Blood test results. What do you think?

[tinka1]

Blue Horizons Blood test results ( see photos). It looks all apart vitamin D is in a normal range. I've had problems with swallowing for last two years. Could it be because the vitamin D insufficiency or is it all in my head then!? I feel like I am back to square 1.

Thank you.

[Clutter]

Tinka1,

Has your GP palpated your throat and neck to see whether you have a goitre or thyroid nodule causing problems swallowing?

TSH is slightly elevated and that may be causing your throid to swell a little. FT4 and FT3 levels are good.

Women intending to conceive should have TSH in the low-normal range of 0.4-2.5 as conception can be difficult otherwise. When pregnancy is confirmed Levothyroxine dose is usually increased by 25-50mcg to ensure good foetal development.

thyroiduk.org.uk/tuk/about_...

Ferritin is very low, optimal is halfway through range to 100. I would supplement iron taken with 500-1,000mg vitamin C to aid absorption and minimise constipation.

B12 371 is low in range. Pregnancy makes great demands on B12 so I would supplement 1,000mcg methylcobalamin to raise B12 throughout pregnancy and breastfeeding.

Folate is good but most women appear to be advised to supplement folic acid before and during pregnancy.

Vitamin D is optimal around 100. I would supplement 5,000iu D3 for 3 months and then reduce to 5,000iu alternate days.

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I am not a medical professional and this information is not intended to be a substitute for medical advice from your own doctor. Please check with your personal physician before applying any of these suggestions.

[tinka1 in reply to Clutter]

Clutter thank you for your reply. Bellow I am copying with my history which I posted in the previous post. Ultrasound for thyroid ok, ENT - endoscopy ok, gastroscopy ok. I will take this test results to my GP on the 30. NOv..and will discuss B12, ferritin and obviously vitD as you suggest. Hopefully she won't say - well, you blood test says normal, no further action. (apart vitD)...

From my previous post:

Hello, I have had lots of symptoms of thyroid for last two years, mainly problems with swallowing (not food when eating), (shortness of breath, occasional tingling over whole body, slight horse voice occasionally, problems with weight - overweight, cannot conceive a 2nd child, easily irritable, fed up, tiredness slightly more then used to be.

Sometimes I have the swallowing very bad together with tightness on my chest, sometimes it is much better. I can't see the pattern. I am 40 years old. It seems to be better since I changed my diet - reducing sugar, carbs as much as possible.

I had various tests done, full blood tests ok, thyroid ultrasound OK, gastroenterology ok, ENT endoscopy ok, various allergy tests, all ok. I've been to GP maybe 20 times for last two years. GP keeps saying it might be globus hystericous. Been treated with omeprazol for acid reflux, antihistamines, antidepressants for a year, nasal spray. Still the same. No change. Stopped taking them.

I have been treated for thyroid when I was about 15 years old for a year or so..(my mum can't remember). Apparently it is quite common in teenage years..

[Clutter in reply to tinka1]

Tinka1,

I imagine an endoscopy would have found any lumps, nodules or goitres. If swallowing problems are intermittent with intermittent chest tightness it may be due to anxiety.

[tinka1 in reply to Clutter]

Also Clutter, don't know if that makes a difference, but I am NOT pregnant..x

[Clutter in reply to tinka1]

Tinka1,

You said you were trying to conceive in your orginal post.

[tinka1 in reply to Clutter]

That's true. OK I get it now. One more questions..what do you think the optimal B12 should be?

Many many thanks for your time Clutter.

[Clutter in reply to tinka1]

Tinka1,

There's unlikely to be B12 deficiency when B12 is >500.

[tinka1]

Just came back from GP. And as I predicted even though I told her what optimal levels should be, she kept saying it is all in normal range. She told me I should get Vitamin D supplements over the counter. When I asked her what dose I should take she said it would be written on it. She was not overly concerned about the blood test results. I persisted about my mainly swallowing problems etc that it has been two years and I am desperate to get to the bottom of this.. She went to ask another Dr, came back and referred me to the Gastroenterologist as I had it done two years ago and in a different country (Czech rep, and it was ok..).

So now is the question how much of vitamin D, ferritin - is that iron supplements? and B12 I should take. Do I have to take also magnesium and K2? - she said no.

And what are the good brands or where to get it from?

Thank you