Help with supplements

[Taralynne]

Hi so I have Hashimotos thyroiditis, GP wants to increase my vit D as it is 10.3 (<25 severe vitamin D deficiency), increase my folic acid to 2x daily from 1x daily and ferrous fumarate doubled to 2 from 1 a day and start me on B12 injections? Is this ok? Thanks

FERRITIN 22 (15 - 150)

FOLATE 2.1 (2.5 0 19.5)

VITAMIN B12 206 (190 - 900)

[SlowDragon Administrator]

At least GP is sorting this out

How much vitamin D were you taking? What has it been increased to

How long been taking and what was level when first started?

Has GP suggested blood test or endoscopy for coeliac? Blood test is quick but unreliable. Endoscopy there is typically at least 6 months wait. (Should be seen within 6 weeks) As only 5% with Hashimoto's have coeliac, but about 80% benefit from strictly gluten free diet, it's probably not worth the wait, unless it's quick

Ferritin you need full iron panel and likely an iron infusion

SeasideSusie is the vitamin guru. Here's detailed vitamin advice to similar posts

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Has GP tested for Pernicious Anaemia? Before starting B12 injections?

[Taralynne in reply to SlowDragon]

Hi and thanks for reply the vit D has been increased to 300,000iu once a week from 800iu which I was taking for 4 years, level when first taking 800iu was 30.2 so in deficient range.

Being checked for coeliac and full blood profile shows iron deficiency, also being tested for pernicious anaemia before starting B12 injections

[SlowDragon Administrator in reply to Taralynne]

Pity it took 4 years on an inadequate dose before anything has happened.

It's so common, it's outrageous

[SeasideSusie Remembering in reply to Taralynne]

Taralynne

"vit D has been increased to 300,000iu once a week"

Is that correct? Once a week for how many weeks? I would get your GP to check the NICE Clinical Knowledge Summary for treatment of Vit D Deficiency

cks.nice.org.uk/vitamin-d-d...

"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 maintenance treatment of about 800 IU a day. Higher doses of up to 2000 IU a day, occasionally up to 4000 IU a day, may be used for certain groups of people, for example those with malabsorption disorders."

It should be a TOTAL of 300,000iu over a period of time.

Your GP won't know, because they're not taught nutrition, but there are important cofactors needed when taking D3 vitamindcouncil.org/about-v...

Magnesium helps D3 to work and K2-MK7 directs the extra uptake of calcium from food to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems, K2-MK7 is particularly important with large doses of D3. Check out the other cofactors too.

[Taralynne in reply to SeasideSusie]

Split dose of 300,000iu sorry over 2 months