Hi so I have high thyroid antibodies and I have since been told my thyroid levels have come back as ok since reduction in dose from 200mcg levothyroxine and 20mcg T3 to just 150mcg levothyroxine. I was diagnosed in 2012.
Symptoms are flaking cuticles, migraines, pins and needles, hard stool, difficult swallowing, dry and itchy skin, feeling cold, flaky lips, bone pain, hair loss, heavy periods so since my thyroid has come back as ok I now feel like a hypochondriac so here are other results below.
Advice appreciated.
Ferritin 46 (15 - 150) diagnosed iron deficient and take 1 ferrous fumarate
Folate 3.4 (2.5 - 19.5) diagnosed folate deficient and take 5mg folic acid
Vitamin B12 204 (190 - 900)
Vitamin D total 67.7 (50 - 75 suboptimal) diagnosed vitamin D deficient and take 6000iu D3
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Coral2
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Ferritin 46 (15 - 150) diagnosed iron deficient and take 1 ferrous fumarate
If you have a diagnosis of iron deficiency anaemia then you're not being treated properly. SeNICE Clinical Knowledge Summary for iron deficiency anaemia treatment (which will be very similar to your local area guidelines):
•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.
Point this out to your GP and ask for the appropriate 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.
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Folate 3.4 (2.5 - 19.5) diagnosed folate deficient and take 5mg folic acid
I believe that taking folic acid can mask signs of B12 deficiency. It really should have been checked by your GP before starting you on the folic acid.
If no signs of deficiency hen your B12 is dreadfully low and needs supplementing.
I have read (but not researched so don't have links) that BCSH, UKNEQAS and NICE guidelines recommend:
"In the presence of discordance between test results and strong clinical features of deficiency, treatment should not be delayed to avoid neurological impairment."
And an extract from the book, "Could it be B12?" by Sally M. Pacholok:
"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".
"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."
That's good enough for me and I keep mine around 1000. Sublingual methylcobalamin lozenges are what's needed to supplement B12 yourself (starting with 5000mcg daily then when the bottle is finished change to 1000mcg daily as a maintenance dose) along with a good B Complex to balance all the B vitamins.
Folate should be at least half way through it's range.
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Vitamin D total 67.7 (50 - 75 suboptimal) diagnosed vitamin D deficient and take 6000iu D3
The recommended level is 100-150nmol/L according to the Vit D Council.
You could continue with your 6000iu daily until you reach the recommended level then take a maintenance dose, which may be 2000iu daily, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with City Assays vitamindtest.org.uk/
There are important cofactors needed when taking D3
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
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