FERRITIN 33 (15 - 150) 1x 210mg iron tablet once a day since Feb 2017
FOLATE 2.1 (2.5 - 19.5) 1x 5mg folic acid once a day since Nov 2017
VITAMIN D TOTAL 25 OH 50.1
(<25 severe vitamin D deficiency. Patient may need pharmacological preparations
25 - 50 vitamin D deficiency. Supplementation is indicated
50 - 75 vitamin D may be suboptimal and long-term may lead to clinical effects. Advise on safe sun exposure and diet. Supplementation may be indicated
>75 Adequate vitamin D) 800iu vitamin D since 2013
VITAMIN B12 247 (190 - 900) nothing for B12
I have been told I have Hashimotos and I still have many hypothyroid symptoms that are causing me to feel very unwell such as feeling tired and cold pale skin constipation difficult swallowing swollen thyroid area weight gain
Thankyou
for any advice re supplements I have put when they were prescribed and how much I take
Written by
jinian86
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Obviously these are ALL too LOW. In part because you are under medicated. Dose needs increasing in 25mcg steps until TSH is around one and FT4 towards top of range and FT3 at least half way in range
Did GP increase dose?
Insist on GP doing coeliac blood test, before trying strictly gluten free diet. If coeliac test is positive you will have to remain on gluten rich diet until endoscopy (maximum wait 6 weeks). But vast majority of us with Hashimoto's are gluten intolerant not coeliac. Gluten intolerance does not have a test. You just have to try it
Persistent low vitamins with supplements suggests coeliac disease or gluten intolerance
Vitamin D is too low. Dose needs increasing. Aiming to improve to around 100nmol. Vitamin D mouth spray by Better You is good as avoids poor gut function. Suggest you try 3000iu for 2-3 months and retest. It's trial and error what dose each person needs. You may need even higher dose. Once you Improve level, very likely you will need on going maintenance dose to keep it there.
Ferritin is also too low. Ask GP to increase dose of ferrous fumerate to two per day. Taking vitamin C 1000mcg with each iron tablet helps increase iron absorption
Eating liver or liver pate once a week should also help improve.
GP should run test for Pernicious Anaemia before starting B12 injections, or if they won't test or offer injections taking a good quality vitamin B complex that has folate in not cheap folic acid - e.g. Igennus Super B or Jarrow B right . Plus, if you have low B12 symptoms you may also need sublingual B12 lozenges (1000mcg)
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
Also selenium supplements can help improve conversion of FT4 to FT3
Only make one change at a time or add one supplement at a time, waiting at least two weeks to assess each, before adding another
If after getting TSH down, vitamins optimal and strictly gluten free, retesting bloods 2-3 months time. If FT3 remains low after all these steps, then likely to need addition of small dose of T3
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Advice on supplements please
Advice on supplements please
T3 Supplementation Advice Please.
Supplements advice for newby please 
