Can someone interpret these results please

[Andypandy30]

Hi these are my 22 yr old nieces results . She’s symptomatic also

[fbirder]

They all look good. What are the symptoms? What was the HbA1c? What was thyroid tests?

[Andypandy30 in reply to fbirder]

This was all she had done . Very strong family history of pa . Symptomatic for years . Her folate is low and active b12 is low in range. Do you think she could get injections going by these results

[fbirder in reply to Andypandy30]

I can’t see many doctors agreeing to injections. Her Active B12 is well above the bottom of the range and that test is more accurate and more precise than the normal serum test.

Folate and ferritin are both good tests that give a fair indication of iron/ folate status.

The reason I asked bout other tests is that many symptoms of a B12 deficiency overlap those of hypothyroidism and diabetes.

[Andypandy30 in reply to fbirder]

I will get her to mention getting these done also as I have hyperthyroidism and diabetes is in the family . Thanks fbirder

[Marz in reply to Andypandy30]

You may have read on Thyroid UK that Ferritin at mid-range is good to help with conversion from T4-T3 .. so above level seems low. Has a Full Blood Count been carried out ?

[Andypandy30 in reply to Marz]

No Marz would that be worth asking gp to do

[Marz in reply to Andypandy30]

As her Ferritin is on the low side it may be worth having a Full Iron Profile to rule out anaemia along with a Full Blood Count . Also VitD.

[palmier]

Here's a site that says about active b12 that "between 25-70 referred for MMA".

viapath.co.uk/our-tests/act...

[Andypandy30 in reply to palmier]

Thank you for that Info . I never had an active b12 just the serum test where I was low in range and treated . Her symptoms are so similar to mine . I do think she needs further investigations .?

[humanbean]

I wouldn't be able to function with a ferritin level similar to the one you've quoted.

I get the following symptoms with low ferritin and/or low serum iron, which all go away completely or improve massively when I have levels which are as close to optimal as I can get them without going over:

Restless legs

Cramp

Benign fasciculations (look it up on youtube if you don't know what this is - it isn't rude!)

Dreadful fatigue

Severe brain fog

Muscle weakness

Anxiety

Depression

I've always had low iron problems (it's a problem which is very common within my family). I try to keep my ferritin as close to mid-range as I can, and my serum iron slightly above mid-range.

I pay for my own iron testing and buy my own prescription-strength iron supplements. Although my results are not bad now I still take iron supplements to maintain my level as close to optimal as possible.

Your niece may find these of interest :

cmaj.ca/content/cmaj/184/11...

rt3-adrenals.org/Iron_test_...

medichecks.com/iron-tests/i...

medichecks.com/tests/fbc-fu...

The last link I've given is less useful than the one before it but could be useful if anaemia is suspected. People can have iron deficiency without being anaemic and it should be treated. A lot of doctors will only treat iron deficiency when anaemia is also present, but to have a hope of a decent quality of life, low iron should be treated with or without anaemia (in my opinion). It is important not to go over optimal on iron-related results.

I have no medical training.

[Andypandy30 in reply to humanbean]

Thank you so much