Vitamin and mineral levels

[J781]

Hi so I have Hashimotos, any idea if these need investigating? Thanks

Dec 2017

Ferritin 15 (30 - 400)

Folate 4.1 (4.6 - 18.7)

Vitamin B12 265 (180 - 900)

Vitamin D 25.5 (25 - 50 deficiency. Supplementation is indicated) taking 800iu D3

[crimple]

All your results are way too low which is typical with Hashimoto's (positive antibodies) Were these tests through GP? What have they had to say about them? Seaside Susie on here is very good with advice about supplements you need to improve vitamin levels and therefore help you feel better.

[J781 in reply to crimple]

GP did tests yes, nothing mentioned

[crimple in reply to J781]

Yet another incompetent doctor who is incapable of reading blood test results and doesn't understand when results are below range. You need loading doses of Vit D for starters and B12 is too low for a Hashi's patient, ferritin is terrible and so is folate. Check out Seaside Susie on here for advice on supplements. Until your vitamin levels are much better you will not feel good.

[SeasideSusie Remembering]

First of all, check here to see if you have any signs of B12 Deficiency b12deficiency.info/signs-an... and make a note of any.

Then make an appointment with your GP and point out

1) Your ferritin is below range and that you understand low ferritin can be indicative of iron deficiency anaemia so can you have an iron panel and full blood count. You will need something done about your low ferritin, I would suggest asking for an iron infusion. If you are given iron supplements then you need to take each tablet with 1000mg Vit C to aid absorption and help prevent constipation. Iron must be taken 4 hours away from thyroid meds and 2 hours away from any other medication and supplements as it affects their absorption.

2) Your Vit D is just 0.5 away from severe deficiency and you understand that the NICE Clinical Knowledge Summary suggests treatment with loading doses of D3 when level is below 30 and you would like the appropriate treatment

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

Do not leave with a prescription for 800iu, you need loading doses.

3) You are folate deficient with signs of B12 Deficiency (list any). Say you would like further investigation to see if you have Pernicious Anaemia. You need folic acid for the folate deficiency but further investigation must be done and B12 started before folic acid is started.

Come back and tell us what your GP is going to do/prescribes.

Follow SlowDragon's advice in your other thread regarding addressing the Hashi's.

[J781 in reply to SeasideSusie]

RBC count 4.4 (3.8 - 5.8)

WBC count 4.3 (4 - 11)

MCV 80.5 (83 - 98) GP comments - not clinically significant

MCHC 366 (310 - 350) GP comments - not clinically significant

Haemoglobin 120 (115 - 150)

MCH 28.2 (28 - 32)

Haematocrit 0.40 (0.37 - 0.47)

Platelets 245 (140 - 150)

Iron 8 (6 - 26)

Transferrin saturation 13 (12 - 45)

[SeasideSusie Remembering in reply to J781]

"MCV 80.5 (83 - 98) GP comments - not clinically significant

MCHC 366 (310 - 350) GP comments - not clinically significant"

Not clinically significant? Total tosh. GP is a stupid dangerous idiot. Below range MCV, above range MCHC indicates iron deficiency anaemia.

NICE Clinical Knowledge Summary for treatment of iron deficiency anaemia -

cks.nice.org.uk/anaemia-iro...

Ask your GP to arrange appropriate treatment - ferrous fumerate 3 X daily. Insist on that iron infusion.