FERRITIN 61 (30 - 400)
MCV 76.2 (80 - 98)
MCHC 388 (310 - 350)
HAEMOGLOBIN 112 (115 - 150)
MCH 28.1 (28 - 32)
Taking 210mcg ferrous fumarate once a day for iron anaemia
You are being treated incorrectly for your iron anaemia. Check out the following to discuss with your GP and ask for the appropriate treatment.
NICE Clinical Knowledge Summary for iron deficiency anaemia treatment (which will be very similar to your local area guidelines)
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.
For thyroid hormone to work ferritin needs to be at least 70, preferably half way through range. You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, and including lots of iron rich foods in your diet apjcn.nhri.org.tw/server/in...
FOLATE 2.2 (2.5 - 19.5)
VITAMIN B12 137 (180 - 900)
1 folic acid tablet a day for folate anaemia
What about your B12 deficiency? Is your GP doing nothing about that? Have you been tested for Pernicious Anaemia? With your B12 level you probably should be on B12 injections. You should not be supplementing with folic acid until further investigations into your B12 deficiency have been carried out.
Please post on the Pernicious Anaemia Society forum for further advice then discuss with your GP healthunlocked.com/pasoc Quote your Folate, B12, Ferritin and Iron, MCV etc results, mention what you have been prescribed, and also mention any signs of B12 deficiency you may be experiencing which you can check here b12deficiency.info/signs-an...
If your GP has ignored your B12 result he has been extremely negligent.
VITAMIN D 25.5 (25 - 50 DEFICIENCY. SUPPLEMENTATION IS INDICATED)
800iu vitamin D once a day for vitamin D deficiency
Again, you are being treated incorrectly. 800iu D3 isn't going to ever raise your level. It is hardly a maintenance dose for someone with a reasonable level.
You are 0.5 away from severe deficiency and you need loading doses. Check the following and discuss with your GP.
NICE treatment summary for Vit D deficiency:
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. Go and see your GP and ask that he treats you according to the guidelines and prescribes the loading doses. Once these have been completed you will need a reduced amount (not a paltry 800iu) to bring your level up to what's recommended by the Vit D Council - which is 100-150nmol/L - and then you'll need a maintenance dose which may be 2000iu daily (not 800iu), 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
Check out the other cofactors too.
As mentioned, as you have Hashi's then you could very well have gut/absorption issues which is contributing to these dire nutrient levels. SlowDragon has information and links which can help.