Hi what do results show please and do I need supplements thank you
Ferritin 9 (15 - 400)
Folate 2.3 (2.5 - 19.5)
Vitamin B12 196 (190 - 900)
Vitamin D 25.1 (25 - 50 deficiency)
MCV 77.3 (80 -98)
MCHC 386 (310 - 350)
Iron 6.2 (6.0 - 26.0)
Transferrin saturation 13 (10 - 30)
Chelsey6 - has your GP seen these results? If so what has he said?
Thanks for reply test was done privately because GP was not listening to my concerns
OK, so take these results along to your GP, if he doesn't like them invite him to do his own urgently.
Based on those results, and if your GP wont accept them then assuming his results come back very similar :
Ferritin 9 (15 - 400)
MCV 77.3 (80 -98)
MCHC 386 (310 - 350)
Iron 6.2 (6.0 - 26.0)
Transferrin saturation 13 (10 - 30)
All this points to iron deficiency. Personally, I would be asking for an iron infusion but that may be denied and just iron tablets prescribed. Make sure your GP follows the guidelines for iron deficiency anaemia. These are the NICE Clinical Knowledge Summary guidelines, your local area guidelines should be checked but they should be very similar if not the same.
cks.nice.org.uk/anaemia-iro...
How should I treat iron deficiency anaemia?
•Address underlying causes as necessary (for example treat menorrhagia or stop nonsteroidal anti-inflammatory drugs, if possible).
•Treat with oral ferrous sulphate 200 mg tablets two or three times a day.
◦If ferrous sulphate is not tolerated, consider oral ferrous fumarate tablets or ferrous gluconate tablets.
◦Do not wait for investigations to be carried out before prescribing iron supplements.
•If dietary deficiency of iron is thought to be a contributory cause of iron deficiency anaemia, advise the person to maintain an adequate balanced intake of iron-rich foods (for example dark green vegetables, iron-fortified bread, meat, apricots, prunes, and raisins) and consider referral to a dietitian.
• Monitor the person to ensure that there is an adequate response to iron treatment.
Take each iron tablet with 1000mg Vit C to aid absorption and help prevent constipation. Iron must be taken four hours away from thyroid meds and two hours away from any other medication and supplements as it affects their absorption.
Also, to help yourself, eat liver reguarly, maximum 200g per week, and eat lots of iron rich foods apjcn.nhri.org.tw/server/in...
Ferritin is recommended to be half way through it's range, with an absolute minimum of 70 for thyroid hormone to work.
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Folate 2.3 (2.5 - 19.5)
Vitamin B12 196 (190 - 900)
You are folate deficient with very low B12. Check for B12 deficiency here b12deficiency.info/signs-an... then pop over to the B12 experts at the Pernicious Anaemia Society here on Health Unlocked, post these results, your ferritin and iron results plus any signs of B12 deficiency. Whatever they advice, go and discuss with your GP and ask to be investigated and treated appropriately healthunlocked.com/pasoc
For a hypo patient it's recommended that Folate be at least half way through it's range and B12 at the very top of it's range, even 900-1000.
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Vitamin D 25.1 (25 - 50 deficiency)
You are 0.1 away from severe Vit D deficiency. Ask your GP to follow the guidelines and prescribe you loading doses.
NICE Clinical Knowledge Summary says the following, and your local area's guidelines should be checked but should say very similar or the same
cks.nice.org.uk/vitamin-d-d...
Treat for vitamin D deficiency if serum 25-hydroxyvitamin D (25[OH]D) levels are less than 30 nmol/L.
For the treatment of vitamin D deficiency, the recommended treatment is based on fixed loading doses of vitamin D (up to a total of about 300,000 international units [IU]) given either as weekly or daily split doses, followed by lifelong maintenance treatment of about 800 IU a day. Higher doses of up to 2000 IU a day, occasionally up to 4000 IU a day, may be used for certain groups of people, for example those with malabsorption disorders.
◾Several treatment regimens are available, including 50,000 IU once a week for 6 weeks (300,000 IU in total), 20,000 IU twice a week for 7 weeks (280,000 IU in total), or 4000 IU daily for 10 weeks (280,000 IU in total).
Do not accept a maintenance dose of 800iu, you must have loading doses. Come back and tell us what your GP prescribes, we can advise if it's not enough.
There are important cofactors needed when taking D3 vitamindcouncil.org/about-v...
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 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 naturalnews.com/046401_magn...
Check out the other cofactors too.
It's recommended that Vit D is 100-150nmol/L according to the Vit D Council.
being iron, folate and B12 deficient implies an absorption problem - which should be investigated.
do you have any problems with stomach acidity? low acidity would cause multiple deficiencies - but symptoms are same as high stomach acidity.
Follow links Seasidesusie gave you for more advice on B12
Iron & Vitamin C Questions!
Vitamins etc
Iron supplements question
Thriva tests for vitamins etc
