Vitamin and minerals

[Nancy3]

FERRITIN 19 (30 - 400)

FOLATE 2.0 (2.5 - 19.5)

VITAMIN B12 148 (180 - 900)

VITAMIN D TOTAL 25.2 (25 - 50 deficiency)

Feedback welcome thankyou

[NatChap]

Just seen your thyroid results too... what has your doctor said? All of the above results show deficiencies and your thyroid tests show untreated Hashimotos. You must feel terrible!

[Nancy3 in reply to NatChap]

Hi yes I feel really awful and symptoms just don't make sense to doctor or endo (under an endo for hair growth on face/body)

Puffy eyes

Breathlessness

Mucus in throat

Hard stool

Heavy and irregular periods

Weight gain

Pins and needles

Anxiety

Hair loss

Bone pain

Cold hands and feet

Cold intolerance

Dizziness

Muscle cramps and spasms

Neither has prescribed me anything and waiting on endo to call me in a couple of weeks re androgen and sex hormone test results

[NatChap in reply to Nancy3]

Then he is negligent! You need to start treatment now! I think slowdragon gave you lots of advice o a previous post but you need to go back to your GP on Monday and insist they do something about it. Maybe get on the thyroid uk website and print off some info to take with you and if you are refused then you need to switch surgeries and make a complaint!

[SeasideSusie Remembering]

Nancy3 With these results, and your thyroid results in your other post, and your GP not contacting you to do something about them, seriously think about seeing another GP and making a formal complaint against this one. It is pure negligence.

FERRITIN 19 (30 - 400)

For thyroid hormone (our own or replacement) to work ferritin needs to be at least 70, preferably half way through range. Your level is dreadfully below range. Ideally you need an iron infusion so ask for one, but you may only be prescribed tablets which will take months to raise your level whereas an infusion will raise your level within 24-48 hours. If given tablets then take each one 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.

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...

As your ferritin is so low, you need an iron panel and full blood count to see if you have iron deficiency anaemia. If you have already had this done please post the results.

**

FOLATE 2.0 (2.5 - 19.5) VITAMIN B12 148 (180 - 900)

You are folate and B12 deficient. Check for signs of B12 deficiency here b12deficiency.info/signs-an... You need to post on the Pernicious Anaemia Society forum for further advice healthunlocked.com/pasoc then discuss what they say with your GP. You probably need testing for Pernicious Anaemia and you may need B12 injections.

If you are prescribed folic acid DO NOT start taking it until any further investigations regarding your B12 have been done.

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."

Folate should be at least half way through it's range.

**

VITAMIN D TOTAL 25.2 (25 - 50 deficiency)

You are 0.2 away from severe Vit D deficiency. See 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. Go and see your GP and demand that he treats you according to the guidelines and prescribes the loading doses, do not accept 800iu D3 daily. Once these have been completed you will need a reduced amount (not a paltlry 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

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.