Vitamin B12

Hi,

Please can anyone tell me where I can get B12 injections from? I know a nurse that can administer them. Also, what’s the best supplement to take if Ferritin levels are low and Vitamin D and Serum Folate?

Below are the results.

Thanks guys.

[shaws Administrator]

Before you supplement with B12 you should ask your GP to test the intrinsic factor just to ensure you don't have Pernicious Anaemia.

Once you know the answer you can supplement with B12 sublingual methylcobalamin tablets. I buy mine from Amazon and you can use the link which gives TUK a small donation which goes towards the running expenses of the office. The recommendation is a B12 of around 1,000.

[SlowDragon Administrator]

Take these results to GP and ask for full testing for Pernicious Anaemia before GP starting you on NHS prescribed B12 injections

If GP won't prescribe B12 injections you can supplement sublingual B12 lozenges

Also GP should prescribe loading dose vitamin D

Look up your local CCG guidelines on Vitamin D deficiency

Eg Oxfordshire guidelines

oxfordshireccg.nhs.uk/profe...

Presumably you are on Levothyroxine?

If so your results suggest you are under medicated and need dose increase. FT4 should be near top of range and FT3 at least half way in range

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 at

[e-mail]

Professor Toft recent article saying, T3 may be necessary for many other wise we need high FT4 and suppressed TSH in order to have high enough FT3

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

Official NHS guidelines saying TSH should be between 0.2 and 2.0 when on Levothyroxine

(Many of us need TSH nearer 0.2 than 2.0 to feel well)

See box

Thyroxine replacement in primary hypothyroidism

pathology.leedsth.nhs.uk/pa...