Correct dosage of folic acid and ferr... - Pernicious Anaemi...

Pernicious Anaemia Society

32,669 members24,064 posts

Correct dosage of folic acid and ferrous fumarate for optimum effect of B12 injections?

rebs48 profile image
5 Replies

Foggyme and others. Please could you confirm what is the correct dosage of ferrous fumarate and folic acid should be to ensure the optimum effect of the B12 injections? As posted previously, my ferritin was 7.5 ug/L [10.0 - 291.0] and my serum folate level was 10.85 ug/L [> 5.38] with the 5mg of folic acid which I take weekly. I know that you said that the ferritin should ideally be around 80ug/L and folate should be in the top third of the reference range, but I'm not sure how much iron and folic acid supplements to take to achieve this. Also, I've read in other posts that Vitamin D supplements should come with K2 supplements - is this correct? If so, how much for Vitamin D deficiency. I am going for a follow-up appointment to the GP on Wednesday, so all advice gratefully received, as ever! Thanks.

Written by
rebs48 profile image
rebs48
To view profiles and participate in discussions please or .
Read more about...
5 Replies
taka profile image
takaAdministrator

Hi rebs48

Iron tablets - It depends on your doctor and how well you react to the tablets - some people have quite bad constipation / and or nausea on them. Looks like 100-200mg/day of elemental iron is the recommentation for iron deficient anaemia. The different types of iron salts have different amounts of elemental iron in them so it depends on which you end up taking.

British national formulary : evidence.nhs.uk/formulary/b...

NICE Vit D treatment: cks.nice.org.uk/vitamin-d-d...

Folic acid: Probably one to discuss with your doctors as you are on a high dose already due to your methotrexate treatment.

Vit K : Not sure, sorry! Its one I know very little about to be honest... Not a good idea to take too much if you are on any type of anticoagulant medication though.

nhs.uk/Conditions/vitamins-...

Good luck with your GP on Wednesday. :-)

Marz profile image
Marz

Vitamin D improves the uptake of calcium from foods. VitK2 MK7 directs calcium away from the arteries into bones and teeth. K2 is not to be confused with VitK 1 which is involved in the clotting mechanism. Your VitD dose will depend on your result. If VERY low you may need loading doses initally.

vitamindcouncil.org

grassrootshealth.net

rebs48 profile image
rebs48 in reply toMarz

My VitD level is 22.6 nmol/L, so moderately deficient. Thanks for the links!

Marz profile image
Marz in reply torebs48

You may wish to go for loading doses - or take it more slowly. A daily dose of 5000 IU's would not be unreasonable - along with the K2 MK7 and Magnesium .... there are many types of magnesium so have a good look around. There is an excellent book called - The Magnesium Miracle - by Carolyn Dean.

rebs48 profile image
rebs48

Thanks for taka and Marz for the advice. I'll look at the links. :)

Not what you're looking for?

You may also like...

Folic Acid and B12 injections

I have always had low Iron and Folate but until recently my GP has done nothing to correct the...
B52s profile image

B12 and folic acid

Do I start loading dose of B12 now or before taking folic acid thank you Ferritin 12 (15 - 150)...
Elizalee profile image

B12 neuro folic acid

Neuro bad symtoms there’s so much different advice around I’m so confused most are saying b12...
Milley2 profile image

Checking on my understanding of Folic Acid

The friend I am giving information to and not advising has Serum Folate test results of 3.3 ug/l....
WIZARD6787 profile image

Excess Folic Acid and Vitamin B12 Deficiency: Clinical Implications?

This is a very recent paper. Some of the areas covered are well-known. Such as not treating B12...
helvella profile image

Moderation team

See all
Gambit62 profile image
Gambit62Administrator
Foggyme profile image
FoggymeAdministrator
taka profile image
takaAdministrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.