Have been told my Vitamin d is too high at 120nmol calcuim is 2.26 ps not supplementing atm either also have no thyroid cfs and fibromyalgia and Gerd and sinutitis29/12/2022
You have a low level of haemoglobin which is also known as anaemia. Your results indicate that this is unlikely to be related to low levels of iron, vitamin B12 or folate. The best course of action is to discuss these results with your doctor. Please check test-specific details below as there may be important additional information.
HB
29/12/2022
107 g/L
You have low levels of haemoglobin. The best course of action is to see a doctor as soon as possible.
FERRITIN
29/12/2022
34 ug/L
Normal
TSAT
29/12/2022
28 %
Normal
ACTIVE B12
29/12/2022
132 pmol/L
Normal
FOLATE
29/12/2022
>20.0 iu/L
Normal
Written by
Pen1966
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UK guidance on B12 deficiency suggests that people with the symptoms of B12 deficiency should be treated even if their serum (total) B12 is within range.
If your symptoms are consistent with B12 deficiency symptoms, you and your GP may find it useful to look into Functional B12 Deficiency. This is where there is plenty of B12 in the blood but it's not getting to where it's needed in the cells.
MMA and Homocysteine blood tests may help to diagnose Functional B12 Deficiency.
A typical range for Active B12 (also known as Holotranscobalamin) would be something like 20 - 135 pmol/L.
Have you been supplementing B12?
High levels of B12 in the blood without B12 supplements or B12 injections and without eating lots of B12 rich food can sometimes be a sign of certain health conditions.
I would expect a GP to order further blood tests for a person who has high B12 without supplementing.
Might be worth getting a serum (total) B12 result as well at some point.
If your 25(OH)D Vitamin D is at 120 nmol/L, then by most recommendations, you are almost dead centre of the target range and accordingly, your supplementation is likely adequate and not excessive. The usual recommended Vitamin D target is 100-150nmol/L. See image below from GrassrootsHealth, a good site for Vitamin D information. I'm not sure who is telling you your Vitamin D is too high but I would ask based on what ranges they believe that to be the case. You would have to more than double that test result before you would get anywhere close to levels of toxicity. Are they confusing ng/ml with nmol/L?
Understood. My point was not that there is any problem with the test or the result it gave - but the advice that you received that your level is "too high" is not in line with the best available advice in terms of what are adequate target Vitamin D blood levels. By those guidelines you are neither too low nor too high but dead center of whats usually regarded as the optimal range. May I ask your usual supplementation dosage? I'm personally interested to know what dosage works best for people , although I know it cant be universally applied as there is considerable variability in dose response.
Ah! That makes sense. 4,000 IU is right at the tolerable upper limit and most people won't need that much. Your level likely dropped from something a lot higher in those 3 months. But something around 1500IU to 2500IU is often sufficient to maintain adequate D over the winter but its possible some may need a bit more or a bit less.
Yep. Alternate days would probably be sufficient for those over the winter and only once or twice a week if getting some good sun. There is still no risk of toxicity if you took 4,000IU every day but it would be a lot more than necessary.
Sorry to hear that. Then its the winter dose all year round I think!
Beware of a fibro diagnosis and push for further investigations. Fibro as a diagnosis can often be used to fob off patients who need treatment for another undiscovered condition - many B12 deficient or PA patients are diagnosed with fibromyalgia which can delay the actual B12 treatment they need. I don't have anything conclusive based on your results but advise to keep pushing, see specialists where you can etc.
As Nackapan mentioned, Ferritin is on the lower side so maybe consider a full iron panel if you can order one.
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MCV and supplement question 
Blood test results
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Ferritin up and b12 up - translation of blood tests, please?
Advise about B12 & Folate please! :-)
