I am finding my levels aren't improving on what I take? 800iu D3 for vitamin D deficiency, 5mg folic acid for folate deficiency and 210mg ferrous fumarate for iron deficiency? All are on prescription. Thanks
Ferritin - 22 (30 - 400)
Folate - 1.8 (2.5 - 19.5)
Vitamin B12 - 203 (190 - 900)
Total 25 OH vitamin D - 25.5 (25 - 50 vitamin D deficiency. Supplementation is indicated)
Check out SeasideSusie replies to other people's posts for the amount of vitamin D you should take. Also find out what your local CCG guidelines are on loading doses of vitamin D as per SeasideSusie advice. You also need to be tested for pernicious anaemia, an autoimmune condition that often accompanies Hashimotos or other autoimmune conditions. Your doctor should have checked the reason for your low vitamin B12 before prescribing folate supplements as it can mask anaemia. Post a question about your B12 and folate results on the Healthunlocked Pernicious Anaemia forum and read the information on the Pernicious Anaemia UK website to find out more.
Dominique - you know you have Hashimoto's and Slow Dragon explained that this can cause gut issues which can affect absorption of meds and supplements, so you need to address that as explained in your other thread.
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Ferritin - 22 (30 - 400)
As you know you have iron deficiency then I presume you had a full blood count, iron panel, etc., to confirm this. The treatment for iron deficiency is 3 x ferrous fumarate daily. Check out the NICE Clinical Knowledge Summary, which will be very similar to your local area guidelines, and ask your GP to prescribe appropriately
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 Vitamin C to aid absorption and help prevent constipaton. Always take iron 4 hours away from thyroid meds and two hours away from other medication and supplements as it will affect absorption.
Ferritin should be half way through it's range with an absolute miminum of 70 for thyroid hormone to work.
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Folate - 1.8 (2.5 - 19.5)
Vitamin B12 - 203 (190 - 900)
Do you have any signs of B12 deficiency b12deficiency.info/signs-an...
You would be better off posting on the Pernicious Anaemia Society here on Health Unlocked for further advice about this. Post these results, any signs of deficiency, your ferritin/iron results and what you've been prescribed. Whatever they advise, discuss with your GP.
It's said that us Hypos need B12 at the very top of the range and folate at least half way through it's range.
Whatever B12 supplements you take (injections or sublingual methylcobalamin) a good B Complex is needed to balance all the B Vitamins.
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Total 25 OH vitamin D - 25.5 (25 - 50 vitamin D deficiency. Supplementation is indicated)
800iu D3 isn't going to ever raise your level. It is hardly a maintenance dose for someone with a reasonable level.
NICE treatment summary for Vit D deficiency: 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)."
Each Health Authority has their own guidelines but they will be very similar.
Ask your GP for the loading doses, come back and tell us what he prescribes because if he doesn't prescribe enough we will tell you what to buy.
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.
Supplements advice please
Advice on supplements please
Supplements advice for newby please 
