I went in to see my gp today because I'm folate deficient and he hadn't prescribed 5mg folic acid when I saw him a few weeks ago. I quoted patient.co.uk's page on folate deficiency and he smiled and nodded when I said I couldn't buy higher than 800mcg and there is me thinking why didn't he prescribe it in the first place but anyway...I''ve come out with the 5mg I went for.
He tells me that my levels aren't that low. Really? I think they look pretty low
Folate 3.83 ug/L (greater than 5.38)
Ferritin 7.8 ug/L (10 - 291)
25Oh vitamin D 38.1 nmol/L
Vitamin B12 488 ng/L (211-911)
He doesn't think I have PA because my haemoglobin is fine. I tried to convince him to test intrinsic factor and parietal cell antibodies but he said that the PAab won't be done by the lab if my b12 is in range. But he will test IF along with repeat ferritin,d,folate, thyroid function tests and tpo ab. I asked him why we haven't tested the other thyroid antibodies and again said the lab wouldn't do it with my tsh and ft4 in range. This makes no sense because my tft were in range when I had the first tpo ab test done.
TSH 1.40 mu/L ( 0.35-5.5)
FT4 16.4 pmol/L (10.0-19.8)
Thyroid peroxidase antibody 92 iu/mL (0.0-100.0)
TSH 3.40 mu/L ( 0.35-5.5)
FT4 13.3 pmol/L (10.0-19.8)
Thyroid peroxidase antibody 247 iu/mL (0.0-100.0)
He asked me about my symptoms again. I said about the fatigue,cold hands, tingling in my extremities, poor appetite but weight gain,intermittent joint and muscle pain, difficulty sleeping,brain fog. I told him that these symptoms come and go in waves. I will feel awful for a while then get a bit better then back to feeling bad. Then he looked at my results again and he said that nothing is out of the ordinary that goes with my symptoms but maybe I have chronic fatigue syndrome or fibromyalgia. My symptoms apparently don't suggest thyroid disease. He is going to refer me to a special clinic that deals with both. He has to fill out a huge form for it and we will have to run lots of tests before I can go there. I kind of stared at him in disbelief but said ok because the thought of lots of tests sounds appealing and maybe something will come up?
Did I do the right thing? My hubby thinks that there isn't much difference from what my previous doctor did. First doctor went with "you're only depressed" and this one is going with "chronic fatigue".