Had bloods done a couple of months ago my folate was 2.6 and my B12 240 . I have had weakness and ache legs for about 2 years and feeling un well like of balanced some times to like am going to pass out put not yet belly problems and so on . I had thyroid bloods to . Low vitamin D to so on vitamin D to
TSH 0.2 T4 25 Doctors said this is normal well wrong that sent me hyper
Previous post shows you have Hashimoto’s
healthunlocked.com/thyroidu...
Absolutely essential to regularly retest vitamin levels
B12 and folate are far too low
Have you had testing for Pernicious Anaemia ?
See GP for full testing, you may need regular B12 injections
Supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be beneficial.
chriskresser.com/folate-vs-...
B vitamins best taken in the morning after breakfast
Igennus Super B complex are nice small tablets. 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 Thorne Basic B or jarrow B-right are other options that contain folate, but both are large capsules
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
endo.confex.com/endo/2016en...
endocrinenews.endocrine.org...
Low B12 symptoms
b12deficiency.info/signs-an...
Obviously you need vitamin D and ferritin tested too
How much vitamin D are you currently taking?
When were levels last tested?
On levothyroxine we need OPTIMAL Vitamin levels for good conversion of Ft4 to Ft3
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 intolerance. Second most common is lactose intolerance
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find strictly gluten free diet reduces symptoms, sometimes significantly. Either due to 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, or buy test online BEFORE trying strictly gluten free diet
Suggest you buy online test kit, very easy to do.
Assuming test is negative you can immediately go on strictly gluten free diet
If coeliac test is positive you will need to remain on high gluten diet until endoscopy, with maximum 6 weeks wait, officially
Trying strictly gluten free diet for 3-6 months
If no noticeable improvement, reintroduce gluten and see if symptoms get worse
chriskresser.com/the-gluten...
amymyersmd.com/2018/04/3-re...
Thankyou I do not get much help from the doctor has my last bloods a couple of months ago my TSH 0.2 T4 25 so when hyper and I am on vitamin d because that come back 25 . Doctor said thyroid results normal and when look at the there was not so I have dropped my levo 25 feel little better not having fast hart beat.
How much vitamin D are you prescribed?
With result of 25nmol you should be prescribed LOADING Dose
Loading dose vitamin D is 300,000iu over 6-8 weeks.thats typically 5000iu per day for 8 weeks or 7000iu per day for 6 weeks. Important to get levels retested at end of prescription
ouh.nhs.uk/osteoporosis/use...
GPwill only prescribe to bring levels up to 50nmol
But improving to around 80nmol or 100nmol by self supplementing may be better
ncbi.nlm.nih.gov/pubmed/218...
vitamindsociety.org/pdf/Vit...
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
Test twice yearly via vitamindtest.org.uk
Vitamin D mouth spray by Better You is very effective as it avoids poor gut function. There’s a version made that also contains vitamin K2 Mk7
It’s trial and error what dose we need, with hashimoto’s we frequently need higher dose than average. A maintenance dose of 2000iu or 3000iu may be needed.
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 vitamins
betterbones.com/bone-nutrit...
medicalnewstoday.com/articl...
livescience.com/61866-magne...
sciencedaily.com/releases/2...
Vitamin K2 mk7
betterbones.com/bone-nutrit...
healthline.com/nutrition/vi...
Vitamin D and Covid
Vitamin D supplementation was safe and it protected against acute respiratory tract infection overall. Patients who were very vitamin D deficient and those not receiving bolus doses experienced the most benefit.
healthunlocked.com/thyroidu...
Your results don’t show you are hyperthyroid.
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .
Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
Is this how you did this test?
You currently have high Ft4...but likely low Ft3
When vitamins are extremely low conversion of Ft4 to Ft3 is likely to be extremely poor...very likely you have low Ft3...meaning you’re still hypo
Previous Medichecks results 2 years ago showed poor conversion
Just testing TSH and Ft4 is completely inadequate
Many people with Hashimoto’s need to supplement vitamin D, magnesium, vitamin B complex virtually continuously to Maintain optimal vitamin levels
I been taking 10.000iu then dropped to 6000 thinking level must of gone up but when I had last bloods done it had gone up to 26 from 20
And yes when I eat some gluten lasagna I thought was gluten free I was ill nearly 2 week so do reck to gluten would not like that to happen again . Started of with margarine, belly pain , toilet a lot , hart beat up , feeling really bad . So try my best never to get gluten again not good
Which vitamin D do you use?
Many Hashimoto’s patients find vitamin D mouth spray by Better You is good as it avoids poor gut function of Hashimoto’s
Any vitamin D you swallow needs to be minimum of four hours away from levothyroxine, so does any magnesium supplements
Supplementing magnesium too may help improve vitamin D
Magnesium best taken afternoon (if take levothyroxine at bedtime) or late evening if take levothyroxine in morning
Remember to look at vitamin K2 mk7 to help send extra calcium into bones, not arteries
Low vitamin D and low B vitamins may be linked as explained here
drgominak.com/sleep/vitamin...
In YouTube video when Dr Gominak talks about vitamin D levels ...vitamin D at 40ng/ml (USA units) is equal to 100nmol (UK units)
I started better for you about 3 week ago use to take Doctor best but change to better you. Tried better you with k7 but flust like blood pressure went up so went back to just d. I did start taking magnesium spray to but stop because I did not think it was doing anything for me . Hope fully from good diet i eat i will getting some vitamin,s out of it. But I have notice sorry about this but after a poo notice I have put of food that has not digested right . Sound like i in a right mess lol but you get use to living with it. And i would rather be like how i am know than like i was about 4 years ago when i was new to all this . Could not even get out or do anything.or yes bad sleeper to about 4 hours a day
Calm vitality magnesium powder is cheap and easy to use. But best to start on low dose as too much can cause diarrhoea
Or ReMag is very good, as doesn’t upset gut, but expensive. Was developed by Dr Carolyn Dean, who wrote The Magnesium Miracle
Magnesium and Hashimoto’s
thyroidpharmacist.com/artic...
thyroidpharmacist.com/artic...
naturalendocrinesolutions.c...
List of different types of magnesium (curtesy of greygoose )
Magnesium citrate: mild laxative, best for constipation.
Magnesium taurate: best for cardiovascular health.
Magnesium malate: best for fatigue – helps make ATP energy.
Magnesium glycinate: most bioavailable and absorbable form, non-laxative.
Magnesium chloride: for detoxing the cells and tissues, aids kidney function and can boost a sluggish metabolism.
Magnesium carbonate: good for people suffering with indigestion and acid reflux as it contains antacid properties.
Worst forms of magnesium: oxide, sulphate, glutamate and aspartate.
It’s more unusual for males’s to have Hashimoto’s
Is there autoimmune disease is your close family? In which case it’s a genetic tendency
There are things that can cause Hashimoto’s, such as Glandular fever, H pylori and other gut infections
hypothyroidmom.com/hashimot...
Glandular fever (also called Epstein-Barr)
EBV
thyroidpharmacist.com/artic...
drhedberg.com/epstein-barr-...
hypothyroidmom.com/hashimot...
drchristianson.com/epstein-...
It’s always a good idea to try and work out the root cause
My mother had under active thyroid my sister to and some of my nieces to . So mother must of passed it on she passed away from cancer when she was 55 years old no age
So you have likely genetic issues
You might want to consider getting DIO2 gene test.
thyroiduk.org/tuk/testing/D...
To explain this paper briefly, the DIO2 gene activates tri-iodothyronine (T3) and the researchers found that a tiny fault in this gene could mean that although the body gets enough T3, the brain doesn’t.
So frustrated blood tests b12 and vitamin d
Hi can anyone tell me what vitamin d level I should aim for 
Please could I have some advice about “normal” vitamin levels? 
Could I have some guidance please?
