Vitamins etc

[Tashiki]

GP doing nothing about them and I have high antibodies thanks

Ferritin 12 (30 - 400)

Folate 2.0 (2.5 - 19.5)

Vitamin B12 137 (180 - 900)

Vitamin D total 20.6 (<25 severe)

[SlowDragon Administrator]

These are absolutely dire. See SeasideSusie detailed vitamin advice

Eg healthunlocked.com/thyroidu...

[Gambit62]

take a look at PAS forum if you need help with getting diagnosis of B12 deficiency.

healthunlocked.com/pasoc

with multiple vitamin and mineral deficiencies indicated by the results above your GP should really be looking for an absorption problem such as PA, coeliacs, crohn's, h pylori infection.

If you have problems with stomach acidity and acid reflux it could be an indicator that your acidity is low (which could be result of PA and probably other conditions) as the symptoms of low stomach acidity are more or less the same as high stomach acidity.

[SeasideSusie Remembering]

Tashiki Sorry I couldn't respond last night, power cut due to high winds so no internet for some time.

If your GP has done or said nothing about these results, then he is being extemely negligent so I would see a different GP, sort out treatment, then make a formal complaint against this one.

Ferritin 12 (30 - 400)

For thyroid hormone to work (that's our own as well as replacement hormone) ferritin needs to be at least 70, preferably half way through range.

You need an iron supplement and due to the fact that your level is so far below range it should be an iron infusion

so ask for one, it will raise your level within 24-48 hours whereas tablets will take many months.

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...

But most importantly, you also need a full blood count and iron panel to see if you have any form of anaemia. Ask for this to be done without delay.

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Vitamin D total 20.6 (<25 severe)

As you can see, you have severe Vit D deficiency and you need loading doses - 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 maintenace treatment of about 800 IU a day. Higher doses of up to 2000IU 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 regims 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, do not accept 800iu as that is an extremely low maintenance dose for someone with a decent level already, you must have the loading doses.. Once these have been completed you will need a reduced amount (again, not 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, 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 helps D3 to work and 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.

As doctors aren't taught nutrition, they know very little about vitamins and minerals, cofactors, etc. You will have to buy the magnesium and K2 yourself.

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Folate 2.0 (2.5 - 19.5) Vitamin B12 137 (180 - 900)

You are folate and B12 deficient. Do you have any signs of B12 deficiency b12deficiency.info/signs-an...

It is vital that you post on the Pernicious Anaemia Society forum for further advice. Quote B12, folate, ferritin, any results apertaining to anaemia, and any signs of B12 deficiency. You will need testing for Pernicious Anaemia and may need B12 injections healthunlocked.com/pasoc

If your GP prescribes folic acid, do not start taking it until other investigations have been done.

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I see SlowDragon has already given you some information about dealing with gut/absorption problems that often occur with Hashi's, and of course your dire nutrients appear to be testament to that.

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Let us know what your GP is going to do and what he prescribes.