I have had full bloods done with medi checks and had the thyroid test and all car up normal.
Question is do these look normal to people on here?
Have been suffering with general fatigue, hair thinning, loss of outer corner of eyebrows and ongoing slow bowel movements.
Have jumped over from the PA site as gp says everything is now ok after supplementing since last September. Although these tests do suggest depleting level but as all females my mothers side suffer I would just like to completely rule thyroid issue out before going back to gp
Thanks
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joleen19832
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My folate is low so have suggested taking an over counter for this. On full red blood count my mcv and mch are high and always are on any blood tests even with gp but is dismissed. My mchc is just borderline in normal although just under the “outside range” on the higher spectrum
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
My B12 injections was stopped last September and stopped supplementing about November time.
I had a quick look at your profile, haven't read all your posts but your first post on the PA forum says you were diagnosed with PA over a year ago. My understanding is that once diagnosed and on B12 injections then further testing is irrelevant as levels will show the result of your treatment so you wouldn't expect them to still be the same as when originally diagnosed. I also understand that you don't stop B12 injections.
The reply by Gambit62 in this thread makes sense to me
so I would follow up anything to do with B12 on the PA forum.
MCV (81 - 98 R) 99.8fl
MCH (27 - 33 R) 34.6pg
MCHC (300 - 350 R) 347g/L
My understanding of these results is that MCHC is the ratio between MCV and MCH. If both MCV and MCH are elvated then that suggests folate or B12 deficiency.
FOLATE - SERUM (> 3.89 R) 2.42 ug/L
This is below range so suggests folate deficiency and I wouldn't have thought a good doctor would suggest an over the counter supplement, I would have thought he would investigate and treat folate deficiency.
Again Gambit is the one to help with these results.
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VITAMIN D (50 - 175 R) 84.9 nmol/L = 33.96ng/ml
The Vit D Council recommends a level of 125nmol/L (50ng/ml) and the Vit D Society recommends a level of 100-150nmol/L (40-60ng/ml). If you want to improve your level then the Vit D Council suggests taking 2,500iu D3 daily.
Retest in 3 months.
Once you have reached the recommended level 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:
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.
Check out the other cofactors too (some of which can be obtained from food).
Don't start all supplements at the same time. Start with one, leave it 1-2 weeks and if no adverse reaction then add the second one. Continue like this. If you have any reaction then you will know what caused it.
With oral supplements that you swallow, D3 softgels give the best absorption and are preferable to tablets and capsules. Doctors Best is an excellent brand and the cheapest place to get them is Dolphin Fitness.
Some people prefer an oral spray such as BetterYou (too many unnecessary ingredients for my liking) or an oil based sublingual liquid. These bypass the stomach as they are absorbed through the mucous membranes in the oral cavity.
Serum iron: 55 to 70% of the range, higher end for men - yours is 29% so it's low.
TIBC: Low in range indicates lack of capacity for additional iron, high in range indicates body's need for supplemental iron - yours is slightly under mid-range at 55.63. Mid-range would be 58.5.
Saturation: 35 to 45%, higher end for men - as you can see yours quite a bit below the lower level.
Ferritin: Low level virtually always indicates need for iron supplementation - yours is 21% through range.
It's said that for thyroid hormone to work properly (that's our own as well as replacement hormone) ferritin needs to be at least 70, preferably half way through range.
I've also seen it said that for females a good level is 100-130 and for males 150.
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