Here are my blood results.

[Bentleyboo]

Hi Everyone, hopefully you can see my results now as I've taken another picture but closer in. 😊

[Clutter]

Bentleyboo,

Thyroid peroxidase antibodies are positive for autoimmune thyroid disease (Hashimoto's) which increases the likelihood of you becoming hypothyroid eventually. There is no treatment for Hashimoto's but progression to hypothyroidism may be slowed by adopting 100% gluten-free diet which may also help reduce symptoms and antibodies.

chriskresser.com/the-gluten...

thyroiduk.org.uk/tuk/about_...

Currently your TSH, FT4 and FT3 are unequivocally euthyroid (normal). Ideally you will have repeat thyroid tests annually to monitor levels.

My GP prescribed 5mg folic acid to correct my folate deficiency. Other people prefer to treat with methylfolate.

I incline to the view that B12 should be high in range, certainly >500, and supplement 1,000mcg sublingual lozenges daily.

[Bentleyboo]

Hi Windowawe, My bloods were taken in morning. 😊

[Gambit62 Administrator]

Your folate is very low - and as the body needs folate to process B12 the symptoms of a folate deficiency will include a lot of the same symptoms as a B12 deficiency.

Without sorting this out it would be difficult to know if your B12 really is a problem or not - as much as anything because what matters with B12 is how you feel not the scores on test results. Whilst it might be the case that on average people with a B12 absorption problem report that they feel best with levels of around 1000 pmol/L that is very much an average and there is a lot of variation - just as there is with those that aren't B12 deficient.

Would suggest that you don't start supplementing B12 yet until the situation with folate has been clarified. MMA isn't going to clarify at this point as low folate on its own would also cause high MMA. If you can get a homocysteine test and that is elevated then it would indicate a B12 problem as it wouldn't be elevated by virtue of low folate ... but unlikely you will be able to get the test done on NHS if you are in the UK.

Your ferritin is also at the bottom of the 'normal range' - which could be indicative that you are iron deficient but I think that interpreting on the basis of one measure would be a bit dangerous - you need to know more like MCV and MCH results etc, but I think a low ferritin would be consistent with an anaemia caused by low folate.

[Gambit62 Administrator in reply to Gambit62]

Sorry - just looked at the earlier post - hadn't checked whether you were already on B12 injections but see you are.

If you weren't folate deficient when you started B12 treatment then you are now.

For future reference it is possible to edit the post and this includes amending the photo so might be better to do that and let anyone who has posted know that you've amended the photo.

[Bentleyboo in reply to Gambit62]

Hi Gambit62, thank for your reply. I did the photo from my phone but my eye sight is not want it use to be (lost 50% of my sight in my right eye.)

I've just phoned Blue Horizon to see if they could send me a copy in the post. Blue Horizon did mention Grave's or Hasitmo? 😊

[Gambit62 Administrator in reply to Bentleyboo]

sorry to hear about the eyesight - I'm at that point where my power of accommodation is going so seeing what is going on close usually means taking off my glasses and holding things quite low because I'm so short sighted that works better than trying to correct a distance prescription. Infamous for wearing two sets of glasses at work as I've never really been able to adjust generally to vari-focals but can manage with the bifocal effect if just pottering around the office (or the front room).

Think you will need to work with your GP on the Hashimoto's - though going gluten free isn't going to hurt - there's some evidence that it helps with B12 absorption as well.

You definitely need to do something about the folate - as you aren't going to be able to use much if any of the B12 you have without your folate levels being okay.

[PAS-admin Partner]

So, I saw it right on the smaller photo: your iron is low, I suggest taking something like solgar gentle iron or Now Foods iron glycinate to up that. And the folate deficiency..you need folate asap. You can just buy it yourself, of go to your GP. B12: obviously every 3 months is not enough, it almost never is. Try and get more or if that won't work, take good quality sublinguals or a nose spray.

Re thyroid: Clutter already answered that.

Gambit, MMA is not raised by folate, thats homocysteine.

Testing MMA now is, like B12 pretty useless.

[Bentleyboo in reply to PAS-admin]

Thank you for your reply, I've got the docs funny enough on Monday for my back problems. My back is really bad and the Consultant has suggested stronger painkillers and injections. So I'm going to the docs armed as I'm suffering badly with brain fog at the moment, even writing this post has caused me problems (can't seem to spell the simplest words) 😊

Ps I'm buying nasal spray tomorrow from Holland and Barrett. (buy 1get another for a penny)

[PAS-admin Partner in reply to Bentleyboo]

They have the nasal spray there? Didn't think so, only the normal spray that I wouldn't recommend (pesonally) They do have a gentle iron. Goodluck monday!

[Bentleyboo in reply to PAS-admin]

Yes, Its the B12 spray. They do the tablets but they are like bullets.

[PAS-admin Partner in reply to Bentleyboo]

That's not the nasal spray. Try and get some really good sublinguals or the good nosespray (yuliv) You probably have to look online or in a specialty shop for that.

[Bentleyboo in reply to PAS-admin]

Oh, I'm sorry did I get it wrong. I'm suffering brain fog at the moment and can't seem to get my brain to work. Nearly leave the dog's out all night, didn't realise until I was in bed.😊

[PAS-admin Partner in reply to Bentleyboo]

Been there, done that

Iron you can get at H&B but the B12 I would get from somewhere else.

Nosespray: Yuliv Hydroxocobalamine 500 mcg or curesupport.nl/category/nas... or sublinguals: NOW: B12 Active, Biotics : 2000mcg hydroxycobalamine, Solgar methylcobalamin 1000 mcg, Jarrow Formulas, Methyl B-12 and others..

[PAS-admin Partner]

Wait first for the results and decide from there what to do, if you need to change anything. You already have iron and high dose, so that should have raised your levels quite a bit.

[Hillwoman]

I'm afraid I have to disagree slightly with Clutter about your thyroid results. Your TSH is below 1, which is good, but to me your fT4 and fT3 look rather low in range. That said, you may just want to tackle a couple of problems at a time, and reconsider your thyroid results if you don't experience much improvement. I'd agree about the TPO abs - you don't want those to continue rising, so going gluten-free could well help with that.