Would greatly appreciate comments following my latest NHS tests results.
After starting B12 treatment (since February - 3 injections/week) and supplementing with Iron Fulmarate for 3 months (stopped for over a month now) and VitD3 for a few years (stopped after my calcium levels became elevated about a month ago).
I still supplement with Folic acid. Have been concerned to load my system with too many vitamins so have not been supplementing with B vitamin complex as am worried I may then take too much B6 as this is added to many foodstuff, and I eat a good diet (am aware I may not absorb nutrients well enough as have reactive gastritis and take the dreadful PPIs...). However please advise whether I now should consider taking B complex and which would be best.
Would also like to know what is the best VitD to take, as well as haeme or ferritin instead of iron fulmarate and would like to know how haem or ferritin work for those of you who are taking it.
Have not been diagnosed with PA nor with B12 deficiency - though the injections have made a big difference to start with, not so well now. Have rheumatoid arthritis and inject a biologic drug every week - Enbrel (Etanercept). I am hypothyroid (post thyroidectomy in 1980) and take 100 mcg and 75 mcg Levothyroxine on alternate days.
Have been feeling so ill for the past 3 years, and after getting a little better after starting the B12 treatment I am now feeling absolutely dreadful! Tinnitus coming back, feeling of spaceyness in my head and as though I might faint (used to faint often last year), feeling of lacking oxygen in my brain and body, unable to function to do even an everyday task in the house (am 71). Huge fatigue and simply feeling out of it altogether. Have been losing my hair by the handful, especially when I wash it, for quite a long time now, and many more symptoms. Naturally I feel scared not knowing what is really happening to me, and feeling so out of sorts.
Cannot count on GP to help so that is another source of anxiety and it leaves me feeling extremely low and vulnerable. Yet I used to be a "doer", always very busy and quite cheerful and a positive person. Thought I would give some background before posting my test results in the hope I will receive much needed good advice and ideas of how to tackle my GP when I see her tomorrow morning. Am running out of ideas as I feel defeated by the lack of care.
THYROID FUNCTION TESTS
TSH 1.54miUl/L (0.3 - 5.5) (this was 0.35 in May and 0.85 in March,)
FT4 20.8pmol/L (12-22) this was 22,4 in May and 23.1 in March)
T-Peroxidase 17 kU/L (< 34) (this was 18 in March)
FT3 3.3 pml/L (3.1-6.8) (this was 4 im May and 3.9 in March)
WBCs 8.55 10*9/L (4 - 10)
RBCs 4.88 12*12/L (3.80-4.80) above range but coming down as was much higher (was 4.91 in May and was 5.30 in March)
Haemoglobin 136 g/L (120-150)
Haematocrit 0.411 g/L (0.360-0.460)
Mean cell volume: 84.2 fL (83-101) (has been going up as was below range before)
Mean cell Hb level 27.9 pg (27-32)
Mean cell Hb concentration 331 g/L (315-345) (this was 338 in June)
Platelet count 310 10*9/L (150-400)
Calcium 2.46 mmol/L (2.20-2.60)
Albumin adjusted calcium 2.65 mmol/L (2.20-2.60)
Ferritin 98 ug/L (30-400)
Serum Folate >20 ug/L (3.89-26.8)
LIVER FUNCTION TESTS
Serum bilirubin: 6 umol/L <21
Alkaline phosphate 70 IU/L (40-129)
Alkaline aminotransferase 9 IU/L (<40)
Total protein 69 g/L (60-80)
Globulin 39 g/L (25-41)
Sodium 141 mmol/L (133-146)
Potassium 4.6 mmol/L 3.5-5.3)
Urea 3.8 mmol/L (2.5-7.8)
Creatine 65 umol/L (45-84)
Estimated GFR >60 mL/min/1.73m*2
Vitamin D (25 OHD) 107 nmol/L (50-144)
Thanks you so much for any help and advice.