I am here on behalf of girlfriend who is worried about symptoms she can't make sense of. She is 29 years old and has thyroid peroxidase antibodies of 377 (<34 IU/mL).
Symptoms list -
Seeing flashing spots/floaters in her eyes
Dizziness and breathlessness when standing from squatting
Discharge in eyes
Weight gain though is still petite
Puffy feeling to eyes
Dark circles under eyes despite trying to catch up with sleep
She also has iron anaemia (receiving treatment), folate anaemia (receiving treatment), vitamin D deficiency (receiving treatment) and polycystic ovaries (not receiving treatment but undergoing various other tests to establish androgen levels).
I have segregated each vitamin/mineral issue below to make it clearer (I hope I've made it clearer!)
She was diagnosed with iron deficiency anaemia in 2011 with a ferritin level of 27 (30 - 400 ug/L) and MCV 79 (82 - 100 fL) but no treatment given until 2013 when her ferritin level got worse at 15 (30 - 400 ug/L) and she was given 3x times ferrous fumarate to take each day. She had digestive problems when taking them and could only manage taking 1 ferrous fumarate to take each day. She explained her concerns to the GP who referred her for counselling and told her she was being noncompliant by making up excuses not to take her iron tablets. This continued until 2016 when she was referred to haematology and given an iron infusion. Her ferritin was boosted to 197 (15 - 150 ug/L) and her MCV was continually in the lower or middle part of range, her MCHC always in the top part of range or above range. Haemoglobin and iron always at bottom of range. Over the year her ferritin is now dropping back down and below results are her most recent. She has her iron and ferritin and complete blood count levels monitored every 3 months and is back on 1 iron tablet per day.
Ferritin 61.1 (15 - 150 ug/L) haematologist wants her ferritin above 50 before going for infusion however she has found that each of her periods reduces her ferritin by 20 points.
She was diagnosed folate deficient in 2016 and takes folic acid 5mg once a week due to neuro symptoms. Below result June 2017.
Folate 2.3 (2.5 - 19.5 ug/L)
She has B12 injections once every 3 months due to symptoms of low B12 but level of B12 has been in range. Below result done January 2017. Her haematologist says further B12 levels will likely be skewed since she has injections.
Vitamin B12 336 (190 - 900 pg/L)
She was diagnosed vitamin D deficient in 2013 with a level of 43.2 (25 - 50 nmol/L) and prescribed 800iu vitamin D. She was told by a friend (who is a health practitioner) that 800iu vitamin D is not enough for her level and recommended she take a higher dose, she didn't know how much though. So since March 2015 she has been taking 6000iu vitamin D. Below result done in June 2017. She has 6 monthly checks on her vitamin D levels by her GP and she does not go out in the sun since she is photosensitive to the sun's rays.
25 hydroxy vitamin D2 level <6.0
25 hydroxy vitamin D3 level 60.3
Total 25 OH vitamin D level 60.3
(50 - 75 nmol/L vitamin D may be suboptimal, and long-term may lead to clinical effects. Advise on safe sun exposure and diet. Supplementation may be indicated)
List of supplements she takes:
Better You 6000iu vitamin D (once a day)
5mg folic acid (once a week)
1 ferrous fumarate (once a day)
Better You Magnesium spray (when she can remember) - as a sleep aid
List of other ones she has but doesn't take:
Nutri multimineral and multivitamin complex (contains iodine) - advised by a private nutritionist
Vitamin E 400iu - due to fibrocystic breasts
Thanks for reading.