I'm hoping someone else has run into this...
Background:
Anion Gap (AG) is calculated. A high value indicates acidosis.
It is sometimes reported when you order a CMP, if not, it is easily calculated using the Sodium, Chloride and CO2 from the CMP with the following formula:
AG=NA - Chloride - CO2
For example from my most recent labs:
16=136 - 95 - 25
14 is the high end of the range and, so, 16 is elevated. Reviewing many articles there are many possible causes. Possible ones for me: side-effect of ketogenic diet (I eat very low carb), side-effect of anaerobic training, side-effect of arginine supplementation.
Any advice from those who may have run into the same thing would be much appreciated!
Mark
P.S. For purposes of completeness... It is "better" to adjust the AG by Albumin. The formula for that is:
Adjusted AG=AG+(2.5*(4-Albumin)) with my Albumin of 4.3, the Adjusted AG is 15.25 this tie.
Background:
Anion Gap (AG) is calculated. A high value indicates acidosis.
It is sometimes reported when you order a CMP, if not, it is easily calculated using the Sodium, Chloride and CO2 from the CMP with the following formula:
AG=NA - Chloride - CO2
For example from my most recent labs:
16=136 - 95 - 25
14 is the high end of the range and, so, 16 is elevated. Reviewing many articles there are many possible causes. Possible ones for me: side-effect of ketogenic diet (I eat very low carb), side-effect of anaerobic training, side-effect of arginine supplementation.
Any advice from those who may have run into the same thing would be much appreciated!
Mark
P.S. For purposes of completeness... It is "better" to adjust the AG by Albumin. The formula for that is:
Adjusted AG=AG+(2.5*(4-Albumin)) with my Albumin of 4.3, the Adjusted AG is 15.25 this tie.