Help please - Folate, Ferritin, Vit D, Vit12, Vit D, Blood results in.

[furcoatnoknickers]

Hello, please could I have some advice on my blood results.

I have Hashimoto's and have tested 'weak positive' to celiac in the last week after an outburst of thrush.

Serum Folate 5.3 ( Range 5.4 - 24) I have been put on Folic Acid today, 5mgs.

Ferritin 43 ug/L ( Range 10 - 307)

Vitamin B12 465 ( Range 210.0 -910.0) I take supplements for this already.

Vitamin D 121.8 (Range 50 - 150)

Can anyone advise me if any of the other 3 need to be upped for optimal health?

I am so exhausted and not myself at all.

Thank you in advance.

Thank you in advance.

[SeasideSusie Remembering]

furcoatnoknickers Vit D is fine, recommended is 100-150nmol/L so you are in a good place. If you are supplementing you should take a maintenance dose to keep it there, something like 2000iu daily throughout the winter.

Ferritin is too low and will be one cause of your fatigue. It needs to be a minimum of 70 for thyroid hormone to work properly, and for females 100-130 is recommended, although some say halfway through range and your range is pretty wide. You can either supplement with iron tablets and take each one with 1000mg Vit C to aid absorption and help prevent constipation, keeping iron four hours away from thyroid meds, or you can eat liver once a week which is how I raised mine as I couldn't tolerate iron tablets even at a very low dose (much less faff than tablets too!)

You need to get your B12 up to 900-1000, and folate to at least half way through it's range.

As you have Hashi's and have now completed your coeliac test, adopting a strict gluten free diet and supplementing with selenium L-selenomethionine 200mcg daily should help reduce antibodies, as will keeping TSH suppressed.

[furcoatnoknickers in reply to SeasideSusie]

I dont know what I would do without you guys on here. Thank you so much. I will do exactly as you have said. ( Apart from liver - I am a vegetarian). I will get some gentle Iron and get retested in 12 weeks. I will also up my Vit B12 and maintain Vit D.

I have taken selenium for two years.

I also got a Below Range of Serum Creatinine; 56 ( Range 59.0 - 101.0).

Could the lack of Iron/folate/celiac cause this? I have been very weak for 4 years.

Thank you again. I really appreciate every message.

[SeasideSusie Remembering in reply to furcoatnoknickers]

I don't know much about low creatinine but a diet low in protein can be connected.

[furcoatnoknickers]

Thank you. Even though I do consume a lot of protein, I don't seem to be able to keep hold of it. Hopefully upping the iron will help. 😊

[Jazzw in reply to furcoatnoknickers]

Plus I think you're undermedicated looking at your recent thyroid bloods. Your FT3 is much too low. One of the reasons that hypothyroid patients don't absorb vits and minerals well too well is because undermedication often leads to reduced stomach acid.

Not enough stomach acid = not enough breakdown of the foods you eat and not enough absorption of the good stuff.

So if you haven't already done so, pursuing an increase in levo and/or liothyronine would be a good idea.

[furcoatnoknickers in reply to Jazzw]

Thank you for your message. Very interesting.

I am awaiting surgery for a frozen shoulder and unless my TSH is elevated they won't operate. Surgery 19 th April. It's already been cancelled once when my TSH was under 1.

However, I did try to raise my T3 a little last week with no success. I start getting very anxious, tremors and rapid heart rate, couldn't sleep.

I am hoping once the iron comes up, I can raise without side effects.

Thank you so much for your advice and taking the time to message me.