Hi any idea if GP should be dealing with these? I had iron infusion done in 2016 because ferritin was 14 (15 - 150) haematologist was guessing from iron deficiency caused by heavy periods and 2 months after infusion had bloods retested and ferritin was 189 (15 - 150), has been gradually dropping again going from 146 then 110 then 103.5 and now below result, do I need monitoring for this? Only on 1 iron tablet per day issued after latest result. Ferritin checked in May 2017, no iron supplements since. No longer under haematologist because he says I can be dealt with in primary care. Symptoms slowly coming back -
goitre
dry skin
feeling cold
hair loss
weight gain (but only around middle, I think it is fluid retention)
puffy eyes
tiredness
heavy periods
brain fog/memory loss
joint pain
low heart rate below 50 per min
sweats (?)
tremor (?) Thankyou
July 2017
Ferritin 56 (15 - 150)
Folate 2.3 (2.5 - 19.5)
Vitamin B12 201 (190 - 900)
Total 25 OH vitamin D 67.7 (50 - 75 suboptimal) taking 3000iu D3 since 2015
Written by
Summer3
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Ferritin is optimal half way through range so 1 x iron tablet should be sufficient. Take it with 1,000mg vitamin C to aid absorption and minimise constipation. Take iron 4 hours away from Levothyroxine.
Folate is deficient. My GP prescribed 5mg folic acid for a couple of months to correct folate deficiency.
VitD 67 is suboptimal, around 100 is optimal. I would supplement 5,000iu D3 x 6 weeks then reduce to 5,000iu alternate days and retest in 3-4 months. Take vitD 4 hours away from Levothyroxine.
Hi I have since spoke to my GP who has issued 3 iron tablets to take a day based on MCV being below range and 1 iron tablet not helping the iron anaemia
Summer3 you seem to have multiple deficiencies in vitamins and minerals - the problems with iron, folate and potentially B12 (which is very low in range) - this suggest that you probably have an absorption problem - something going on in your gut - there are various possibilities. These won't explain the goitre but they could explain other symptoms - folate being the prime candidate if the symptoms came on quickly - B12 if they have come on very slowly.
Please do take a look at the PAS forum as suggested by Clutter.
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