Continuation of liver kidneys,liver and iron hairloss

[Karen154]

Please also advise regarding iron, ferritin and serum transferrin. I would like to raise my transferrin levels without raising the ferritin any further. Please search my other posts for the first set of blood tests. Posted under liver kidneys iron and hair loss. Thanks

[SlowDragon Administrator]

See link here

What does test result mean

labtestsonline.org.uk/tests...

Low transferrin and normal/high ferritin suggests chronic illness

Folate is low and B12 borderline

Likely to benefit from B vitamin supplement

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid) may be beneficial.

This can help keep all B vitamins in balance and will help improve B12 levels too

Difference between folate and folic acid

chriskresser.com/folate-vs-...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.

thyroidpharmacist.com/artic...

B vitamins best taken after breakfast

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

IMPORTANT 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

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Low B12 symptoms

b12deficiency.info/signs-an...

With B12 result below 500, recommended to be 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.

B12 sublingual lozenges

amazon.co.uk/Jarrow-Methylc...

cytoplan.co.uk/shop-by-prod...

healthunlocked.com/thyroidu...

healthline.com/nutrition/me...

[Karen154 in reply to SlowDragon]

Thank you for the information. I posted the first sheet of test results with include vitamins folic acid. It's the same title for the post. Had to post it this way because the site won't allow for two uploads.

[SlowDragon Administrator in reply to Karen154]

guidelines on dose levothyroxine by weight

Even if we don’t start on full replacement dose, most people need to increase levothyroxine dose slowly upwards in 25mcg steps (retesting 6-8 weeks after each increase) until on, or near full replacement dose

NICE guidelines on full replacement dose

nice.org.uk/guidance/ng145/...

1.3.6

Consider starting levothyroxine at a dosage of 1.6 micrograms per kilogram of body weight per day (rounded to the nearest 25 micrograms) for adults under 65 with primary hypothyroidism and no history of cardiovascular disease.

Also here

cks.nice.org.uk/topics/hypo...

gp-update.co.uk/Latest-Upda...

Traditionally we have tended to start patients on a low dose of levothyroxine and titrate it up over a period of months. RCT evidence suggests that for the majority of patients this is not necessary and may waste resources.

For patients aged >60y or with ischaemic heart disease, start levothyroxine at 25–50μg daily and titrate up every 3 to 6 weeks as tolerated

For ALL other patients start at full replacement dose. For most this will equate to 1.6 μg/kg/day (approximately 100μg for a 60kg woman and 125μg for a 75kg man).

If you are starting treatment for subclinical hypothyroidism, this article advises starting at a dose close to the full treatment dose on the basis that it is difficult to assess symptom response unless a therapeutic dose has been trialled.

BMJ also clear on dose required

bmj.com/content/368/bmj.m41

bestpractice.bmj.com/topics...

[Karen154 in reply to SlowDragon]

I am worried about my liver processing to many tablets and vitamins.aldo taking levo hrt at max dosage,vitamin D zinc and multi vitamin I have started taking a folic acid. X

[SlowDragon Administrator in reply to Karen154]

You want a vitamin B complex with folate in, rather than just folic acid.

[SlowDragon Administrator in reply to Karen154]

We never recommend multivitamins on here

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Improving nutrients improves conversion

healthunlocked.com/thyroidu...