Wife's vitamin levels please help advise

[davra]

FERRITIN 21 (15 - 150)

FOLATE 2.37 (2.50 - 19.50)

VITAMIN D 44.8 (<25 severe, 25 - 50 deficiency, 50 - 75 suboptimal, >75 adequate)

VITAMIN B12 228 (190 - 900)

ZINC 12 (11 - 23)

SELENIUM 0.91 (0.89 - 1.65)

MAGNESIUM 0.82 (0.70 - 1.00)

She has Hashimotos and takes the following

800IU D3 since Jan 2014

5mg folic acid since Jan 2017

1 ferrous fumarate since Feb 2017

Hydroxocobalamin injections since Feb 2018

Thank you

[Nanaedake]

800iu of vitamin D won't help raise a deficit very quickly. You need to aim for a level around 100nmol. As your wife is not severely deficient, she may have to buy her own Vitamin D3 supplements to add to the 800iu already taken.

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

The vitamin D Council gives some advice about levels to supplement if your GP cannot prescribe sufficient amounts of vitamin D3.

You may wish to take magnesium and K2-MK7 with vitamin D3 in order to absorb the vitamin D effectively. Magnesium citrate is ok but there are other choices for magnesium.

naturalnews.com/046401_magn...

Have you got symptoms of B12 deficiency because if so, I advise you to post your B12 and folate results along with an outline of your thyroid condition and symptoms, low ferritin etc on the HealthUnlocked Pernicious Anaemia forum healthunlocked.com/pasoc and ask their advice about what your GP should be doing. Really, it looks like you need further investigations to rule out pernicious anaemia. Your GP should check for intrinsic factor antibodies.

B12 symptoms of deficiency

b12deficiency.info/signs-an...

B12 The Guidelines Doctors follow

onlinelibrary.wiley.com/doi...

onlinelibrary.wiley.com/doi...

Taking folate supplements when you have low B12 may mask a B12 deficiency I believe.

Have you had a full iron panel because if not, ask your GP.

Iron deficiency anaemia NICE guidelines

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

The importance of vitamins and thyroid function

americannutritionassociatio...

[davra in reply to Nanaedake]

Iron 5.2 (6 - 26)

Transferrin saturation 10 (12 - 45)

[Nanaedake in reply to davra]

Oh, I see now your wife is being treated for B12 deficiency so folate supplements alongside are ok I believe. Find out about B vitamins from the pernicious anaemia HealthUnlocked forum.

[davra in reply to Nanaedake]

These are my wife's results, yes she has symptoms of B12 deficiency, thank you

[Gambit62]

were these results before treatment for deficiencies started

more on B12 on PASoc forum

healthunlocked.com/pasoc

[davra in reply to Gambit62]

Before