Vitamin D 25.0-100.0 16.6
Can you please confirm the unit of measurement for your Vit D. Here in the UK it is nmol/L but I believe in Skopje/Macedonia it is ng/ml. If it is ng/ml then according to the Vit D Council the recommended level is 40-60ng/ml so you wouldn't be as deficient as that result in the UK.
However, you still need to improve it, so check the units of measurement and aim for 40-60ng/ml (or 100-150nmol/L).
You will be looking to take 5000iu D3 daily for three months then retest. When you've reached the recommended level then you'll need a maintenance dose which may be 2000iu daily, it's trial and error so we need to test once or twice a year when supplementing to keep within the range.
There are important cofactors needed when taking D3
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
Check out the other cofactors too.
Folic Acid 5.2-20.0 6.0 Vitamin B12 200.0-1100.0 299.8
Your folic acid is very low and needs to be at least half way through it's range. Also, as B12 is very low in range then check for signs of B12 deficiency here b12deficiency.info/signs-an... and I suggest you post on the Pernicious Anaemia Society forum for further advice as your level is so low I would be most hesitant to recommend self supplementing with your level healthunlocked.com/pasoc
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."
When supplementing B12 in any form we need a good B Complex to help balance all the B vitamins. One containing 400mcg methylfolate will help raise your folic acid level.
Ferritin 6.0-159.0 25.0
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 to supplement so discuss with your GP and if you're prescribed iron tablets then take each ione 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. If you self supplement you must keep your eye on the level and retest 3 months after starting to supplement.
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...