I really have no idea what to do about these, could anyone please advise? I take spatone iron because I found iron tablets heavy on my stomach. I eat a lot of veg and folate rich foods and doctors have encouraged me to eat more which I have done so why my folate is still so low I don't know. Doctor has given me 800iu D3 for vitamin D deficiency.
Ferritin 21 (30 - 400)
Folate 3.8 (4.6 - 18.7)
Vitamin B12 227 (190 - 900)
25 hydroxy vitamin D2 <6.0
25 hydroxy vitamin D3 42.5 (25 - 50 vitamin D deficiency. Supplementation is indicated)
Thanks for reading and feedback.
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Emerald222
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You should pop over to the Pernicious Anaemia Society forum here on Health Unlocked, post these results, along with ferritin result and any signs/symptoms from the list, for further advice and then discuss what they say with your GP.
When you've reached the recommended level of 100-150nmol/L reduce to 5000iu alternate days as a maintenance dose, maybe less in summer. It is recommended to retest once or twice a year to keep within the recommended range.
When taking D3 there are important cofactors needed which you can read about here
D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds.
Magnesium comes in different forms, check here to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds
Thanks I was taking vitamin C with the iron but that made me feel really sick to my stomach. Yes iron panel and complete blood count have confirmed iron deficiency anaemia.
The GP knows I have iron deficiency but when I told him I had problems taking the iron because it made my stomach heavy he didn't offer me any alternative iron medication and just gave me tranexamic acid tablets instead and suggested I get a pelvic exam since I said I have heavy periods.
Just a thought, I presume you took Ferrous Fumerate?? Iron bisglycinate is supposed to be more gentle on the stomach although it contains less elemental iron. I don't know if your GP can prescribe that but you can buy it eg Solgar Gentle Iron.
Yes, you do need the iron. I found it okay if I ate with porridge lol
You are also showing signs of Folate/Vit B12 deficiency with the high MCHC. You are clearly folate deficient so need to be treated and more than likely B12 deficient so you should treat that also as this one is not easy to overload in anyway and can cause problems to treat folate before B12 if you are B12 deficient. Iron anaemia can mask the other indicators of folate/B12 deficiency and your doc should know this.
Yes as mentioned you are deficient in everything so you have to start thinking about your stomach and why you're not absorbing especially if eating enough of everything. As mentioned on previous post, most likely is coeliacs/gluten intolerance so best thing to try is to go GF for at least three months and see if you have any improvements in symptoms. My periods were horrific all my life until I went GF. I was also deficient in everything. Remind your doc that iron anaemia can actually cause heavy periods!! If GF doesn't help at all then you need to get your doc to investigate further why you are not absorbing anything and refer you.
If he looked at these results and didn't even bother to treat you for folate or look into B12, I think maybe you need to consider a new doc
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