Is he diagnosed Hypo and on any thyroid meds? Without knowing that it's not possible to comment on his thyroid results.
[If he was looking for a diagnosis of hypothyroidism, then he would have had a higher TSH if test was done before 9am.]
As for his vitamins:
Active B12 is OK.
Ferritin not bad, but I've seen it said for males that 150 is about right. We always say on here, for us Hypos, that it's recommended to be half way through range.
Folate below range, therefore folate deficiency. He should discuss this result with his GP
Check through the headings on the NHS site about folate deficiency:
"Treat for Vitamin D deficiency if serum 25-hydroxyvitamin D (25[OH]D) levels are less than 30 nmol/L.
For the treatment of vitamin D deficiency, the recommended treatment is based on fixed loading doses of vitamin D (up to a total of about 300,000 international units [IU] given either as weekly or daily split doses, followed by lifelong maintenace treatment of about 800 IU a day. Higher doses of up to 2000IU a day, occasionally up to 4000 IU a day, may be used for certain groups of people, for example those with malabsorption disorders. Several treatment regims are available, including 50,000 IU once a week for 6 weeks (300,000 IU in total), 20,000 IU twice a week for 7 weeks (280,000 IU in total), or 4000 IU daily for 10 weeks (280,000 IU in total)."
Each Health Authority has their own guidelines but they will be very similar. He should see his GP and ask that he's treated according to the local guidelines or this summary and prescribed the loading doses. Once these have been completed he will need a reduced amount (more than 800iu, which is what most GPs prescribe, so post new result at the time for members to suggest a dose) to bring his level up to what's recommended by the Vit D Council - which is 100-150nmol/L - and then he'll need a maintenance dose which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range.He can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:
His doctor wont know, because they are not taught nutrition, but there are important cofactors needed when taking D3 as recommended by the Vit D Council -
D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day. If on thyroid meds then D3 should be taken four hours away from thyroid meds if taking D3 in the form of tablets/capsules/softgels, no necessity if using an oral spray
Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.
Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening. If taking thyroid meds then take magnesium four hours away from thyroid meds if taking tablets/capsules, no necessity if using topical forms of magnesium.
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