Blood test readings : I am still unclear about my... - Thyroid UK

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Blood test readings

Miniminstrels profile image
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I am still unclear about my blood results. Not sure if I need to be supplementing B12 or iron both of these were not highlighted by the lab but someone here suggested they were on the low side. My thyroxine is now down to 75mg since coming off lithium. It may still be too high but I won’t know until my next blood test. My mood is very unpredictable. I do have an antidepressant, but I can’t help thinking that if I’m deficient in certain vitamins that might be contributing to my low mood. Would be grateful for some input. Don’t know much about vitamin supplements.

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Miniminstrels
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SeasideSusie profile image
SeasideSusieRemembering

Miniminstrels

I'm on my PC with a large monitor and it's impossible to read your results. It's not ideal spreading them over multiple threads with part pictures so you will probably have to type them into your post.

Miniminstrels profile image
Miniminstrels in reply to SeasideSusie

Ok I posted them some time ago if you can see my earlier posts. They were readable there, as I did receive several replies then. Are all posts not accessible?

SeasideSusie profile image
SeasideSusieRemembering in reply to Miniminstrels

Yes all posts are accessible but if you want members to refer back to any of your previous posts it helps to say so and give a link to them.

SlowDragon gave you a comprehensive reply to this post 2 months ago and suggested taking a B Complex

healthunlocked.com/thyroidu...

She also said you need loading doses of D3 for your Vit D deficiency - did you sort that with your GP?

She also suggested eating liver, etc, for your low ferritin. It's better to raise ferritin that way rather than iron tablets.

Miniminstrels profile image
Miniminstrels in reply to SeasideSusie

Thank you, yes I bought Vit D drops and have been taking one drop daily. 2,000 Iu per drop instead of the cheap Tesco multivitamin the GP suggested.

Not sure what is best for b12 as she didn’t highlight that but another member here did,so any further recommendations would be most welcome. Thanks for your time .

SeasideSusie profile image
SeasideSusieRemembering in reply to Miniminstrels

I would go with the B Complex. Igennus Super B at the recommended dose of 2 tablets daily gives 900mcg B12 and 400mcg methylfolate, both of which are good doses and should improve your B12 and your folate levels. Retest in 3-4 months to see how they are. Another good B Complex is Thorne Basic B which has 400mcg B12 and 400mcg methylfolate but I'd start with the Igennus to get the higher dose of B12 with 2 tablets.

As for your Vit D - 2000iu daily is insufficient for Vit D deficiency which you have, or at least had 2 months ago.

SlowDragon told you what you needed:

Vitamin D 18nmol

This is classed as deficient and requires LOADING dose prescription from GP

That's 300,000iu of vitamin D over 6-8 weeks. Equivalent of 5000iu per day for 8 weeks or 7000iu per day for 6 weeks.

Your results sheet clearly showed your Vit D deficiency and your GP was very negligent to ignore that.

He should have provided the loading doses. So either go back to your GP and ask for them, quoting NICE Clinical Knowledge Summary for Vit D deficiency: cks.nice.org.uk/vitamin-d-d...

(click on Management > Scenario:Management)

"Treat for vitamin D deficiency if serum 25-hydroxyvitamin D (25[OH]D) levels are less than 25 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 maintenance treatment of about 800 IU a day. Higher doses of up to 2000 IU 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 regimens 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)."

or if you don't want to do that then follow the information for loading doses yourself and make sure you take a total of 300,000 over 6 or 7 weeks. Once the loading doses have finished then retest - very important because you will then need to change your dose to suit the new level. Supplementing after Vit D deficiency is for life.

You can test privately (link below) and post your new result at the time for members to suggest a new dose to bring your level up to what's recommended by the Vit D Council/the Vit D Society - which is 100-150nmol/L - and then you'll need a maintenance dose to keep it there, 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. You can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:

vitamindtest.org.uk/

Your GP won't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3 as recommended by the Vit D Council -

vitamindcouncil.org/about-v...

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, D3 four hours away from thyroid meds if taking 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, four hours away from thyroid meds if taking tablets/capsules, no necessity if using topical forms of magnesium.

naturalnews.com/046401_magn...

thefamilythathealstogether....

drjockers.com/best-magnesiu...

Check out the other cofactors too (some of which can be obtained from food).

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