Hi all so finally got my vitamin d results. Gp Is saying no action needed but my interpretation is that they are low?
Combined total vit d2 and d3 level is 54nmol/l (>75)
My understanding of that is that levels should be more than 75?
Last year it was 38 so I've improved it slightly since march 2018
Back in 2015 it was 16!
Any tips? I doubt they'll prescribe anything and I'm already taking otc meds
Previous post shows you are very hypothyroid
healthunlocked.com/thyroidu...
When vitamin D was 16 GP should have prescribed high loading dose vitamin D. Did they do so?
GP will only prescribe to bring vitamin D up to 50nmol. Aiming to improve vitamin D by self supplementing to at least 80nmol and around 100nmol may be better .
ncbi.nlm.nih.gov/pubmed/286...
Vitamin D deficiency is frequent in Hashimoto's thyroiditis and treatment of patients with this condition with Vitamin D may slow down the course of development of hypothyroidism and also decrease cardiovascular risks in these patients. Vitamin D measurement and replacement may be critical in these patients.
endocrine-abstracts.org/ea/...
Evidence of a link between increased level of antithyroid antibodies in hypothyroid patients with HT and 25OHD3 deficiency may suggest that this group is particularly prone to the vitamin D deficiency and can benefit from its alignment.
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
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
Perhaps use the 3000iu spray once daily and retest in 3 months
Local CCG guidelines
clinox.info/clinical-suppor...
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/...
betterbones.com/bone-nutrit...
Ahh thank you so much for all this info..when they went to 16 they did supplement but not when it was 38. I will have a proper read after work of everything but thanks for the information
I'll have a look into that spray too thanks
The ones I have at home are 25mcg so that's like 1000iu I think? I've got about 40 tablets left of that shall I just take it like 3 times a day till it's gone?
Perhaps just double the dose initially. Vitamin D tablets should be taken with a meal that has most fat in it to help absorption ...so usually that's dinner
Mouth spray can be taken anytime as it's absorbed in mouth
kiwi12019
Combined total vit d2 and d3 level is 54nmol/l (>75) = 21.6ng/ml
My understanding of that is that levels should be more than 75?
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).
To reach the recommended level from your current level, based on the Vit D Council's suggestions you could supplement with 3,700iu D3 daily with a current level of 25ng/ml. As yours is 21.6ng/ml it would be appropriate to start at 4,000iu.
vitamindcouncil.org/i-teste...
Retest after 3 months.
As you have Hashi's then an oral spray or sublingual liquid are recommended for best absorption as they bypass the stomach and are absorbed through the mucous membranes in the oral cavity. Alternatively, oil based softgels (eg BetterYou) give superior absorption with oral supplements that are swallowed (avoid tablets and capsules) and some Hashi's patients have improved their level using these.
When 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:
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...
drjockers.com/best-magnesiu...
Check out the other cofactors too (some of which can be obtained from food).
Thank you for all this information. I've learnt so much this past week lol.
I shall get on the hunt for some magnesium and higher dose vitamin d
Thanks 
Don't forget the Vit K2, that's important as well
Lol I thought that was part of vit d
I'll add that to the list ad well lol
... in terms of magnesium etc would I need to check my levels before supplementing?
Also heard selenium is good for hashis too I just feel like I'll end up overdosing with everything 🤔🤔
Lol I thought that was part of vit d
If you click on the link I gave you will see it is listed as a cofactor with the others
... in terms of magnesium etc would I need to check my levels before supplementing?
Magnesium testing is unreliable. Only about 1% of magnesium is actually in the blood, the rest is in our cells.
Also heard selenium is good for hashis too I just feel like I'll end up overdosing with everything
Selenium can be tested if you're worried, but 100-200mcg is probably a safe level if you don't test.
results! vitamin D
Vitamin D Deficiency/Maintenance Dose
Vitamin D deficiency 
Vitamin D query re dosage 
