Thank you both so much.

I'm not concerned the calcium is a little low. My main concern is the health of my kidneys. I have malabsorption issues. I have to get the nutrients from supplements. I couldn't eat enough to keep deficiencies away. The supplements are hard on kidneys. I am trying to maneuver to balance the two. A problem is that I have no access to gfr to look for trends. The level may be sitting at 60. I can tell by my fluid intake and outtake. The trends on the labs are indicative of how I feel. I don't want to worry unnecessarily either.

I will check on D level. I'll ask for a phosphorous test too. I take it that's a different test than ALP which trended higher as well.

The albumin levels are consistently in proportionate levels just higher.


I do take b12 when I feel more sensory motor symptoms. Will it be a problem even though blood levels are high?