March 2019
Total OH vitamin D 25 nmol/L (25 - 50 deficiency. Supplementation indicated)
Folate 3.6 ng/L (2.5 - 19.5)
Vitamin B12 256 pg/L (190 - 900)
Ferritin 19 ng/L (15 - 150)
I take 1 iron tablet a day prescribed since 2013 because I can't tolerate any more than that, folic acid 5mg once a day prescribed since 2013, 800iu D3 prescribed since 2013.
Thank you in advance.
These are all dire because you are under treated for your Hashimoto's
The aim of Levothyroxine is to increase the dose slowly in 25mcg steps upwards until TSH is under 2, many need it under one. FT4 should be in top third of range and FT3 at least half way in range
Vitamins need to be optimal for good thyroid function
Previous post
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Thyroid levels need retesting 6-8 weeks after your recent dose increase
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and fasting. Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose immediately after blood draw). This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
Vitamin D is far too low.
GP should prescribe LOADING dose of vitamin D. That's 300,000iu over 6-8 weeks. That's 5000iu per day over 8 weeks, or 7000iu per day over 6 weeks
Local CCG guidelines
clinox.info/clinical-suppor...
GP will only prescribe to bring vitamin D up to 50nmol.
Aiming to improve by self supplementing to at least 80nmol and around 100nmol may be better .
Once you Improve level, very likely you will need on going maintenance dose to keep it there. Likely to be at least 2000iu daily
Retesting twice yearly via vitamindtest.org.uk
Vitamin D mouth spray by Better You is good as avoids poor gut function.
It's trial and error what dose each person needs. Frequently with Hashimoto's we need higher dose than average
Government recommends everyone supplement October to April
gov.uk/government/news/phe-...
Also read up on importance of magnesium and vitamin K2 Mk7 supplements when taking vitamin D
betterbones.com/bone-nutrit...
articles.mercola.com/sites/...
healthy-holistic-living.com...
sciencedaily.com/releases/2...
articles.mercola.com/sites/...
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Do NOT supplement any vitamin K if you take any blood thinning medication
drsinatra.com/vitamin-k2-su...
Low vitamin D and low B vitamins often go together
drgominak.com/sleep/vitamin...
B12 and folate on the low side. Supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be beneficial.
The fact you have been on folic acid and levels not improved. You may have MTFHR gene. In which case supplementing folate is better
chriskresser.com/folate-vs-...
B vitamins best taken in the morning after breakfast
Recommended brands on here are Igennus Super B complex. (Often only need one tablet per day, not two. Certainly only start with one tablet per day after breakfast. Retesting levels in 6-8 weeks ).
Or Jarrow B-right is popular choice, but is large capsule
If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before any blood tests, as biotin can falsely affect test results
endo.confex.com/endo/2016en...
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Ferritin. Eating liver or liver pate once a week should help improve levels. Plus other iron rich foods. Taking good quality daily vitamin C at same time as iron supplements should help improve iron absorption
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
Ideally ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first
Assuming test is negative you can immediately go on strictly gluten free diet
(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
And/or do same with dairy free diet
chriskresser.com/the-gluten...
amymyersmd.com/2018/04/3-re...
thyroidpharmacist.com/artic...
scdlifestyle.com/2014/08/th...
I agree with slow dragon, plus if you look on BetterYou, they also do an iron spray. Might suit you better.
I got nothing from folic acid from the doc, just a bad head. People on here recommend folate and that suits me better.
Look on seaside Suzy’s post for the better B vitamins to buy, think she recommends a B complex which includes folate. That’s what I go for.
Hi. Foor folate i chaange for 5mg acid folic, to 500 or 1000 mg methylfolate. If you havent problems with methylatated form, perhaps you can up your levels better. 5mg its a low dose to up levels, only to maintenance but not for deficiency. Regards.
Optimum vitamin levels
Vitamin and mineral levels
Vitamin D / Folate Levels
Vitamin and mineral levels 
