Might you look at my 17 year old sons results. Worried he might have thyroid issues.

[Alwaystired5]

HBA1c 38 mmol/mol range 20-41

Serum D3 45 nmol/L range50-174

Serum folate 5.7 ug/L

B12 277 ng/L 180-999

Serum TSH 2.2 mu/L range 0.27-4.2

Serum ferritin 14 ug/L range 30-400

Would appreciate thoughts?

Thanks so much

[SlowDragon Administrator]

Very low vitamins....so possibly

Just testing TSH is completely inadequate

Essential to test TSH, Ft4 and Ft3 plus BOTH thyroid antibodies for autoimmune thyroid disease (hashimoto’s)

Especially if you have autoimmune thyroid disease

His ferritin is terrible

Is he vegetarian or vegan

Likely to be extremely tired with such low ferritin

GP should be doing full iron panel test for anaemia

B12 and folate very low

Ask for full testing for Pernicious Anaemia before starting any B vitamins

Vitamin D is insufficient

GP should prescribe 1600iu vitamin D daily for 6 months

GP will often only prescribe to bring levels to 50nmol.

Some areas will prescribe to bring levels to 75nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

NHS Guidelines on dose vitamin D required

ouh.nhs.uk/osteoporosis/use...

Come back with new post once you get further testing results

[SlowDragon Administrator]

Perhaps also request coeliac blood test too

[Alwaystired5 in reply to SlowDragon]

You are so helpful, discussing the results with the GP tomorrow, but now I know what to ask, huge thanks