to Ask Doctor for

http://www.co-cure.org/drt9.htm

I found this page listing basic tests someone with fibromyalgia/CFS should have done by a doctor. I am thinking of going to my doctor and asking for the following tests at a bare minimum. These tests were probably all done on me initially, but I didn't know as much then as I know now, so I never asked for the results. I just can't kick this darned fatigue :/


4 -- Iron, TIBC (total iron binding capacity), percent saturation and ferritin levels. These tests check for iron deficiency and excess. Both of these are critical to detect. If the iron is high, it is very easy to treat (donate blood) but can cripple and kill you if it is missed. Iron deficiency will often be present even if the blood tests are technically normal. This is because the blood test's normal range is based on preventing anemia from severe iron deficiency. More moderate levels of iron deficiency, however, can cause fatigue, brain fog, cold intolerance, restless leg syndrome, immune dysfunction, and infertility. Because of this, I usually recommend treating with iron if the percent saturation is less than 22 percent OR the ferritin level is less than 40. I recheck each four months until the blood tests come above these levels.

5 -- Vitamin B12 level. Although normal is anything under 209, evidence suggests that significant B12 deficiency occurs at much higher levels even in healthy people. Other evidence suggests that very high levels may be needed to maintain optimum health in CFS/FMS patients. I recommend that anybody with a level under 540 be treated with B12 shots. A good argument can be made for treating everybody with CFS/FMS with B12 shots regardless of the blood level.