My 18yr old granddaughter is suffering with anxiety and panic attacked. She recently picked up her latest blood results from February. I feel she should be supplementing. Gp said everything is normal! Because of this she didn’t think to ask for her results sooner.
B12 253 (160-800) ng/L
folate 6.1 (>2.7) ng/ml
ferritin 25 (19.00-120) ug/L
TSH 1.62 (0.3-4.2) mu/L
FT4 14.2 (9.0-23.00) pmol/L
No Vit D!
Advice welcome
B12, FOLATE, FERRITIN although in range, they are low. If they were my results I would supplement. Vitamin D result is very important. If GP won't do it then get it done privately via online lab. City Assays are a cost effective option and reliable lab but ask GP first. Vit D deficiency is very common with thyroid disease.
You may wish to explore lowish B12 levels further before supplementing any B vitamins and exclude pernicious anaemia if symptoms of B12 deficiency are present. Healthunlocked Pernicious Anaemia forum can give best advice.
If pernicious anaemia is not present then supplementing with a good B complex will improve B12 and Folate while keeping all the b's in balance. However, if it contains biotin, stop supplementing a week before thyroid blood tests as it can skew results.
With LOW Ferritin - stored iron - the GP should be doing a FULL Iron Panel and FULL Blood Count as it appears she could be very anaemic. Ferritin is often better around 70. Her B12 needs to be much higher - over 500 at the very least.
No Thyroid anti-bodies tested - Anti-TPO and Tg so difficult to comment on the Thyroid results ...
Marz thank you. I agree it’s difficult without further thyroid labs. I’ve only just seen these results and a bit shocked that her symptoms are those for low iron and B12..
Can you recommend how much to supplement? I understand she will need to discontinue supps before blood tests for iron an B12. Just want to get her on something whilst we arrange further tests.
Once supplementing B12 - further results will be skewed - sadly. Also the GP will be dismissive of her result and refuse to treat so I would go it alone. JARROW Methylcoblamin 5000 mcg - for the first pot and then reduce to 1000 mcg. These are lozenges to be kept under the tongue until dissolved - requires patience ! This avoids any stomach issues.
Are you able to have Private Testing done through Thyroid UK. Scroll down through the Posts of today and you will see the one about Medichecks which is one of the companies on the Thyroid website. Full Thyroid Testing and all vitamins and minerals ... finger prick testing in the home and results by e-mail in days. Used by thousands here and the only way to have ALL the tests done !
healthunlocked.com/thyroidu...
I’ve used medichecks for myself, I agree they are good. I wonder if she can get anywhere with her Gp, I don’t want to lose time so will probably opt for medichecks.
Thank you for the recommendations re supplements. We’ll get the blood test first.
Should have said Jarrow sell on Amazon 
Would get vitamin D tested asap and start improving that one first while insist GP runs more tests for Anaemia and low B12 and Pernicious Anaemia
Once you start any B vitamins it would be impossible to get accurate tests unless stopped supplementing for over 6 months
She also needs both TPO and TG thyroid antibodies and FT3 tested
Thanks SlowDragon. She’s contacting the GP for an appointment and I’ll go with her when she see him. She’d stated VitC a few days ago but I’ve told her not to take anything until she’s had further tests.
I doubt we’ll get FT3 and antibodies tested via gp..I’ll order a full thyroid panel from medichecks.
Sad but true ....at least it's under your control then
People with high anxiety and panic attacks often have genetic polymorphisms in (folate) methylating enzymes 677T or worse 677TT and or 1298C. These genetic changes are very common in almost half the population of some ethnic groups. Supplementing with MethylB12 and Methylfolate(B9) is part of the remedy and avoiding synthetic folic acid. She is very low in B12 and an active B12 will reveal how low as well as "RBC" Folate. Just being low in these 2 vits without having any genetic polymorphisms can cause serious detoxing issues and anxiety/panic attacks. A fasting homocysteine level can also be done because homocysteine goes up when folate decreases. At her age it should be low but not too low. Too much methyfolate can lower homocysteine TOO much, which causes other health issues. So find a doctor who will do testing as needed.
Advice on blood results please!
Blood Test Results - Unusual Symptoms
More blood test results
Blood results- thyroid and iron levels.
Daughters Blood results
