My mum's thyroid tests came back hypo and she started levo and is autoimmune. I'm trying to get my mums health sorted properly rather than leaving it to docs as she has never eaten much at all so got her some extra tests done at medichecks that you can see below. I have had multiple autoimmune issues and deficiencies throughout my life most of which reversed/improved after going GF although thyroid is already long dead lol. Myself and my daughter are both diagnosed with Non Coliac Gluten Sensitivity as was proven to cause systemic inflammation and autoimmunity in my case even though I test negative for coeliacs. They also stated was likely genetic so got my mum to go gluten free also a month or so ago and she's had a lot of improvements in her appetite and has started eating better.
She's obviously Folate deficient and Vit D deficient so will make sure she's treated adequately for these but I don't think for one minute that she can't be iron and B12 deficient due to her historic malnutrition so wanted your expert opinion.
The B12 is low in range anyway and would have supplemented anyway but she had taken 1000mcg methylcobalamin the day before the test. I told her not too but she did anyway as was more tired than usual - she hasn't taken any since. How much do you think that one off B12 would have effected her blood test result a day later? I don't think the docs will treat where it's showing in range so should I treat B12 anyway or should I get a retest to see if will show deficient and get her treated properly by docs with injections? If a retest, how long should it be left for that 1000mcg to clear?
Levels are kind of expected with the lack of eating but I will test for PA at some point when have the rest sorted and more money to pay for extra tests but am assuming intrinsic factor antibodies will show neg/pos regardless of B12 treatment and therefore okay to leave for a while?
In regards to Iron, I don't see how she could ever have eaten enough to not be deficient in everything regardless of ferritin result so am wondering if the B12/iron are counteracting each other somewhat? Her HB, RBC and MPV are low in range and MCV, MCH and RDW are all high in range with MCHC and HCT more mid range- all in range though. What do you guys think, should I get an iron panel?
VITAMIN B12 177 pmol/L 140.00 - 724.00
FOLATE (SERUM) *2.2 ug/L 2.91 - 50.0025
OH VITAMIN D *20.89 nmol/L 50.00 - 200.00
Iron Status FERRITIN 111 ug/L 13.00 - 150.00
Many thanks in advance for any advice