I am hypothyroid (3 years and adequately replaced on levo 125mcg). I have just got my latest blood test results back and although the GP hasn't contacted me I've looked at the results and think that treatment is required. I'm not sure if low calcium and low B12 are related but if I can understand these results better, I will be able to make a better case to the GP for treatment. He has said I don't need B12 treatment in the past. I have so many things that are actually indicated as below or above range I can't understand why he hasn't contacted me. Can anyone help me understand what is going on here.
Here are my results:-
Serum sodium 138 (135-145)
Serum potassium 4.2 (3.5-5)
Serum creatinine 56 (58-101) Below range
Serum calcium 2.19 (2.25-2.65) Below range
Serum albumin 43 (35-50)
Corrected calcium 2.21 (2.25-2.65) Below range
Serum alkaline phosphatase 36 (38-126) Below range
Serum Bilirubin 14 (3-22)
Serum alanine aminotransferase 28 9-52)
Plasma glucose 4.7
Serum iron 28 (7-27) Above range
Serum TIBC 47 (45-72)
Transerrin saturation 60% (less than 50%) Above range
Vit D 61.8 - Adequate
I was taking iron (ferrous fume rate) but folate, ferritin have risen only a little. And when I stop taking it they (especially ferritin) drop rapidly.
Serum folate 10.6 (4.4-24)
Serum ferritin 42 (10-291)
I don't feel I can keep taking the ferrous fumerate as my mean cell haemoglobin level is also outside of range at 33 (27-32) Above range and Haemoglobin concentration 13.3 (12-15). I've got plenty of iron, just not storing it.
B12 is 270 (210-910) I've taken B12 for the past 2 years in tablet, lozenge and under tongue type absorption.
Whilst my hypoT seems fairly well treated, I am feeling tired again, I have a tingly itchy heel on one foot and don't seem to be able to deal with things quite as efficiently as I know I could. I'm not exactly brain foggy but feel that's where I'm heading. I can't deal with big things and can't remember things so well. I know things aren't quite right but am not sure what is wrong.
TSH 0.4 (0.4-5.5)
Free T4 21.7 (11.5-22.7)
Free T3 4.2 (3.5-6.5)
If anyone can help explain what might be going on here I would be so pleased as it would help me put my case across to the GP.
Many many thanks.