B12 and folate

[Anya1993]

Ferritin 11 (30 - 400)

Folate 1.7 (4.6 - 18.7)

Vitamin B12 144 (190 - 900)

Vitamin D total 10 (<25 severe)

Ferrous fumarate taken since 2013 (3 tablets) folic acid since 2016 (5mg) vitamin D since 2014 (800iu) thank you

[Gambit62 Administrator]

Anya, you need to go and see your GP.

There is a high overlap of symptoms of between thyroid and B12 deficiency.

Also, having hashi's/auto-immune thyoroiditis makes it more likely that you will develop an auto-immune gastritis - such as PA. Problems seem to start with iron deficiency and then go on to include B12 and folate deficiencies.

You need to be treated for the B12 deficiency with the protocol for neurological symptoms - given the symptoms you list

This means loading shots 3x weekly until symptoms stop improving (review at 3 weeks) and then maintenance shots every 8 weeks (though this isn't enough for significant numbers of people).

This is an article on thyrogastric syndrome

ncbi.nlm.nih.gov/pmc/articl...

This is a link to the BCSH guidelines for diagnosing and treating cobalamin and folate disorders.

onlinelibrary.wiley.com/doi...

Your GP can also access this through the BNF