latest bloods

[mandy72]

stopped ALL supplements including spatone and b12

blood results...holy moly no wonder i feel like poop

SERUM B12 AND FOLATE

Serum vitamin B12 level 745 ng/L [180.0 - 915.0]

Serum folate level 6.5 ug/L [3.1 - 19.9]

SERUM FOLATE COMMENT Please note new reference range due to

restandardisation to World Health Organisation

(WHO)International Standard 03/178

Normal 4.0-19.9

Borderline 3.1-4.0

Low < 3.1

ESTIMATED GFR

Serum creatinine level 65 umol/L [62.0 - 124.0]

Liver function tests

Serum albumin level 39 g/L [35.0 - 50.0]

Serum alkaline phosphatase level 48 u/L [30.0 - 105.0]

Serum alanine aminotransferase level 16 u/L [5.0 - 45.0]

Serum total bilirubin level 9 umol/L [1.0 - 21.0]

Serum total protein level 76 g/L [60.0 - 80.0]

RHEUMATOID FACTOR

RHEUMATOID FACTOR < 6 iu/mL

RHEUMATOID FACTOR COMMENT Rheumatoid factor results interpretation:

Please note new reference range, due to method

change, standardised to the World Health

Organisation (WHO) International Standard.

<12 : Negative

12 - 16 : Equivocal

>16 : Positive

Urea and electrolytes

Serum sodium level 137 mmol/L [135.0 - 145.0]

Serum potassium level 4.40 mmol/L [3.5 - 5.0]

GFR-EPI

GFR calculated abbreviated MDRD > 90 mL/min [59.0 - 9999.0]

Full blood count

Haemoglobin concentration 133 g/L [115.0 - 165.0]

Red blood cell count 4.69 10*12/L [3.8 - 5.8]

PCV 0.431 [0.37 - 0.47]

Mean cell volume 91.9 fL [83.0 - 101.0]

Mean cell haemoglobin level 28.4 pg [27.0 - 32.0]

Mean cell haemoglobin concentration 309.0 g/L [288.0 - 352.0]

RDW 13.6

Total white blood count 7.1 10*9/L [4.0 - 10.0]

Neutrophil count 4.33 10*9/L [2.0 - 7.0]

Percentage neutrophil count 61.0

Lymphocyte count 1.97 10*9/L [1.0 - 3.0]

Percentage lymphocyte count 27.8

Monocyte count - observation 0.58 10*9/L [0.2 - 1.0]

Percentage monocyte count 8.1

Eosinophil count - observation 0.17 10*9/L [0.02 - 0.5]

Percentage eosinophil count 2.4

Basophil count 0.05 10*9/L [0.0 - 0.1]

Percentage basophil count 0.7

Platelet count - observation 344 10*9/L [150.0 - 400.0]

Mean platelet volume 9.3 fL

Serum ferritin level 17 ug/L [30.0 - 300.0]

Below low reference limit

*** NOTE - if patient is premenopausal Ref.Range

*** is 15 - 200 ***

Serum TSH level 8.91 U/mL [0.38 - 5.33]

Above high reference limit

Suggests thyroxine under-replacement.

Please leave at least 6 weeks after change of dose

before retesting

ON T4 MARKER

PATIENT BELIEVED TO BE on T4

FT3 FT4

Serum free triiodothyronine level 4.8 pmol/L [3.7 - 7.0]

Serum free T4 level 6 pmol/L [5.6 - 21.0]

edited to add im only just tolerating 1 grain NDT but looking at folate and ferritin that explains it

also just ending a heavy period which i was given mefenamic acid for

[SeasideSusie Remembering]

Serum ferritin level 17 ug/L [30.0 - 300.0]

Because your haemoglobin, MCV and MCH are all in range, there doesn't seem to be any suggestion of iron deficiency anaemia. However, you can have iron deficiency without anaemia so ask your GP to do an iron panel, see what your Serum Iron level is like. Definitely something is wrong and needs investigating.

As for folate, eat lots of folate rich foods and consider a good quality B Complex such as Thorne Basic B or Igennus Super B. Don't supplement with folate alone, you need to keep all the B vitamins in balance.

[mandy72 in reply to SeasideSusie]

ferritin is prob low due to heavy bleeding with fibroids, been referred for a scan

at the moment im taking berocca

[SeasideSusie Remembering in reply to mandy72]

Berocca is a pretty naff supplement. It contains cyanocobalamin and folic acid whereas it's better to have the bioavailable forms methylcobalamin and methylfolate. It also seems to contain calcium which should only be supplemented if tested and found to be deficient. Also, there seems to bean awful lot of unpronounceable unnecessary rubbish. Soya bean oil is listed as well, soya is definitely not recommended for us Hypos. Much better to use a good quality bioavailable one such as I've mentioned above.

Your thyroid results obviously show that you need an increase in dose, can you try and increase very gradually?

[mandy72 in reply to SeasideSusie]

i do have a b complex here and b12 so will use them, yes i will slowly increase and hopefully as other levels improve the increases will be easier

i only got the berocca because it was in the pound shop and i thought it was a bargain