Ferritin 67 (30 - 400) taking ferrous fumarate for iron deficiency once a day
MCV 76.6 (80 - 98)
MCHC 384 (310 - 350)
Iron 11.4 (6 - 26)
Transferrin saturation 14 (10 - 30)
As you have been diagnosed with iron deficiency anaemia (as confirmed by low MCV and high MCHC) you might want to remind your GP that he is not following the guidelines for treatment.
Your local area guidelines (which you will be able to find on Google) will be very similar to the NICE Clinical Knowledge Summary which states
•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.
So ask for your prescription to be raised so that you get the correct amount of Ferrous Fumarate daily.
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.
Do you have any signs of B12 deficiency b12deficiency.info/signs-an... If so then please take these results over to the Pernicious Anaemia Society forum here on Health Unlocked for their expert advice. Also include your ferritin/iron results and any signs of B12 deficiency.
You may need testing for Pernicious Anaemia, but your low B12 needs supplementing as anything under 500 can cause neurological problems. See what the PA forum says then discuss their advice with your GP.
For us Hypos the recommended levels are B12 at the very top of it's range and half way through range for folate.
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Vitamin D total 60.3 (50 - 75 vitamin D suboptimal) taking 6000iu vitamin D
This dose of supplement is fine for now. The recommended level for Vit D is 100-150nmol/L according to the Vit D Council. You should retest in 2-3 months and when you've reached this level you will need to reduce to a maintenance dose which maybe 2000iu daily, it's trial and error which is why it's recommended to retest once or twice a year to keep within that range. You can get a fingerprick bloodspot Vit D test from City Assays vitamindtest.org.uk/index.html
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...
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