Vitamin levels

[Kimo90]

Dec 2017

Folate 3.4 (2.5 - 19.5) taking folic acid for 2 years

Ferritin 41 (30 - 400)

Vitamin D total 60.2 (50 - 75 suboptimal) taking 800iu D3 for 5 years

Vitamin B12 200 (190 - 900) B12 injections started 8 months ago

Is 3-monthly injections for B12 enough? Is folic acid once a day enough or do I need more? Is 800iu D3 strong enough? Is ferrous fumarate 210mg once a day enough?

Thanks

[SlowDragon Administrator]

They are all too low

Make an urgent appointment to see GP

Request blood test for coeliac disease. If positive you will need to have endoscopy to confirm

If negative go strictly gluten free diet regardless

Majority of Hashimoto's patients are non coeliac gluten intolerant not coeliac

Persistent low vitamins with supplements suggests coeliac disease or gluten intolerance

gluten.org/resources/health...

Detailed supplements advice on Low vitamins due to under medication

healthunlocked.com/thyroidu...

Ask on pas healthunlocked about getting more frequent B12 injections

You could take daily B12 sublingual lozenges and also good vitamin B complex containing folate

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Vitamin D dose is inadequate. Many with Hashimoto's find Better You vitamin D mouth spray good as avoids poor gut function

Try 2 x 3000iu for 2 months, then drop to once daily and retest via vitamindtest.org.uk

Ferritin eating liver once a week should help improve levels