Help iron?? B12 is now fine! (Self injected)

[Twinkle41555]

I recently had bad thyroid levels which appear to have magically fixed themselves with annual monitoring by GP hopefully I can keep this on the right side of the graph! I have also had my b12 levels raised massively following self injection as per this site (thank you all so much!)

My concern is I'm litterally dead....

Days in bed at time napping for hours sleeping for 12 hours at night in addition. Random afflictions, always covered in bruises, resting heart rate average 99, sinus issues, aches and pains, migraines requiring a referral to neurology, severe depression and no enjoyment in life. I just can't go on like this.

Can someone help me understand of the iron is the issue now pretty please?

Full panel below

They are.....

Pathology Investigations

Full blood count

Total white blood count 4.7 10*9/L [3.9 - 10.9]

Haemoglobin concentration 114 g/L [115.0 - 154.0]

Below low reference limit

Platelet count - observation 350 10*9/L [150.0 - 400.0]

Red blood cell count 3.87 10*12/L [3.9 - 5.1]

Below low reference limit

Haematocrit 0.352 L/L [0.39 - 0.45]

Below low reference limit

Mean cell volume 91.0 fL [81.0 - 102.0]

Mean cell haemoglobin level 29.5 PG [27.0 - 30.0]

Mean cell haemoglobin concentration 324 g/L [317.0 - 340.0]

Red blood cell distribution width 13.9 % [12.2 - 14.8]

Neutrophil count 2.1 10*9/L [2.0 - 7.1]

Lymphocyte count 1.9 10*9/L [0.7 - 4.0]

Monocyte count - observation 0.54 10*9/L [0.24 - 0.79]

Eosinophil count - observation 0.12 10*9/L [0.03 - 0.39]

Basophil count 0.07 10*9/L [0.05 - 0.1]

Nucleated red blood cell count 0.00 10*9/L

Platelet distribution width 13.1 % [9.0 - 14.0]

Haemoglobin A1c level - IFCC standardised 34 mmol/mol [20.0 - 42.0]

Please note that this assay is not currently included

Pathology Investigations

B12/folate level B12>200 ng/L - B12 deficiency unlikely.

Serum vitamin B12 level 654 ng/L [187.0 - 883.0]

Serum folate level 5.00 ug/L [3.1 - 20.5]

Serum ferritin level 11 ug/L [5.0 - 204.0]

Low serum ferritin indicates iron deficiency.

Renal profile

Serum sodium level 139 mmol/L [133.0 - 146.0]

Serum potassium level 4.6 mmol/L [3.5 - 5.3]

Serum urea level 4.8 mmol/L [2.5 - 7.8]

Serum creatinine level 68 umol/L [49.0 - 90.0]

GFR calculated abbreviated MDRD 84 mL/min

Acute kidney injury warning stage NA

Thyroid function test

Serum TSH level 1.29 mIU/L [0.4 - 4.9]

Serum free T4 level 12.1 pmol/L [9.0 - 19.0]

Serum total 25-hydroxy vitamin D level 78.9 nmol/L [> 49.9]

Please help me Mr Dr said no further action and that's that.

[Nackapan]

I'm sorry you so poorly.

Get back to the doctor with your symptoms.

Discuss the blood results.

Ask about iron or possible reasons you are feeling so ill

[Mag999]

You look like you are heading towards anaemia and your t4 results are quite low in the range. Have you considered getting some private bloods done to check your thyroid? That’s the only way I got anywhere with thyroid issues as my Tsh was considered normal but my t4/3 were low. Maybe post on thyroid uk community as well. Needs at least a repeat blood from gp to check on your iron status. As long as you are feeling so unwell try and persist for answers. Am in similar position but have very kind gp who is at least trying to find answers.