Symptoms list

Hi what can my symptoms mean please? Only thing I can think of is anaemia but this was treated

Eyebrows falling out

Eyelashes falling out

Hard stool

Tiredness

Headaches

Dizziness

Rumbling episodes in ears

Ringing episodes in ears

Aches and pains in joints

Heavy periods

Dry skin

Goitre

Pins and needles

Weight gain

Loss of appetite

Thanks

[SeasideSusie Remembering]

Hidden It means that you are undermedicated for your hypothyroidism and that you very likely have nutrient deficiencies (I have just checked your profile and see you have a previous post, too early in the day for me to have responded, but I will do so now).

Please arrange for the following to be tested if not already done. If they have please post the results with reference ranges and say if you are supplementing, with what and the dose:

Vit D

B12

Folate

Ferritin

Iron Panel

Full blood count

Also, give some more information about the anaemia please, how you were treated, what your current levels are, if you are monitored, etc.

[Hidden in reply to SeasideSusie]

Vitamin D 28.3 (25 - 50 deficient. Supplementation is indicated)

Vitamin B12 185 (180 - 900)

Folate 2.1 (4.6 - 18.7)

Ferritin 61 (30 - 400)

MCV 76.2 (80 - 98)

MCHC 393 (310 - 350)

Iron 9.2 (6 - 26)

Transferrin saturation 16 (12 - 45)

Taking 800iu vitamin D and 1 ferrous fumarate ocne a day, no longer actively monitored for anaemia thanks

[SeasideSusie Remembering in reply to Hidden]

Hidden The trouble with having two threads going at the same time is that you're going to get replies on both and it gets confusing. However:

Vitamin D 28.3 (25 - 50 deficient. Supplementation is indicated) Taking 800iu vitamin D

800iu D3 isn't going to ever raise your level. It is hardly a maintenance dose for someone with a reasonable level.

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. Once these have been completed you will need a reduced amount (more than 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.

**

Vitamin B12 185 (180 - 900) Folate 2.1 (4.6 - 18.7)

These results are seriously low, you are folate deficient and very likely have symptoms of B12 deficiency - check that here b12deficiency.info/signs-an... then go and post on the Pernicious Anaemia Society forum for further advice healthunlocked.com/pasoc I think you will need testing for Pernicious Anaemia and possibly need B12 injections. If your GP prescribes folic acid then do not start taking it until other investigations have taken place.

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."

**

Ferritin 61 (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 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...

MCV 76.2 (80 - 98)

MCHC 393 (310 - 350)1 ferrous fumarate ocne a day - no longer actively monitored for anaemia

You are still showing signs of iron deficiency anaemia and should be receiving more than 1 x ferrous fumarate daily - see NICE Clinical Knowledge Summary for iron deficiency anaemia treatment (which will be very similar to your local area guidelines):

cks.nice.org.uk/anaemia-iro...

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.

You need to discuss this with our GP and get proper treatment/monitoring sorted.

[shaws Administrator]

You may be able to tick off a few more:-

thyroiduk.org.uk/tuk/about_...

We also can have unpleasant clinical symptoms if dose is too low or GP keeps adjusting according to eh TSH.