Ferritin 61.1 (30 - 400) I am iron deficient and ferritin the time before this result was 101.3 (30 - 400) back in January 2017
Are you taking anything for the iron deficiency? For confirmed iron deficiency the correct treatment is, according to NICE Clinical Knowledge Summary for iron deficiency anaemia treatment (which will be very similar to your local area guidelines):
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.
So you should be taking 2 or 3 x ferrous fumarate and you should be monitored.
Take each iron tablet 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.
For your ferritin level, this has obviously decreased a lot since January. Were you taking iron tablets then? 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 2.3 (2.5 - 19.5) taking 5mg folic acid
Vitamin B12 336 (190 - 900) taking B12 injections and result before this one was 538.5 (190 - 900) in January 2017
Is your folic acid daily?
How often are your B12 injections?
You can ask on the Pernicious Anaemia Society forum for further advice healthunlocked.com/pasoc
If you are between injections at the moment that could account for your level being lower, but you can, of course, top up between injections and the PA forum members can advise on that.
Vitamin D total 71 (50 - 75) taking 6000iu D3 since March 2015. Was prescribed vitamin D3 800iu back in November 2013 for vit D 30.7 (25 - 50 deficient)
6000iu daily is a decent amount to take for a level of 71.
The level recommended by the Vit D Council is 100-150nmol/L.
What D3 supplement are you taking? For Hashi's patients an oral spray is recommended for best absorption, eg BetterYou.
Are you taking D3's important cofactors 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
Check out the other cofactors too.
Has your GP checked you for malabsorption? Coeliac disease? Investigations should be done.
Are you taking a probiotic to build up good bacteria.
Do you have low stomach acid scdlifestyle.com/2012/03/3-... Very easy to do a home baking soda test.