Vitamins and minerals: Symptoms constipation... - Thyroid UK

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Vitamins and minerals

Lianna11 profile image
10 Replies

Symptoms constipation, joint pain, dry skin, feeling cold, tiredness, weight gain, heavy periods, puffy eyes and feet, pins and needles

FERRITIN 51 (30 - 400)

FOLATE 1.6 (2.5 - 19.5)

VITAMIN B12 187 (190 - 900)

TOTAL VITAMIN D 26.3 (25 - 50 DEFICIENT)

Taking 800iu vitamin D3 and B12 injections and ferrous fumarate 3 times a day thank you

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Lianna11 profile image
Lianna11
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naveed123 profile image
naveed123

Also check the Tsh ,T3,and T4 level.Hypothyroidism may be the reason of low level of vitamin B12 ,folate and ferritin

Lianna11 profile image
Lianna11 in reply tonaveed123

I posted them thanks

Lianna11 profile image
Lianna11 in reply tonaveed123

TSH 6.32 (0.2 - 4.2)

FREE T4 13.9 (12 - 22)

FREE T3 3.5 (3.1 - 6.8)

Taking 100mcg levo

naveed123 profile image
naveed123 in reply toLianna11

Tsh level is high.Increase the dose of levothyroxine. You will feel better.You should also take the vit B12 injection .

naveed123 profile image
naveed123 in reply tonaveed123

and also take folic acid tab

shaws profile image
shawsAdministrator in reply toLianna11

You are unwell because you are on insufficient thyroid hormones. The aim of replacement hormones is to reduce your TSH to 1 or below, with FT$ and FT3 towards the upper part of the range - both yours are at the bottom. Not good.

Phone and ask for an increase at 25mcg every six weeks with an increase until your TSH is 1 or lower with FT4 and FT3 towards the upper part of the range.

Ask GP to also test B12, Vit D, iron, ferritin and folate. Everything has to be optimum.

SeasideSusie profile image
SeasideSusieRemembering

Lianna11 Edit your post and put a link to your previous thread and say other results are there, so people don't keep asking about your thyroid levels/Hashi's etc. It gets disjointed and confusing when more than one thread is running and you keep getting asked questions covered in another thread.

FERRITIN 51 (30 - 400)

ferrous fumarate 3 times a day

Presumably the 3 x FF daily is because you have been diagnosed with Iron Deficiency Anaemia.

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...

**

FOLATE 1.6 (2.5 - 19.5) VITAMIN B12 187 (190 - 900) B12 injections

Any folic acid for the folate deficiency?

How often are your B12 injections and when did you start?

**

TOTAL VITAMIN D 26.3 (25 - 50 DEFICIENT)

Taking 800iu vitamin D3

Well, 800iu D3 isn't going to ever raise your level. It is hardly a maintenance dose for someone with a reasonable level. You are just 1.3 away from severe 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. 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/

If you are refused the loading doses you can either make a complaint that you aren't being treated appropriately or come back and we will tell you what to buy.

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.

**

Your vitamins and minerals will be trashed due to your Hashi's causing gut/absorption problems which will need addressing. See the reply by SlowDragon in this thread healthunlocked.com/thyroidu... Nutrient levels need to be optimal for thyroid hormone to work, and nutrients can't be absorbed until the gut/absorption problems are dealt with. The fact that you had your T3 removed wont have helped either.

Lianna11 profile image
Lianna11 in reply toSeasideSusie

No folic acid was told folate was only just out of range and last B12 injection 4 months ago

SeasideSusie profile image
SeasideSusieRemembering in reply toLianna11

FOLATE 1.6 (2.5 - 19.5) No folic acid was told folate was only just out of range

It might be a good idea to ask your GP why they bother to have ranges if they're going to be ignored.

VITAMIN B12 187 (190 - 900)

last B12 injection 4 months ago

Did you have loading doses of B12 - 6 injections over 2 weeks? After that it's normal to have 3 monthly injections.

Were you checked for signs of B12 deficiency? Do you have any - check here b12deficiency.info/signs-an...

I think you should read about folate/B12 deficiency and go through the menu here nhs.uk/conditions/vitamin-b...

Then you should go and post on the Pernicious Anaemia Society forum for furthe advice healthunlocked.com/pasoc

Give your Folate and B12 results and the information about ignoring your under range folate and your B12 injections. You should also mention your Ferritin level and your iron deficiency anaemia which is why I presume you are taking l3 x ferrous fumarate daily. Also list any signs of B12 deficiency from that list that you be be experiencing. Whatever they advise, discuss with your GP.

From your two threads it's pretty apparent that both your GP and endo are doing you no favours and will keep you ill. You are going to have to start fighting for your health.

B12 very low. I have given up fighting drs over these issues and just inject myself with B12. I should do it al least weekly but have laid off for a couple of weeks and am having to jab daily again for a few days to ward of all sorts of symptoms.

Dr Chandy runs an interesting website called B12 support and there is a health unlocked B12 group.

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