Vit B12 and other levels

[Bexg]

Hi

Can someone have a look please...... Thanks

Currently have a FT4 of 31, FT3 4.6 and suppressed TSH (secondary hypothyroidism)

Serum vitamin B12 level 198 ng/L [180.0 - 866.0]

Serum ferritin level 57.9 ug/L [13.0 - 150.0]

Serum folate level 9.8 ng/mL [3.9 - 26.8]Full blood count

FBC

Haemoglobin concentration 126 g/L [120.0 - 160.0]

Platelet count - observation 270 10*9/L [150.0 - 400.0]

Red blood cell count 4.33 10*12/L [3.9 - 5.0]

Haematocrit 0.390 L/L [0.36 - 0.44]

Mean cell volume 90.1 fL [77.0 - 98.0]

Mean cell haemoglobin level 29.1 pg [27.3 - 32.6]

Mean cell haemoglobin concentration 323 g/L [316.0 - 349.0]

Neutrophil count 3.87 10*9/L [1.7 - 7.5]

Lymphocyte count 2.15 10*9/L [1.0 - 3.2]

Monocyte count - observation 0.37 10*9/L [0.2 - 0.6]

Eosinophil count - observation 0.17 10*9/L [0.03 - 0.46]

Basophil count 0.03 10*9/L [0.02 - 0.1]

Total white blood count 6.6 10*9/L [3.9 - 11.1]

Serum calcium level 2.40 mmol/L [2.1 - 2.55]

Bone

Serum adjusted calcium concentration 2.24 mmol/L [2.1 - 2.55]

Serum inorganic phosphate level 1.44 mmol/L [0.8 - 1.5]

Serum alkaline phosphatase level 50 iu/L [30.0 - 130.0]

Serum total protein level 75 g/L [60.0 - 80.0]

Serum albumin level 49 g/L [35.0 - 50.0]

Serum globulin level 26 g/L [20.0 - 35.0]

ELECTROLYTES (GP - UREA)

Serum sodium level 137 mmol/L [133.0 - 146.0]

Serum potassium level 4.0 mmol/L [3.5 - 5.3]

Serum creatinine level 56 umol/L [44.0 - 80.0]

[Mary-intussuception]

Could you add full details of Thyroid results with ranges and say what dose Levothyroxine you are on.

Your B12 is low. You could ask for testing for Pernicious Anemia. What are your symptoms - you could ask about this on Pernicious Anemia forum.

Your Potassium is at the low end but in range. If you want to improve this you could eat a banana each day.

Your phosphate level in near the top of the range, you could ask GP about this - is it significant?

[Bexg in reply to Mary-intussuception]

Serum free T3 4.6 (3.1 -6.8)

Serum free T4 31 (12.0 - 22.0)

TSH 0.014 (0.27 - 4.2)

on 225mcg Levothyroxine

[Mary-intussuception in reply to Bexg]

What has your doctor/ Endo said about these results - has there been any suggestions?

Your B12 needs attention. Get this checked out as mentioned.

[Bexg in reply to Mary-intussuception]

Gp has said nothing, seeing Endo (new referral) on Monday. Gp wouldn't test thyroid antibodies, haven't had antibodies before.

thanks for replying

[SlowDragon Administrator in reply to Bexg]

This T4 is very high

You are probably poor converter due to your low vitamins

You probably do need to reduce your Levo. Maximum drop of 25mcg.

But you need to get low B12 sorted too. You should ask GP to test for Pernicious Anaemia before starting B12 injections

Ask advice on PAS as to how to push for this

[JOY2THEWORLD49 in reply to Bexg]

Hi

TSH you are in toxicity!

220mcg whow!!!!! It does work on your weight.

I take 100mcg and either 25 mostly or the odd 50.

You should be at 2.0 for post thyroidectomy. Mine was cancer.

Your tablets ... take early morning on empty stomach and 1/2-1hr before breakfast.

I take mine under the tongue.

No other pills for 2 hours.

These pills I take Synthroid - thyroxin - Letho...

Reliable

Expiry Date

Kiddie Lock

Moisture thingy.

Your absorption or your weight shows something is clearly wrong.

cheri. JOY. 73. (NZ)

[SlowDragon Administrator]

Essential to test thyroid antibodies

Also vitamin D - likely too low

Your B12 is extremely low. You will most likely need injections. Definitely testing for Pernicious Anaemia first

Supplementing good vitamin B complex too (don't start till B12 fully tested)

Ferritin is borderline. Eating liver once a week should help improve levels

[Bexg in reply to SlowDragon]

Is my B12 low enough to request vitamin B12 injections?

I'm worried i'll be fobbed off.

[SlowDragon Administrator in reply to Bexg]

Yes it definitely is - ask on PAS healthunlocked for advice

healthunlocked.com/pasoc

[SlowDragon Administrator in reply to Bexg]

Endocrinologist are, in my experience, not remotely interested in any vitamin levels

Ignore that arrogant idiot you saw.

Essential to get your vitamin levels correct.

[Bexg in reply to SlowDragon]

Have just driven home in tears as have been made to feel like I'm a self-diagnosing google doctor. said Vit12 is completely normal.

[SlowDragon Administrator in reply to Bexg]

Yes I had loads of consultations like that (frequently left in tears. See my profile )

Sounds like he was only Diabetes specialist, certainly clueless about thyroid

You are clearly poor converter.

Taking too much Levo, just increases RT3. It's not the answer

Your FT4 is too high. Obviously if you reduce Levo dose, your FT3 may drop lower.

Getting B12 higher essential. Lots of us supplement sublingual B12 and good vitamin B complex. But your level is so low you really need injections.

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.

Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor

please email Dionne:
[e-mail]

Prof Toft - article just published now saying T3 is likely essential for many (probably includes you)

rcpe.ac.uk/sites/default/fi...

You need to know results of a TPO antibodies and Vitamin D

If TPO antibodies are high (likely) then strictly gluten free diet likely essential

[SlowDragon Administrator]

Suggest you read this article about B vitamins. Perhaps just supplementing yourself is fine

drgominak.com/sleep/vitamin...

[JOY2THEWORLD49]

Hi

Too low B12.

You should be at 400-600.

l know as I was diagnosed B12 Deficient 2010.

Proven. I take Solgar x 2 days under tongue per week.

cheers JOY. 73. (NZ)

You show low down to ?able anaemia with folic acid.

[helvella Administrator Thyroid UK in reply to JOY2THEWORLD49]

I see you have made a number of replies on old posts - this one is over five years old.

It is probably sensible for you to check the dates under posts and replies. Sometimes the people are no longer active. But I think when it extends to years, there is little reason to respond.

[JOY2THEWORLD49 in reply to helvella]

You sent them to me or the team did!

Doesn't matter as others read it.

Cheers JOY. 73. (NZ)

[helvella Administrator Thyroid UK in reply to JOY2THEWORLD49]

Neither I nor the team sent them to you!

It is possible that some oddity of the system has sent out unhelpful alerts, or they were included in daily digests. But no human would be doing that.

I was really trying to let you focus your energies on posts/replies that are likely to be seen and of help to people. There is nothing wrong in replying to old posts.

[JOY2THEWORLD49 in reply to helvella]

Hi

IN dec last year I JOINED thyroiduK AND HEALTHUNLOCKED af forum

I WIShed to join both.

BUT EACH TIME i replied on THYROIDuk a notice comes up "u do not have full access" . Now I dont get any news from ThyroidUK.

I wish to help others!

My ThyroidUK and AF Forum have my Joy2the world access.

Can you assist.?

I did old AF forum posts and I complained to you. They were stopped.

cheers JOY. 73. (NZ)

[helvella Administrator Thyroid UK in reply to JOY2THEWORLD49]

I'm afraid I cannot help you.

Please contact HealthUnlocked Support:

[e-mail]

Or check your profile and Settings - see top right of the page (on a computer) where it says More.