Wow, it’s been about a week since I wrote something. I feel like sleeping most of the time. I was warned about the extreme fatigue that comes with this, but this is a whole other level compared to other fatigue I’ve gone through.
I ended up getting the boot from the hospital a few hours after I wrote my last post. The doctor came in and did a complete 180 from what he said the day before. I think when it came down to it, they needed the room for someone else, and me staying was messing up someone’s schedule. The early test results said I didn’t have an infection, which was confirmed days later. My fever was caused by the CRS.
When they decided to give me the boot from the hospital, I mean they really did give me the boot. They pulled out my picc line, gave me a shot of Neupogen to boost my white blood cells, and had a wheelchair ride to the curb waiting. The doctor said a nurse practitioner was going to come by and answer all my questions, but one wasn’t available, so that didn’t happen. I was a bit ticked off with the lack of information as I was suddenly being shown the door. Overall the hospital stay and staff were good, except for the end.
I didn’t mind going home, as a hospital is not a place of rest or recovery. It’s a place to make sure you don’t die, although that happened quite a bit while I was there. 4 people dying in one day was my record while I was there.
I was talking with one of the nurses while I was there, and he was wishing they didn’t announce it on a loudspeaker on all floors. He found it disturbing and he wasn’t the one hospitalized. I didn’t mind knowing. It was a good reminder that death is part of life and it happens all the time, unknowingly to most people.
So I’ve been home for about a week now. I’ve been pouring in the nutrition, giving my body what it needs to recover. I had a check up on Monday, with labs showing my recovery. I have another check tomorrow, where I think we will run some myeloma labs, to start seeing how the treatment is going.
I’ve had two little bouts of confusion when I wake up in the middle of the night. I’m also having some weird nerve discomfort/pain down the backs of my arms and legs. That’s going in the “I don’t know” category for the doctors, but fortunately it is gradually getting better on its own.
It’s been over 4 weeks since I had my T-cells collected. I find myself counting down the weeks, which I find a bit funny. Car-T has such great potential but can also have some nasty side effects. Maybe I’m just tired of dealing with cancer and would like to be done with it, or at least have a good long break from it.
My doctor was on vacation when my potential spine growth showed up in my heart MRI. That left me communicating with a nurse practitioner filling in for the doc. That was a bit of a challenge, having odd responses from her. Her choice of action was to wait for a month, when the team could review my scan in their monthly meeting.
Huh?!?
None of her suggestions made any sense to me, and I finally told her I wanted to talk with the myeloma doctor when he got back. It was funny timing because I was a few weeks into having my cells engineered. You have to be off treatment for about 3 weeks before the Car-T infusion. Did I want treatment for a week?
Fortunately, I feel like I have a very good myeloma doctor, and he called the day he got back and we discussed things. He said that things can show up on scans that aren’t actually there, and if there is something there, it’s so small, unless I have pain, just let the Car-T deal with it. He recommended not doing anything, which sounded good since I am not in pain.
For the most part I feel pretty good. I find myself wondering when I have a weird jab of pain. Is it cancer? Or is it just a weird jab of muscular pain?
It’s been about 3 months since my last infusion of chemo, and apparently it already wasn’t working at that point.
I am starting to notice little cancer clues for myself. When my cancer numbers went up recently, some of my hair started falling out. My hair started failing out over 5 years ago, before I was first diagnosed. So I think it’s a sign for me. In the last week, at times, I have been hit with some pretty good waves of fatigue and occasionally aren’t as hungry as I should be. I haven’t had a myeloma blood test in 6 weeks. I wonder how my numbers are?
I know potentially, I might get hammered by the Car-T. I think it’s a fine line between having too many cancer cells, and have the T cells go berserk, and not enough and the cells not activate efficiently.
I’m not letting any of it hold me down, it will be whatever it will be and I’ll get through it. I’m still staying active, walking, running, hiking and weightlifting. I’m still pounding nutrition. I find that eating whole real food is easy to eat, and I want to build myself up as much as possible before the Car-T gauntlet.
I had a few more blood tests and they confirmed that I have relapsed. The myeloma is starting to party inside of me. I was surprised by how quick my light chains and m-band ratcheted up on the first blood test. Things have slowed down a bit. Seems like I’m going up about 6-8 points a week with my light chains. Which is funny, the myeloma grew at a faster rate when I was on chemo (12 points a week) versus not being on it. (I did light chain math 🧮)
As you can imagine, I’ve been having a lot of doctor conversations and from that lots of tests. I am definitely starting to have medical fatigue from it all.
I decided to sign up for Car-t, which is genetically engineering my T cells to go after the myeloma. I was referred to UCSF. My myeloma specialist is from UCSF, so he instantly told my oncologist he wanted to take me on, which was nice for a change.
I decided to go with Carvykti Car-t. I had two choices of Car-t products. One that didn’t have many side effects but didn’t work as well, or Carvykti which works a lot better against the cancer but has a bigger potential for some nasty side effects.
I find that cancer is full of impossible choices, with a lot of the time having to choose between the lesser of evils. I do feel optimistic about Car-t therapy though. In my opinion, I think it’s probably the best treatment option for myeloma out there. I felt I had to swing for the fences with Carvykti. I’m starting to feel like I’m running out of treatment options. My specialist said he has some patients that are 5+ years myeloma free from Car-t and it’s starting to look like a cure for them.
I had a Pet scan this morning to look for cancer lesions. The myeloma specialist said if it was all clear that I could potentially not have to do any bridging chemo between from when I have my cells collected and infusion time, which is about a month. It came back as I’m writing this and it is all clear! Yay for exercise, meditation, carrots, mung beans and broccoli (or maybe just luck)!
I had my last chemo infusion 5 weeks ago. I’m having my T-cells collect on July 8, and it’s about 6 weeks to engineer them and send them back. So if I don’t need bridge chemo, that’s a good couple of months without chemo. I sure my body will appreciate that.
Someone asked me if I’m nervous about being off of chemo for a while as I have active myeloma now. I’m not really.
I took myself off maintenance chemo about 3 years ago after I got covid and had to stop. I saw that the chemo actually wasn’t doing anything. The myeloma was just poking along, rising about 10 light chain points a month. This time it is growing faster, but hopefully I can make it until my anti-myeloma army get infused back in.
I’m trying really hard to keep my expectations in check. It’s so easy to look at the amazing data (potentially cured) and hope for that myself. I know full well that this treatment could easily flop and be back in this same spot or worse (looking at you neurological problems 😡).
Well, I had some bad news from this last set of labs 😔. My lambda light chain went from 10 (normal) to 100 (abnormal) in two months. So that was a big jump for me. For non-myeloma people, having your light chains rise like this means the cancer is active again. In the past, my light chains went up 8 to 10 points a month, so 45 points a month was a change.
I wonder if my stem cell transplant killed off something in my that held it better in check. Or maybe my frozen shoulder with its inflammation contributed. Hard to know, not that it matters a whole lot. It is what it is. I already had a regular scheduled appointment with the myeloma specialist next week, so that will be an enlightening conversation.
I feel like a treatment change is on the horizon for me. I feel a bit conflicted or discouraged by it. Meaning that the treatments that I have been doing for maybe a month or more haven’t been doing much, and I’ve been miserable for a few days each time for nothing. As well as the new treatment is probably going to involve staying at a hospital for a little bit, no matter what route I take, so that’s a bit of a bummer.
That’s how my life goes, I’ll just keep walking……
You can’t always control what happens, but you can control how you react.
Looks like I haven’t written anything for awhile. For no particular reason; I guess I just haven’t felt inspired. Hmm…. I wonder what has happened recently in my myeloma world.
I had a bone marrow biopsy (maybe in January?) to check my MRD status. I went up to 27 myeloma cells in a million. That was from about 1 in a million. So that was a bummer to see. MRD is pretty cutting edge. Nothing showed up on my blood tests, although the following round of blood tests showed my m-band moved to “detectable but not quantifiable”. BLAH, it would have been nice to hit MRD zero and stay there.
My oncologist didn’t want to make any changes based on MRD as most oncologist would follow. The myeloma specialist then spoke to the oncologist and then had a meeting with me to talk things over. He said that the numbers were not trending in the right direction, and what was the point of waiting until things significantly elevated. The specialist said he went through the list of drugs and wanted to add in a drug that “wasn’t going to do me harm”. He recommended adding back in Dara to punch the numbers back down.
I was on Dara prior to transplant, but Stanford stopped it because it was not working fast enough. Since it didn’t seem to give me any problems, I agreed to go back on it. If he was recommending something like cytoxan, I would have said no.
Well, as it turns out, side effects can change post transplant. I had my first dose of Dara with carfilzomib and it was rough. I turned into a 90-year old, with super fatigue. My skin on my torso also went hypersensitive and wearing a shirt was unpleasant. Too bad we were still in winter ❄️. That lasted for about a week. I had another round two weeks after the first, and the same thing happened again. The oncologist was baffled. We ran some blood tests, but nothing showed up. I’ve noticed that if something is out of the ordinary and not listed on a clinical trial, the oncologist is left bumbling his bottom lip and saying, “Good luck with that”.
Fortunately for me, by the third dose, my body was getting used to the drug and the symptoms significantly lessened. I didn’t have any of those symptoms by the fourth dose. So I’m back to being left with the few days of being miserable from the carfilzomib side effects. Maybe the cancer gods will show me some favor and things will get good enough to eventually drop the carfilzomib and just stay on the Dara.
But then again, at this point, I’m pretty sure the cancer gods don’t like me very much 😜. But then again again, they just updated all the five year cancer survival rates, and myeloma is now 59%. I’m going to hit 5 years soon. Not that I attribute that to the cancer gods, I’ll take the credit with my efforts.
I guess the other thing physically that happened was that, I developed a frozen shoulder. Possibly from the chemo, they aren’t actually sure what causes them. It’s quite bizarre. I can’t raise my right hand or arm above shoulder height or move it in an outward direction. I guess the tissue surrounding the “ball” of your arm, that goes into your socket, just seizes up. It can take 8 months to 2 years to “unfreeze”. Fortunately, it looks like I’m going through the stages at the faster rate. I’m sure the infrared sauna and turmeric are helping. Too bad my muscles didn’t freeze in a better spot 💪🏼. Imagine having your six pack be frozen and being ripped for 2 years.
Let’s see, I guess I have some blood numbers to share, here you go.
My medical provider made it a pain for me to transfer over my data, so that’s why I don’t post much about it (plus, I don’t have blood run much these days). Because of my weird side effects from the Dara, they did run a whole metabolic panel. My red blood cell numbers are still low. From the metabolic panel, they ran iron.
As you can see, my iron is quite well, from all those goji berries and beets. So my poor red blood cells are just quite beat up from the chemo. I thought that was interesting to see.
Well, I can tell your attention span is beginning to wane by this part of the post so I’ll be quick with the rest.
I made it to a succulent nursery, “Succulent Gardens”, down by Monterey, that I always wanted to go to. That was pretty awesome to visit. I’m a huge succulent fan, as you may have noticed from the pictures on my website. They supply plants to a lot of the other nurseries in California, so I was cool to visit the source. Here are some pictures.
I took a mushroom propagating class at a local collage. I sort of knew how to grow mushrooms from books and the internet, but I wanted some hands on training. So I know how to do that now. I have mushrooms growing inside the kitchen cupboards now. Hopefully at some point I’ll have a bigger space to really get into it.
Preparing mushroom growing media.
Finally, spring has sprung. Here are my irises that I planted last year. They had a year to grow and be undisturbed, so they are happy. Yukon likes to eat the grass around the pot.
My blood is back from the vampires. I haven’t had any run for two months now, so that was a change for me. I wasn’t having any test fears (Scanxiety) that a person can sometimes get, but I have been wondering how my numbers are looking.
I was especially wondering if my m band was a one month wonder or if I was going to sustain things, even though I cut out one of the maintenance chemos. I’ve been feeling pretty good, so my guess was that it’s still zero, and it is.
My reds (red blood cells) are still challenged. I was expecting them to get a boost since I dropped the cytoxan, but that wasn’t the case. I wouldn’t want things to get too easy, it’s best to be short on oxygen for a challenge 😜. Although my mcv is at the top, which means my red blood cells are large, so there can be fewer of them.
They also ran a blood test to check out my heart, which I was happy about since it’s possible carfilzomib can damage the heart. I had been wondering if anyone was monitoring things because I hadn’t seen any evidence of it so far. Thankfully, it tested normal.
Anyhow, here are the numbers:
KAPPA LIGHT CHAIN FREE
Normal range: 3.30 – 19.40 mg
Date
Value
Normal Range
Dec 1, 2023
3.06mg/L
3.3 – 19.4 mg/L
Oct 7, 2023
5.2mg/L
3.3 – 19.4 mg/L
Aug 25, 2023
5.32mg/L
3.3 – 19.4 mg/L
LAMBDA LIGHT CHAIN FREE, SERPL
Normal range: 5.71 – 26.30 mg/L
Date
Value
Normal Range
Dec 1, 2023
2.01mg/L
5.71 – 26.3 mg/L
Oct 7, 2023
3.03mg/L
5.71 – 26.3 mg/L
Aug 25, 2023
2.66mg/L
5.71 – 26.3 mg/L
KAPP/LAMB FR
Normal range: 0.26 – 1.65
Date
Value
Normal Range
Dec 1, 2023
1.52
0.26 – 1.65
Oct 7, 2023
1.72
0.26 – 1.65
Aug 25, 2023
2
0.26 – 1.65
WBC
Normal range: 3.7 – 11.1 K/uL
Date
Value
Normal Range
Dec 1, 2023
4.4K/uL
3.7 – 11.1 K/uL
Oct 5, 2023
4.9K/uL
3.7 – 11.1 K/uL
Sep 8, 2023
4.8K/uL
3.7 – 11.1 K/uL
RBC’S
Normal range: 4.10 – 5.70 M/uL
Date
Value
Normal Range
Dec 1, 2023
2.9M/uL
4.1 – 5.7 M/uL
Oct 5, 2023
3.15M/uL
4.1 – 5.7 M/uL
Sep 8, 2023
3.19M/uL
4.1 – 5.7 M/uL
HGB
Normal range: 13.0 – 17.0 g/dL
Date
Value
Normal Range
Dec 1, 2023
10.5g/dL
13 – 17 g/dL
Oct 5, 2023
11.3g/dL
13 – 17 g/dL
Sep 8, 2023
11.3g/dL
13 – 17 g/dL
HCT
Normal range: 39.0 – 51.0 %
Date
Value
Normal Range
Dec 1, 2023
29%
39 – 51 %
Oct 5, 2023
31.2%
39 – 51 %
Sep 8, 2023
31.9%
39 – 51 %
MCV
Normal range: 80 – 100 fL
Date
Value
Normal Range
Dec 1, 2023
100fL
80 – 100 fL
Oct 5, 2023
99fL
80 – 100 fL
Sep 8, 2023
100fL
80 – 100 fL
PLT
Normal range: 140 – 400 K/uL
Date
Value
Normal Range
Dec 1, 2023
109K/uL
140 – 400 K/uL
Oct 5, 2023
116K/uL
140 – 400 K/uL
Sep 8, 2023
150K/uL
140 – 400 K/uL
PROTEIN ELECTROPHORESIS INTERPRETATION, SERUM – No Homogeneous Band Or Spike Seen.
B type natriuretic protein Normal value: <=100 pg/mL
Value 43
>= 100 pg/ml may be associated with congestive heart failure. Other causes should be excluded. < 100 pg/ml clinically significant congestive heart failure unlikely. Clinical correlation required.
Here are my latest numbers. My numbers are pretty punched down. I am currently doing my labs mid-maintenance cycle, so I guess it’s not surprising. I was getting my labs done when I was told the doctor’s office needed them, but they just figured out that they had me doing it mid-cycle. I’ll be switching back to getting them done prior to the beginning of the cycle. Hopefully, my poor CBC can recover. I don’t think my HCT has ever been this low. I have Lambda myeloma (where I have too many Lambda light chains), so the rising ratio of Kappa is not a concern.
Here is my latest set of labs, posted super late. I went on vacation and I didn’t have time to post them before I went. Light chains or M band weren’t run. My doctor’s office really screwed up all my lab orders, from not having them at all or trying to run tests they weren’t supposed to do. They had it set up to run a Hep B test, daily, if I wanted to get stuck every day and not something simple, like a CBC.
Nothing too exciting with my labs. I’m not too thrilled with my Red blood cells, Hematocrit and Hemoglobin. Although, I’m not really that far from the transplant in reality and my blood still gets punched in the face every 2 weeks. Maybe I need to eat more beets and goji berries.
It is test and doctor visit time, post transplant, for me. I had my meeting with my new myeloma specialist today. My old one left to go work for a drug company, so I had to get a new one, which was a bit of a challenge to get, surprisingly.
In my post transplant meetings with Stanford, the doctor kept repeatedly recommending I go on Revlimid for maintenance. In all my meetings with that doctor, I always had the feeling she would rather be off working on her projects, rather than working with patients. “Revlimid is what is normally done post transplant.” Her recommendation of revlimid, showed me she didn’t actually take the time to read my file.
To be fair, she is a transplant doctor and not an oncologist or myeloma doctor, but still, it would have been nice for a little effort on her part.
I finally had to say, “My case is not the typical myeloma case. I’m four years into myeloma and I’m just doing a transplant now. I’m already refractory to revlimid.”
“Oh really!?” She replied, looking flustered, rapidly clicking on her computer, and started trying to recover. “Let me review your case with one of my colleagues and I’ll get back to you.”
I tell you, it’s hard enough dealing with cancer without trying to manage your doctors!
Hence, my reason for paying out of pocket for a myeloma specialist at a different medical institution. I’m really glad I did. This is only my second meeting with a specialist, a year apart, and I can tell their myeloma knowledge is significantly better than my other doctors.
This new specialist told me almost right off the bat, that he is the leader in MRD (minimal residual disease) research. A mrd test is the best test you can have done for blood cancers, looking for remaining cancer cells. I’ve been pestering my regular oncologist for this test and he finally ran it with my last bone marrow sample. I’ve been waiting and waiting for the result, and I guess the specialist had it.
3 myeloma cells in 2,600,000 normal cells. My goal was zero detectable cells (MRD negative or MRD zero), I might as well swing for the fences. Second best is 1 in 1,000,000. I almost hit 1 in a million, just missed the mark. Anyhow, he was quite pleased with the numbers. His goal is to get me to MRD zero.
Although, I was thinking about the MRD test. It is only a sample of the marrow from a specific section of your bone where they pull the marrow from. So you can have different values at different spots in your bones. MRD positive in your left hip, MRD negative in your right. So I guess the MRD result is essentially flawed from the beginning. But I suppose it gives the best idea of what’s generally going on, since blood tests aren’t this sensitive.
I was thinking of the analogy of a city. If I had a city with a population of 2.6 million, and three of those people were crappy people, I would be doing pretty well. My city used to have a lot more crappy people in it, so I’m glad they are gone, but I still have work to do.
My regular oncologist recommended using carfilzomib as maintenance. I was on it prior to transplant, so that makes sense to me. The specialist recommended a higher dose, saying what was recommended wasn’t going to get it done. He also added cytoxan pills, I was also on that prior to transplant, which I’m not too excited about. It’s not an intelligent drug, and it just kills everything. I guess it’s all the lesser of two evils, maintenance versus active myeloma.
I think I’m going to be a bit more beat up from this maintenance than I was originally thinking, which is a bit of a bummer for me. Hopefully we can lessen the drugs over time….
I thought it may be interesting for Myeloma people to see my stem cell transplant labs. It’s a ton of data, there is a scroll bar on the bottom of each table, but it gives a pretty good picture. There are blanks on the “cytes and phils” because there weren’t any to measure at a certain point.
Stem cell collection on 3/31 (note the sky high white blood cells to be collected)
High Dose Chemo on 4/11
Stem Cell Infusion on 4/13 (interesting to see the decline and then the climb)
NAME (STANDARD RANGE)
3/20/23
3/31/23
4/10/23
4/13/23
4/14/23
4/15/23
4/16/23
4/17/23
4/18/23
4/19/23
4/20/23
4/21/23
4/22/23
4/23/23
4/24/23
4/26/23
5/2/23
5/11/23
Basophil % (%)
0.2
0.2
0.2
0.0
0.3
0.2
Basophil, Absolute (0.00 – 0.25 K/uL)
0.01
0.01
0.01
0.00
0.01
0.01
Eosinophil % (%)
1.8
0.8
0.2
1.0
0.3
5.9
Eosinophil, Absolute (0.05 – 0.55 K/uL)
0.10
0.04
0.01
0.03
0.01
0.24
Hematocrit (40.0 – 52.0 %)
33.3
36.8
32.6
30.9
29.7
29.3
27.9
28.4
27.2
25.7
23.4
21.7
21.5
19.5
20.7
21.1
25.1
28.3
Hemoglobin (13.5 – 17.7 g/dL)
12.2
13.2
11.9
11.1
10.5
10.6
10.3
10.5
10.3
10.0
9.2
8.5
8.1
7.4
7.6
8.0
9.0
10.2
Imm. Granulocyte, % (0.0 – 0.7 %)
0.4
0.2
0.2
0.7
0.6
0.2
Imm. Granulocyte, Abs (0.00 – 0.06 K/uL)
0.02
0.01
0.01
0.02
0.02
0.01
Lymphocyte % (%)
18.1
18.0
7.4
1.4
26.1
27.7
Lymphocyte, Absolute (1.00 – 3.00 K/uL)
1.02
0.92
0.31
0.04
0.87
1.13
MCH (27.0 – 34.0 pg)
34.0
34.3
33.7
33.5
33.8
33.4
33.2
33.0
33.9
34.0
33.9
33.5
32.4
33.2
31.9
33.5
33.3
34.1
MCHC (32.0 – 36.0 g/dL)
36.6
35.9
36.5
35.9
35.4
36.2
36.9
37.0
37.9
38.9
39.3
39.2
37.7
37.9
36.7
37.9
35.9
36.0
MCV (82.0 – 98.0 fL)
92.8
95.6
92.4
93.4
95.5
92.4
90.0
89.3
89.5
87.4
86.3
85.4
86.0
87.4
87.0
88.3
93.0
94.6
Monocyte % (%)
9.0
7.0
3.3
0.0
22.2
17.6
Monocyte, Absolute (0.30 – 0.95 K/uL)
0.51
0.36
0.14
0.00
0.74
0.72
Neutrophil % (%)
70.5
73.8
88.7
96.9
50.5
48.4
Neutrophil, Absolute (1.70 – 6.70 K/uL)
3.98
3.78
3.72
2.77
1.68
1.97
nRBC, Abs (K/uL)
0.00
0.00
0.00
0.00
0.00
0.00
nRBC, % (%)
0.0
0.0
0.0
0.0
0.0
0.0
Platelet count (150 – 400 K/uL)
165
125
146
104
95
85
85
65
54
36
22
15
7
17
20
34
90
110
RBC (4.40 – 5.90 MIL/uL)
3.59
3.85
3.53
3.31
3.11
3.17
3.10
3.18
3.04
2.94
2.71
2.54
2.50
2.23
2.38
2.39
2.70
2.99
RDW (11.5 – 14.5 %)
13.1
13.7
13.1
13.2
12.9
12.2
12.3
11.8
11.8
11.5
11.2
11.2
11.1
11.1
11.5
11.6
16.6
17.2
WBC (4.0 – 11.0 K/uL)
5.6
45.4
5.1
4.2
4.0
3.6
2.9
1.4
0.3
0.1
<0.1
0.1
0.1
0.3
2.0
2.6
3.3
4.1
NAME (STANDARD RANGE)
3/20/23
3/31/23
4/10/23
4/13/23
4/14/23
4/15/23
4/16/23
4/17/23
4/18/23
4/19/23
4/20/23
4/21/23
4/22/23
4/23/23
4/24/23
4/26/23
5/2/23
5/11/23
Albumin, Ser/Plas (3.5 – 5.2 g/dL)
4.7
4.7
4.2
4.0
4.3
4.2
4.4
4.3
4.2
3.9
4.2
4.0
3.9
3.9
4.0
4.4
4.5
Alk P’TASE, Total, Ser/Plas (40 – 130 U/L)
55
69
56
55
54
56
56
58
58
59
57
53
48
51
51
52
51
ALT (10 – 50 U/L)
20
17
11
13
15
15
13
15
14
10
11
10
10
12
12
16
30
Anion Gap (5 – 15 mmol/L)
10
9
11
11
12
11
12
10
11
11
10
11
11
9
7
9
9
AST (10 – 50 U/L)
15
15
9
13
14
11
12
15
11
12
11
14
12
12
11
16
21
Calcium (8.4 – 10.5 mg/dL)
9.4
8.9
8.6
8.3
8.9
8.8
8.8
8.8
8.9
8.7
8.6
8.4
8.3
8.7
8.3
8.9
9.3
Chloride, Ser/Plas (98 – 107 mmol/L)
106
109
105
106
106
104
106
104
102
104
101
103
105
106
107
107
105
CO2, Ser/Plas (22 – 29 mmol/L)
24
24
23
21
22
22
22
22
21
21
22
20
18
22
23
24
25
Creatinine (0.67 – 1.17 mg/dL)
0.70
0.68
0.68
0.57
0.60
0.60
0.60
0.64
0.65
0.67
0.65
0.62
0.66
0.55
0.59
0.62
0.74
EGFR (>60 mL/min/1.73 m2)
117
118
118
124
122
122
122
120
119
118
119
121
119
125
123
121
115
Fasting
No
Globulin (2.0 – 5.0 g/dL)
1.2
1.3
1.3
1.2
1.1
1.3
1.4
1.5
1.4
1.5
1.2
1.2
1.3
1.7
1.4
1.2
1.6
Glucose, SER/PLAS (Manual Entry) See EMR for details (70 – 140 mg/dL)
Carrots Over Cancer 