Please help with my current vitamin results

[Hollie2345]

December 2017 vit D blood result, confirmed vitamin D deficient 2013, taking 1000IU D3 from 800IU D3.

TOTAL 25 OH VITAMIN D 54.1 NMOL/L

(50 - 75 SUBOPTIMAL. ADVISE ON SAFE SUN EXPOSURE AND DIET)

April 2018 ferritin blood result, confirmed iron deficient 2014, finished course of iron 1 week ago

FERRITIN 23 NG/L (30 - 400)

April 2017 B12 blood result, confirmed B12 deficient at this time, taking 3-monthly B12 injections since September 2017, no idea what B12 currently is, probably very high

VITAMIN B12 226 PG/L (190 - 900)

April 2018 blood result, confirmed folate deficient in November 2016, taking 5mg folic acid since then.

FOLATE 2.31 (2.50 - 19.50)

Thank you

[Judithdalston]

Just to confirm from your rather complicated list of results ( previous results, dosing of supplements and most recent results some Dec 2017 , some April 2018) : Vit D : 54.1; B12 : 226; folate : 2.31 ; ferritin: 23. Folate and ferritin need to be above half way thru range - both deficient not even in range at last test. Vit D needs to be 100-150, so over twice what you are now- the 1,000 and 800iu doses of D3 are totally inadequate, you might find a liquid spray or drops of D3 with K2 easier to use as can be absorbed under the tongue quickly ( bypassing gut that might have poor absorption if got Hashimoto's plus reducing the long 4 hour slot when you shouldn't take T4/T3 , food, other meds etc). Look up SeasideSusie's various previous replies to posts on Vit/ min levels and recommended supplements re. D3, folate and ferritin. It is essential to get VitD, B12, folate and ferritin up to optimum levels for good thyroid health / good conversion; also consider supplementing selenium( 200 mcg selenomethionine), magnesium, zinc etc. Gluten free diet suggested for Hashimoto's.

[Hollie2345 in reply to Judithdalston]

Not sure if Hashimoto's

[Hollie2345 in reply to Judithdalston]

I have TPO and TG antibodies as TG antibodies 385 (<115) and TPO antibodies 171 (<34)

[Judithdalston in reply to Hollie2345]

So you are Hashimoto's: unfortunately it is characterised by poor gut absorption meaning even nutrients from food/drink or supplements are poorly absorbed. Try to get TSH to 1 or under, and try period of gluten free - both help to reduce antibodies, which in themselves cause fluctuating thyroid hormone levels- peaking as antibodies attack the thyroid gland mistakenly believing it to be 'alien', and dumping the dead thyroid cells along with thyroid hormones into the blood cells.

[Hollie2345 in reply to Judithdalston]

Thanks

[Credo in reply to Hollie2345]

Hi Holly,

Just noticed your post, sounds like what I am going through right now ,still recovering from Thyroditis, was recommended Betaine HCL for gut absorption,worst I have ever felt ,don’t want to eat.Betaine should arrive tomorrow,reviews seem positive,can’t wait to try it. Right now my TSH is 0.178 . Hope your health has improved.

[Hollie2345 in reply to Judithdalston]

I always take Levo in the morning and supplements 5-6 hours after and 2 hours before food

[Judithdalston in reply to Hollie2345]

Do you separate iron, Vit D, calcium supplements out from everything else( including each other) as for various reasons they stop absorption of other things thus the 4 hour window I mentioned earlier? I saw you posted earlier re your thyroid results too, and possible pregnancy.... you look undermedicated re levothyroxin, but it is of utmost importance you get your Vit/ mins improved for pregnancy, as well as thyroid health- show the endo.these results and perhaps he/she will retest , and then you might get better doses of folate/ferritin/D3 and if necessary B12! Good luck Hollie.

[Hollie2345 in reply to Judithdalston]

Hi again, I take no calcium at all, just that my calcium has been dropping. I separate iron and vit D by about 5 hours.

Thanks

[Judithdalston in reply to Hollie2345]

Ok then...I find it difficult to fit in all my supplements, thyroid and other meds, food and drink ( and sleep) into the 24 day!