GP says no further action required

[Jrjc]

Thank you

FERRITIN 27 (30 - 400)

FOLATE 4.1 (4.6 - 18.7)

VITAMIN B12 192 (190 - 900)

VITAMIN D 26.1 (25 - 50 VITAMIN D DEFICIENCY. SUPPLEMENTATION IS INDICATED)

[bluebug]

Make an on the day appointment with the GP and point out that you are aware that ferritin tests your iron stores. Ask them to do a full blood count, if they haven't done one, and an iron panel to rule out iron deficiency anaemia.

Also state your folate level is below the range, and that you also need the full blood count to check that there are no issues with your blood cells due to your low vitamin B12 and folate level.

Once you have seen the GP and have the tests, start a new thread posting the new results. Also link to this thread.

If the GP asks where you got this information from say Thyroid UK - a patient support group recommended by NHS Choices - as they will be peeved that you know what should be tested.

[Jrjc in reply to bluebug]

Iron panel didn't show anything out of range

IRON 9.2 (6 - 26)

TRANSFERRIN SATURATION 16 (12 - 45)

But complete blood count results did

MCV 78.1 (80 - 98)

MCHC 386 (310 - 350)

Thank you

[bluebug in reply to Jrjc]

BTW high MCHC indicates vitamin B12 and/or folate deficiency.

Go over to the pernicious anaemia society as @Clutter has stated below.

[Clutter]

Jrjc,

The doctor who reviewed those results and said "no further action required" needs re-education. It may not have been your own GP as some practices have a rota for reviewing blood test results. 3 of the results are deficient and B12 is bottom of range. They all need addressing.

If you have symptoms of deficiency in b12deficiency.info/signs-an... go to healthunlocked.com/pasoc for advice.

My GP prescribed 5mg folic acid for a couple of months to correct folate deficiency but you may need to raise B12 level before taking folic acid. PAS forum will advise.

Ferritin is deficient and this may indicate iron deficiency anaemia. Your GP should do an iron panel and full blood count to check. If you are prescribed iron it should be taken 4 hours away from Levothyroxine and T3.

Vitamin D is deficient. Your GP should refer to local guidelines or the NICE CKS recommendations for treating vitamin D deficient adults cks.nice.org.uk/vitamin-d-d... Please do not accept 800iu D3 until your vitD is >75nmol/L.

Alternatively you can buy vitamin D3 without prescription. I recommend 10,000iu daily x 6 weeks followed by 5,000iu for 3-4 months and then retest. Vitamin D should be taken 4 hours away from Levothyroxine and T3.

If you buy on Amazon please use the affiliate link healthunlocked.com/thyroidu...

[Jrjc in reply to Clutter]

Iron panel didn't show anything out of range

IRON 9.2 (6 - 26)

TRANSFERRIN SATURATION 16 (12 - 45)

But complete blood count results did

MCV 78.1 (80 - 98)

MCHC 386 (310 - 350)

Thank you

[Clutter in reply to Jrjc]

Jrjc,

MCV below range indicates iron deficiency anaemia labtestsonline.org/understa...

[Jrjc in reply to Clutter]

It was my usual GP who wrote the comment no further action as well

[Clutter in reply to Jrjc]

Jrjc,

I would see another GP at the practice or change practice.

[bluebug in reply to Jrjc]

You don't have to give a reason any more in England to change practices. If the new practice is outside your area for home visits then you just have to agree that you can't have them.

[Chippysue]

Good grief!!!!!

My advice would be to SACK this GP immediately! he/she is incompetent and we were this incompetent in our jobs we would be sacked!!!

You need B12!!! you need vitamin D3 !!! you need folate !!! you need a high dose of a good quality vitamin c!!!! you need to work at getting your ferritin increased and preferably asking a nutritional therapist how to do this as well as the vitamin c.

[SlowDragon Administrator]

These are dire BECAUSE of dose reduction and being under medicated

See SeasideSusie detailed vitamin supplements advice

healthunlocked.com/thyroidu...

Do you have high antibodies? This confirms Hashimoto's or autoimmune thyroid disease?

[Jrjc in reply to SlowDragon]

TPO antibodies 603.5 (<34)

TG antibodies >1200 (<115)

[SlowDragon Administrator in reply to Jrjc]

Very very definitely Hashimoto's. GP will tend to call it autoimmune thyroid

Hashimoto's very often affects the gut, leading to low stomach acid, low vitamin levels and leaky gut.

Because you are under medicated your gut is badly affected

Low vitamins that affect thyroid are vitamin D, folate, ferritin and B12. When they are too low they stop Thyroid hormones working.

Yours are dire, if your GP thinks these are ok they are either incompetent or negligent

See SeasideSusie detailed vitamin supplements advice

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's is very poorly understood

Changing to a strictly gluten free diet may help reduce symptoms.

thyroidpharmacist.com/artic...

thyroidpharmacist.com/artic...

amymyersmd.com/2017/02/3-im...

chriskresser.com/the-gluten...

scdlifestyle.com/2014/08/th...

Low stomach acid can be an issue

Lots of posts on here about how to improve with Apple cider vinegar or Betaine HCL

thyroidpharmacist.com/artic...

Other things to help heal gut lining

Bone broth

thyroidpharmacist.com/artic...

Probiotics

carolinasthyroidinstitute.c...