Blood test results

[Elaine22]

Help with results please

Serum ferritin 56.9. 11.00-307.00ug/l

B12. 247 ng/l. 145.00-914ng/l

Serum folate 7.07. 3.00-20.00 ug/l

All have come back normal

My main problems at the moment are weekness. Temperature control. Breathless.

I have Hashimoto

[greygoose]

There's no such thing as normal. And, if there were, your results would not be it! Your nutrients are much too low in the ranges. That's a vast range for the ferritin and yours is almost at the bottom. Should be at least mid-range. I think you need a full iron panel done to make sure you're not anaemic. But, hardly surprising you feel weak and breathless with that result.

B12 should be at least over 550, so yours is much too low. And folate should be over mid-range.

[Elaine22 in reply to greygoose]

Thank you. Now I need to convince the docs.

[SeasideSusie Remembering in reply to Elaine22]

They wont do anything, they're within range and that's all a GP wants, they know nothing about optimal levels. You'll need to address these yourself. The only exception is B12 as many people with B12 in the 300s have been found to need B12 injections.

Check for signs of deficiency here:

b12deficiency.info/signs-an...

If you have any then list them to discuss with your GP and ask for further testing for B12 deficiency/pernicious anaemia. Don't supplement B12 or a B Complex before further testing as this will mask signs of deficiency and skew results.

You can help raise your ferritin level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet

apjcn.nhri.org.tw/server/in...

[SeasideSusie Remembering]

Recommended levels are:

Ferritin: half way through range.

B12: ng/L is the same as pg/ml and according to an extract from the book, "Could it be B12?" by Sally M. Pacholok:

"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".

"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."

Folate: at least half way through range.

You also need Vit D testing.

[Elaine22 in reply to SeasideSusie]

Thank you. I will take this information with me when I receive an appointment from hospital. I’ve been waiting 6 weeks for results of thyroid uptake. I was told there busy and I haven’t been forgotten.

Like so many others it’s sole destroying.

It’s great to know we have support on here😊

[SlowDragon Administrator]

You also need vitamin D tested

800iu daily vitamin D is possibly/probably not enough

NHS postal kit £29

vitamindtest.org.uk

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.

Retesting at least 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

Local CCG guidelines

clinox.info/clinical-suppor...

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

As you have Hashimoto's....Are you on strictly gluten free diet ?

Hashimoto's frequently affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone

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

While still eating high gluten diet 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

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

restartmed.com/hashimotos-g...