Further to advice on here. I have been trying to include supplements. My recent blood results are:
B12 349 ng/L (160-925)
Folate 7.6 ug/L (2.9-50)
Serum Ferritin 114 ug/L (30-200)
Vit D3 77nmol/L (51-250)
I have M.E and Fibromyalgia and an undiagnosed thyroid issue (in my opinion). The folate seems very low. As I find the B vitamins hard to tolerate,I take them infrequently.
I'd be grateful if anyone can comment on these results. Unfortunately, they haven't done the usual full blood count. Could the low folate explain my low mood and anxiety? Or pain/fatigue?
Any thoughts are appreciated.
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Yahaci
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There's no harm exploring hypothyroidism as the cause of low nutrient levels and fibro. My GP was quick to write off my symptoms as fibro but they were due to hypothyroidism. My B12 and folate was also low so I've been taking a supplement for it, however now that I've brought those levels up I still have symptoms. Just making a list and ticking off possible culprits. Test your Free T3 and T4 levels. That could point you in the right direction.
Igennus Super B is good quality and cheap vitamin B complex. Contains folate. Full dose is two tablets per day. Many/most people may only need one tablet per day. Certainly only start on one per day (or even half tablet per day for first couple of weeks)
Or Thorne Basic B is another option that contain folate, but is large capsule
If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL blood tests, as biotin can falsely affect test results
With such low B12 result taking a B12 supplement as well as a B Complex (to balance all the B vitamins) initially for first 2-4 months, then once your serum B12 is over 500 (or Active B12 level has reached 70), stop the B12 and just carry on with the B Complex.
For full Thyroid evaluation you need TSH, FT4and FT3 plus both TPO and TG thyroid antibodies tested.
Low vitamin levels are extremely common, especially if you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies
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 .
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins
Thank you. I have great difficulty with B Complex, makes me jittery, I feel my skin is crawling and I get very irritable. So its impossible to take regularly without going out of my mind. Presently I can just about tolerate a basic supermarket prep, but not daily.
General sensitivities is a problem: foods, additives, sugars..
However, I can absorb folic acid, so is there another reason why Folate is better?
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Blood results
Results of blood tests - interpretation, am I hypothyroid?
Blood results from medichecks 
Blood test results 
Blood results help
