What do my results mean?

[sbrads]

Hi,

Just had my Blue Horizon blood results back. What do you guys think?

Biochemistry CRP 1.90 <5.0 mg/L

Ferritin 33.0 20 - 150 ug/L

Thyroid Function TSH 3.23 0.27 - 4.20 mIU/L

T4 Total 102.6 64.5 - 142.0 nmol/L

Free T4 13.72 12 - 22 pmol/L

Free T3 4.77 3.1 - 6.8 pmol/L

Immunology

Anti-Thyroidperoxidase abs 7.5 <34 kIU/L

Anti-Thyroglobulin Abs 10.9 <115 kU/L

Vitamins

Vitamin D (25 OH) >175

Deficient <25 nmol/L Insufficient 25 - 50 Consider reducing dose >175

Vitamin B12 271

Deficient <140 pmol/L Insufficient 140 - 250 Consider reducing dose >725

Serum Folate 11.67 8.83 - 60.8 nmol/L

Symptoms

Always tired. Get out of breath easily. Headaches. Apathy Tearful. Low mood. Memory loss. Difficulty finding words. Difficulty with spelling and addition. Clumsiness. Always hot and sweaty. Hair falling out. Aching joints. Long, heavy periods. Pins and needles in foot. Numb area on thigh. Tendon problems (Achilles and wrists). Constipation/ loose stools. Palpitations. Mouth Ulcers.

Grandmother had goitre, aunt has pernicious anaemia and sister has Gilberts syndrome.

[Sleepybunny]

Hi,

Is GP aware that there are auto-immune diseases including PA in your family?

Article about PA family link

pernicious-anaemia-society....

Some of your symptoms can be found on lists of B12 deficiency symptoms. See links below.

pernicious-anaemia-society.... click on Symptoms Checklist

b12deficiency.info/signs-an...

Are you in UK?

If you're in UK, I'd suggest reading the complete "BSH Cobalamin and Folate Guidelines".

It's a UK B12 document that came out in 2014 and gives guidance to doctors on diagnosis and treatment of B12 deficiency and PA.

b-s-h.org.uk/guidelines/ click on box that says "Diagnosis of B12 and Folate Deficiency" should be on page 3 of listed guidelines.

Link below to flowchart in BSH Cobalamin and Folate Guidelines

stichtingb12tekort.nl/weten...

The flowchart makes it clear that a patient who is symptomatic for B12 deficiency should have an IFA (Intrinsic Factor Antibody) test and start initial B12 treatment before results of IFA test are known.

Other B12 info

1) Pinned posts on this forum.

2) BMJ B12 article

bmj.com/content/349/bmj.g5226

3) Book "What You Need to Know About Pernicious Anaemia and Vitamin B12 Deficiency" by Martyn Hooper. Martyn is the chair of the PAS.

4) Book "Could it Be B12" by Sally Pacholok and JJ. Stuart

5) PAS website

pernicious-anaemia-society....

Interesting blog about PA on PAS website

martynhooper.com/

6) B12 Deficiency Info website

b12deficiency.info/

7) b12d.org website

b12d.org/

Have you had a full blood count?

labtestsonline.org.uk/under...