How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask DocPhilMD Your Own Question
DocPhilMD
DocPhilMD, Internist
Category: Endocrinology
Satisfied Customers: 54512
Experience:  Internal Medicine Physician
55099014
Type Your Endocrinology Question Here...
DocPhilMD is online now
A new question is answered every 9 seconds

Bloodwork shows very low calcium and low protein .... I eat

Customer Question

Bloodwork shows very low calcium and low protein .... I eat cheese, yogurt and milk daily and also have quite a bit of protein mostly from protein bars, almonds walnuts and other nuts .... what does this suggest is wrong with me?
Submitted: 4 months ago.
Category: Endocrinology
Expert:  DocPhilMD replied 4 months ago.

Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

Expert:  DocPhilMD replied 4 months ago.

what medicine do you take?

any symptoms?

Customer: replied 4 months ago.
I've had a host of symptoms for 2 years ranging from a tremor that I take Xanax to control , I also take birth control pills. I have numb fingers, extreme fatigue, odd burning pains that come and go on groin and forearm, I'm short of breath but had a stress test and did ok. I have prediabetes and sleep spnea
Expert:  DocPhilMD replied 4 months ago.

what were the exact values of both? what was your albumin level?

Customer: replied 4 months ago.
Mainly very tired . And the low protein was albumin
Expert:  DocPhilMD replied 4 months ago.

values?

Customer: replied 4 months ago.
She didn't give me numbers .... took more blood and did a urine test
Customer: replied 4 months ago.
I'm reading about lymphoma and liver disease and getting freaked out
Customer: replied 4 months ago.
I don't know exact bslues
Customer: replied 4 months ago.
Values
Expert:  DocPhilMD replied 4 months ago.

Okay. basically the calcium is low because the albumin is low

so a corrected calcium would be normal

So we need to figure out why your albumin is low

It could be that you are leaking protein in the urine or not making it in the liver

It could also be not absorbing

You could have someting like celiac that is making you not absorb protein

Customer: replied 4 months ago.
whyveould my liver not make ot
Expert:  DocPhilMD replied 4 months ago.

Only if you had severe liver disease would this happen

you would have to have cirrhosis

I would think that would be unlikely in a 46 year old unless you had hepatitis or something

Customer: replied 4 months ago.
Could it be that I don't eat enough protein? Is there a way I can rule out lymphoma?
Expert:  DocPhilMD replied 4 months ago.

you need a CBC to rule out lymphoma

I'm sure your doctor ordered that

Customer: replied 4 months ago.
celiac is pretty common to cause this?
Expert:  DocPhilMD replied 4 months ago.

yes

Customer: replied 4 months ago.
Would the original blood work have looked at cbc
Customer: replied 4 months ago.
Is that a standard thing?
Expert:  DocPhilMD replied 4 months ago.

not necessarily

no

Customer: replied 4 months ago.
if my urine test is normal where would dr likely go from there
Expert:  DocPhilMD replied 4 months ago.

liver and kidney ultrasound

Customer: replied 4 months ago.
Would be looking for tumors?
Expert:  DocPhilMD replied 4 months ago.

no looking for cirrhosis and kidney problems

Customer: replied 4 months ago.
Where does the celiac fit in
Expert:  DocPhilMD replied 4 months ago.

simply that it can cause a low protein level

Customer: replied 4 months ago.
Would the ultrasound show that or just be done to rule out something more serious
Expert:  DocPhilMD replied 4 months ago.

blood tests are done for celiac

the ultrasound only checks for liver disease and kidney issues

Customer: replied 4 months ago.
Ok so since they did more bloodwork that may tell them about celiac?
Expert:  DocPhilMD replied 4 months ago.

yes

Customer: replied 4 months ago.
How common is it to have low albumin and it be some terrible thing? 2 out 10? 6 out of 10?
Expert:  DocPhilMD replied 4 months ago.

It is relatively common and the seriousness depends on the reason so I can't say for sure

Expert:  DocPhilMD replied 4 months ago.

Thanks for this question

Please don't forget a positive rating.

I appreciate it :)

If you have more questions, just reply