Do I need different supplements

[Redamber445]

Or increase what I take

Thank you

25 hydroxy vitamin D2 2.3

25 hydroxy vitamin D3 28.0

Total 25 OH vitamin D 30.3

(<25 severe

25 - 50 deficiency

50 - 75 suboptimal

>75 adequate)

Folate 4.1 (4.6 - 18.7)

Vitamin B12 205 (180 - 900)

3x ferrous fumarate since 2013

5mg folic acid since 2015

Vitamin B12 since 2016

800iu D3 since 2013

[Clutter]

Redamber445,

Please edit your post by clicking on the v down arrow underneath it and clicking on Edit and say what supplements and dose you are taking and how long you've been supplementing.

[Redamber445 in reply to Clutter]

Done thank you

[Nanaedake]

What have you done about your low ferritin levels, did you get an iron panel done? What supplements are you taking and how long have you been taking them for?

[Redamber445 in reply to Nanaedake]

Iron panel below

7.2 (6 - 26)

Transferrin saturation 13 (12 - 45)

[Nanaedake in reply to Redamber445]

Has your doctor given you supplements? I think your doctor needs to rule out pernicious anaemia, have you had intrinsic factor antibody tested? Your B12 is still very low.

[Redamber445 in reply to Nanaedake]

Not for iron no, it was stopped in 2016 and my levels have dropped since then

[Nanaedake in reply to Redamber445]

See my edit above about getting pernicious anaemia ruled out but you also need to have your iron supplements restored if no longer taking them.

[Redamber445 in reply to Nanaedake]

I was negative for intrinsic factor but haven't had MMA or homocysteine checked to completely rule it out

[Clutter]

Redamber,

Ask your GP to do a tissue transglutaminase test to rule out coeliac disease as a cause of malabsorption.

GP should refer you to a haematologist for an iron infusion as you are not responding to iron tablets and folic acid.

If you have symptoms of B12 deficiency in b12deficiency.info/signs-an... your GP should investigate pernicious anaemia which can cause B12 deficiency. Go to healthunlocked.com/pasoc for advice on how to approach your GP as they are the experts on PA and B12 and folate deficiency.

GP has not been treating vitD properly. 800iu is a maintenance dose to be prescribed when vitd is >75. Your GP should refer to local guidelines or the cks.nice.org.uk/vitamin-d-d... My GP prescribed 40,000iu daily x 14 followed by 2,000iu daily x 8 weeks which raised vitD from <10 to 107. Vitamin D should be taken 4 hours away from Levothyroxine.

Alternatively, buy your own D3 softgel capsules and supplement 10,000iu daily x 6 weeks then reduce to 5,000iu for 6 weeks and then 5,000iu alternate days and retest late April. If you buy on Amazon please use the affiliate link healthunlocked.com/thyroidu...