Vitamins and minerals

[Annette117]

Thanks for reading

Ferritin 5 (15 - 150)

Folate 2.3 (2.5 - 19.5)

Vitamin B12 181 (190 - 900)

Vitamin D total 24.4 (<25 severe deficiency)

[shaws Administrator]

Oh! dear oh dear. What has the doctor suggested as you are seriously deficient. I am going to add in SeasideSusie for advice. I just cannot believe how doctors can not help patient to optimum levels.

I'd suggest, re B12, pop over to the Pernicious Anaemia Society for advice as your B12 is very low. The aim is around 1,000.

[SlowDragon Administrator in reply to shaws]

Only just been diagnosed....but would very much hope that GP is getting supplements organised urgently

[SeasideSusie Remembering]

Annette117

Ferritin 5 (15 - 150)

Folate 2.3 (2.5 - 19.5)

Vitamin B12 181 (190 - 900)

Vitamin D total 24.4 (<25 severe deficiency)

You need to point out all these severe deficiencies to your GP.

Ferritin needs an iron infusion urgently, plus a full blood count and iron panel to see if you have iron deficiency anaemia.

You need to take your Folate and B12 results over to the Pernicious Anaemia Society forum for further advice healthunlocked.com/pasoc also mention any signs of B12 deficiency you may be experiencing from this list b12deficiency.info/signs-an... I believe you will need intrinsic factor antibodies testing, and you will need folic acid prescribing for the folate deficiency. Don't start folic acid until other investigations have been done, and B12 needs to be started before folic acid.

Vit D needs 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 so post your new result as the time for members to suggest a dose) 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.

You will have to provide all these yourself as the NHS doesn't prescribe them.

As you have Hashi's, once you buy your own supplement you should get an oral spray for better absorption. Better You do a D3 one and a D3/K2-MK7 combo.

[shaws Administrator in reply to SeasideSusie]

SeasideSusie doctors cannot be trained at all these days when members have such severe deficiencies.