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 I had middle-of-the-month labs yesterday. Everything is basically good; my phosphorous is normal (due to a cut back in drinking milk), my Hemoglobin is stable, and my Vitamin D level (this is a new lab that they started, and will be done yearly) is a little low. I haven’t received any Vitamin D supplements in over a month, due to my PTH being too low (Zemplar is what I was getting).

Lab Value Ref Range Flag
Hemoglobin 12.1 14.0-16.5 L
Calcium 9.0 8.3-10.5  
Phosphorous 3.7 2.5-4.8  
Vitamin D25 18 20-100 L
Vitamin D25 OH D3 18 20-100 L
Vitamin D25 OH D2 <4 L

25-OHD3 indicates both endogenous production and
supplementation. 25-OHD2 is an indicator of
exogenous sources such as diet or supplementation.
Therapy is based on measurement of Total 25-OHD,
with levels <20 ng/mL indicative of Vitamin D
deficiency while levels between 20 ng/mL and 30
ng/mL suggest insufficiency. Optimal levels are
>30 ng/mL.

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