Don't stop taking your vitamin B12 for a test as once you start taking vitamin B12 the only useful tests to see your status are active B12 and a full blood count. You do need to stop taking the B complex due to the biotin possibly mucking up test results.
If you are in the UK your vitamin D level needs to be higher at over 75nmol/L but preferably 100nmol/L What are you supplementing with?
In regards to your iron the best levels to use are ferritin - which is storage iron - , haemoglobin and a full blood count. The reason serum iron isn't used is that the result is a very unreliable indicator of iron status especially on it's own.
Finally if you still don't feel well have a dose increase of levo. Your Free T3 can be higher at just over 5. It doesn't matter if your TSH is slightly lower as you are on hormone replacement.
Vitamin D needs to be taken with fat to increase absorption - this is why this should be taken at lunch time.
Iron needs to be taken on an empty stomach with vitamin C and water to increase absorption. Standard advice is to take it 4 hours away from levo and 2 hours away from other food, drink and supplements. You can take it with B vitamins but due to the fact it causes most people stomach/bowel issues, most people don't and instead take it when they take other vitamins e.g. lunch time.
I only asked if you have Hashimotos as you are more likely to have stomach issues.
Levo is taken first thing as you are doing, with one full glass of water and wait about an hour before eating.
You need an increase to bring your TSH 1 or lower and some doctors mistakenly believe that anywhere in the range is o.k.
You need an increase in dose as T4 and T4 should be towards the upper part of the range. Your ferritin looks low.
You can take vitamins/supplements at lunchtime as most have to be taken with food. B12 is mid range and the following are foods which can be helpful:-
Image result for foods with B12
Top 10 Vitamin B12 Foods
1) Beef liver. 3 oz: 18 mcg (over 100% DV)
2) Sardines. 3 oz: 7.6 mcg (over 100% DV)
3) Beef (grass-fed) 3 oz: 1.5 mcg (25% DV)
4) Tuna. 3 oz: 2.5 mcg (41% DV)
5) Raw cheese. 1.5 oz: 1.5 mcg (25% DV)
6) Cottage cheese. 1 cup: 1.4 mcg (23% DV)
7) Lamb. 3 oz: 2.07 mcg (35% DV)
Most of us have digestive problems due to our 'low' metabolism and taking a few teaspoons of Apple Cider Vinegar in water or juice during a meal can help digestion. Or Digestive enzyme tablets. Symptoms of low or high acid are nearly identical and doctors usually prescribe antacids when we need acid.
Spoke with gp this morning as always tsh is normal though I always ask the ranges. I did say to her my t4 &3 should be in the higher range but she said they are normal and my dose won't be changed.
She told me to take vit d and said rest of vits look normal range. I did question my ferritin but again she said normal.
So I take levothyroxine at 7am
Will this following plan work for time scales between vits.
B12 11am
Iron+vit c 12 am
Vit d 3pm
Digestive enzyme 7 ish or when I eat my tea.
Mineral complex which has selenium in it 8.30 pm
Magnesium before bed 10pm.
My iron tablets have vit c in them at 100mg should I take an additional suppliment of vit c?
I've another spare vit c which is 140mg by together.
I am not medically qualified but I think you should take all of your Vits/minerals at lunchtime or teatime as they usually have to be taken with food.
Doctors who don't have hypo themselves do patients a dis-service in that our Thyroid Hormones have to be towards the upper part of the range (not lower, or middle in range). So also do our vitmains/minerals - need to be towards the upper part. These are a couple of links and I'll give you two links which might help our doctor to understand your need for optimum (not normal) hormones to run your whole body.
GPs are generalists and know very little about most conditions. They also know nothing about diet and exercise, so it is up to you to find out and sort yourself out.
In fact better doctors - GPs or specialists - when they realise a conditions isn't in their field of expertise and know a patient is using a patient group imply/hint the patient should go to them for advice and deal with it themselves.
You can take your vitamin D and B vitamins together with lunch.
What time do you take your levo? In theory if you take it early enough you will have enough time to take your iron and vitamin C. You should also avoid drinking tea and coffee while trying to raise your iron level.
So you need to take your levo at 7am an hour before breakfast.
Then you can either take your iron and vit c at 11am, 2 hours before lunch, or 3.30pm, 2 hours after lunch. (Find out which one upsets your stomach/bowels less)
Then your vitamin D and B at lunch.
Your mineral complex which has selenium in it at 8pm as copper interacts with magnesium so you want to leave at least 2 hours between them to minimise that. If the pains are too bad I would change to get just a selenium supplement.
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