I just got some blood results back for B12, D and serum folate and would appreciate any advice on how to improve my levels, particularly on folate which I don't really understand. Range is in brackets - it was the Blue Horizon test, in case that helps.
I currently take 4,000iu Vit D per day, but my level is still low so I'll crank that up. I don't supplement B12 and was expecting it to be low, but it seems fine. Folate is something I don't really understand but clearly seems to be an issue. I would appreciate any advice on how to tackle it.
I recently had a prolonged bout of gastritis following fibriod surgery before Xmas. I was prescribed high doses of Nexium and Ranitidine to deal with the stomach acid, which played havoc with my thyroid levels for a while. My T4 shot too high, with resulting palpitations and anxiety. Endo took me off T4 completely for a week and then reintroduced it at a lower level, which seems to be helping. Am currently taking 100mcg levothyroxine and 5 mcg liothyronine p.d. T4 and T3 are now back within normal(ish) tolerances, but my TSH is unusually high for me. It is generally below 0.5 and has been for over a year, so I'm wondering if this is a freak reading due to coming off T4 completely for a week about 3 weeks ago. I also wonder if the gastritis and acid meds may have caused a malabsorbtion issue?
Thanks for any and all suggestions!
Vitamin D - L43 (Deficient <25nmol/L. Insufficient 25 - 50. Consider reducing dose >175)
Vitamin B12 - 429 (Deficient <140pmol/L. Insufficient 140 - 250. Consider reducing dose >725)
Serum Folate - L5.80 (8.83 - 60.8nmol/L)
Ferritin - 41.1 (20 - 150ug/L)
TSH - H 5.59 (0.27 - 4.20mIU/L)
T4 Total 101.6 (64.5 - 142.0nmol/L)
Free T4 18.01 (12 - 22pmol/L)
Free T3 3.83 (3.1 - 6.8pmol/L)