Although within range, which will suit most doctors, this is very low. Low ferritin can suggest iron deficiency anaemia. It would be worth asking your GP to do a full blood count and iron panel to see if this is present.
Symptoms of low ferritin are listed within this article (scroll down a bit, ignore any reference to supplements, I'm linking purely for the list of symptoms)
Over the low limit so classed as OK. I would want mine in double figures. As you are having B12 injections, are you also supplementing with a good B Complex to keep all B vitamins in balance?
Vitamin d 58.8nmol >50-175 = 23.52ng/ml
Although this comes within the "sufficient" category, it falls way short of the level recommended by the Vit D Council/Vit D Society which is 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 (nearest is 4,000iu)
When you've 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).
Tsh 2.65 > 0.27 -4.2
Free t3 5.44 > 3.1-6.8
Free thyroxine 17.8 > 12-22
Thyroglobulin 11.2 > 155
Thyroid peroxidose antibodies 39.7 >34
Your TSH, FT4 and FT3 are all within range but your Thyroid Peroxidase (TPO) antibodies are raised which can suggest autoimmune thyroid disease aka Hashimoto's which is where the thyroid is attacked and gradually destroyed. Fluctuations in symptoms and test results are common with Hashi's.
Your thyroid is still producing a decent amount of hormone so hasn't yet reached the stage where a diagnosis will be given and Levo prescribed. For that you would need TSH to be over range, with raised antibodies, and then an enlightened doctor may prescribe Levo.
Some members have found that adopting a strict gluten free diet can help, although there is no guarantee.
Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks.
You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Supplementing with selenium l-selenomethionine 200mcg daily can also help reduce the antibodies, as can keeping TSH suppressed.
Hashi's and gut absorption problems tend to go hand in hand and can very often result in low nutrient levels or deficiencies and this is likely to be the reason that your ferritin level is so poor, your lowish Vit D and Folate levels and your need for B12 injections.
As you appear to have Hashi's, for D3 an oral supplement may be best as it is absorbed through the mucous membranes in the oral cavity rather than the stomach. BetterYou do an oral spray, and there are sublingual liquids.
Don't start all supplements at once. Start with one, give it a week or two and if no adverse reaction then add the next one. Again, wait a week or two and if no adverse reaction add the next one. Continue like this. If you do have any adverse reaction then you will know what caused it.
It is likely to be autoimmune thyroid disease aka Hashimoto's, which is the most common cause of hypothyridism, and it hasn't yet progressed to cause full blown hypothyroidism which is where your TSH would be over range and FT4 low in range.
Your low ferritin will be causing symptoms, which you will see from the article I linked to, so it will be in your interest to discuss this with your GP and get tested for iron deficiency anaemia and get some treatment sorted.
If you optimise your ferritin - recommended level is half way through range, also optimise your folate and Vit D and address the Hashi's as outlined above, then this will hopefully help.
You will need to keep your eye on your levels and need your TSH to be over range. When doing thyroid tests we advise:
* Book the first appointment of the morning, or with private tests at home no later than 9am. This is because TSH is highest early morning and lowers throughout the day. If we are looking for a diagnosis of hypothyroidism, or looking for an increase in dose or to avoid a reduction then we need TSH to be as high as possible.
* Fast overnight - have your evening meal/supper as normal the night before but delay breakfast on the day of the test and drink water only until after the blood draw. Eating may lower TSH, caffeine containing drinks affect TSH.
* If you take Biotin or a B Complex containing Biotin (B7), leave this off for 7 days before any blood test. This is because if Biotin is used in the testing procedure it can give false results (both Medichecks and Blue Horizon advise to leave Biotin/B Complex off).
These are patient to patient tips which we don't discuss with doctors or phlebotomists.
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