Could someone look over my levels?

[Auntbessy]

I have a history of anaemia, low vit D and low B12 (igennus super B complex). Ive been on high strength B12 supplements since April 2020. Started high strength vit D supplements in December. I spent most days out in the sun in 2020 so didn't think I needed high strength supplements till the winter. I am probably very wrong though.

What is weird is that my folate has gone up since xmas 19 but my b12 has actually gone down since taking these supplements.

e.g

previous folate and b12 levels:

folate 12.14 ug/l (range 3.9-19.45)

b12 94.9 pmo/l (range 37.5-187.5)

current folate and b12 levels:

folate 19.8 ug/l (range 3.9-19.45)

active b12 87 pmo/l (range 37.5-187.5)

I have read this indicative of pernicious anaemia?

Also here are my thyroid levels:

TSH 0.32 (range 0.27-4.2)

Free T3 4.78 (range 3.1-6.8)

Free thyroxine 18.9 (range 12-22)

My thyroglobulin antibodies are up 259 (anything under 115 is OK) not sure how to bring these down? I have Hashimotos.

Vit d is quite low 60.8 (range 50-175)

Thanks for reading : )

[SlowDragon Administrator]

Vitamin D

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

Some areas will prescribe to bring levels to 75nmol or even 80nmol

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...

But with Hashimoto’s, 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

amazon.co.uk/BetterYou-Dlux...

It’s trial and error what dose we need, with hashimoto’s we frequently need higher dose than average

Calculator for working out dose you may need to bring level to 40ng/ml = 100nmol

grassrootshealth.net/projec...

Government recommends everyone supplement October to April

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

Taking too much vitamin D is not a good idea

chriskresser.com/vitamin-d-...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

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...

2 good videos on magnesium

healthunlocked.com/thyroidu...

Vitamin D and Covid

vitamind4all.org/letter.pdf

[SlowDragon Administrator]

You need to test ferritin and iron levels regularly if supplementing iron

As you have Hashimoto’s are you on strictly gluten free diet?

[Auntbessy in reply to SlowDragon]

I don't take iron supplements at the moment. I think my iron levels seem OK and I am not loosing blood through menstruation which I think was a big part of the problem. What were your thoughts on the b12 and folate issue? Thanks for taking the time to look at things for me and send me all those great links!

[Auntbessy in reply to Auntbessy]

Yes been strictly gf for 5 years