Latest B12 and Folate results following from 3 days ago

[130396]

These are my most recent up to date results following from my post a couple of days ago.

Those that saw my results and posted replies will probably remember i wrote because I was feeling anxious, getting numb type ferling and tingles in legs and arms and I believe it was because my folate and B12 results from testing previously weren’t optimal.

Since my last tests the ranges at my hospital have changed so please can anyone now comment on these new results?

I have ordered the B complex that was recommended Igennous which should arrive today - based on these new results should I still take them when they arrive??

03/06/21

Surgery at 8.30

125mcgs Levo plus 15mcgs T3

Last dose 8.25 previous day

TSH <0.03 (0.35-4.94)!

Ft4 15.5 (9-19) 69%

Ft3 3.9 (2.6-5.74)41.4%

Add 20% 4.68 66.24%

B12 615 (180-640) change range from ( 150-883)

Folate 5.3 (3.0-20)

[Akashrajput]

Are you taking b12 supplements ? Or this levels are without supplements

[130396 in reply to Akashrajput]

Without supplementing

[Akashrajput in reply to 130396]

That's great b12 isn't an issue

[130396 in reply to Akashrajput]

I’ve got igennous B complex arriving this afternoon as recommended the other day so do I take it now?

[Akashrajput in reply to 130396]

I'm not a medical professional but I don't think you need to take any b12 medication

[SeasideSusie Remembering]

130396

B12 615 (180-640) change range from ( 150-883)

What is the unit of measurement for this test please? pmol/L or pg/ml or ng/L?

Folate 5.3 (3.0-20)

This is low but not deficient. Folate is recommended to be at least half way through range so that would be 11.5+ with that range.

You should be aware that Igennus Super B contains Vit C and Vit C should be taken 2 hours away from B12 (so I don't know why they include it). Therefore, the B12 in the Igennus tablet may not be absorbed or it may not be absorbed as well as a supplement that doesn't contain Vit C.

[130396 in reply to SeasideSusie]

Oh my goodness. These were recommended to me by someone in this forum the other day!!!I was totally unaware of the issue with Vit C !!!

So what do I do now? They are arriving today

The B12 is ng/L

Folate is ug/L

[SeasideSusie Remembering in reply to 130396]

130396

Oh my goodness. These were recommended to me by someone in this forum the other day!!!I was totally unaware of the issue with Vit C !!!

So what do I do now? They are arriving today

If you have an adequate store of B12 then it doesn't matter, you wont necessarily need the B12 anyway.

The B12 is ng/L

So we have 615ng/L (180-640). ng/L is the same as pg/ml mentioned below.

According to an extract from the book, "Could it be B12?" by Sally M. Pacholok:

"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".

"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."

So you are above the 550 limit they mention which is OK, but you could, if you wish, take your level higher.

As you've received your Igennus supplements, you could keep them and take the suggested serving dose of 2 tablets which gives 400mcg methylfolate (which you need for your low folate level) and you may absorb some of the 900mcg B12 contained in that dose. I would retest in, say, 4 months or whenever you can do another test and see what difference it has made to your B12 level.

[130396 in reply to SeasideSusie]

Thank you SeasideSusieSo it won’t hurt me to take this B complex Will it?

I see it says about older people maintaining levels of 1000pg - I am 68 so assume I come under “older people”

I really appreciate your help. You are always so knowledgeable - thank you

[SeasideSusie Remembering in reply to 130396]

130396

No, it's unlikely to hurt you, in what way do you think it might?

I see it says about older people maintaining levels of 1000pg - I am 68 so assume I come under “older people”

Yes, I expect it means people of normal retirement age.

[130396 in reply to SeasideSusie]

I don’t know how I think it might hurt!!! I’ve just no idea what these things can do .

[130396 in reply to SeasideSusie]

You say here I can take the B complex and Rec test in 4 months.Do do you mean I still test even though I’m taking the B complex?

[SeasideSusie Remembering in reply to 130396]

Do do you mean I still test even though I’m taking the B complex?

Yes. How can you know how well it's helping if you don't? You need to keep an eye on your Folate level if you are supplementing to improve it, it's recommended to be at least half way through range, but you don't want it going over range so you test and if goes too high you reduce your dose.

When supplementing it's recommended to test nutrients once a year, some need more, eg Vit D is recommended to be tested twice a year, if supplementing with iron regular monitoring (every couple of months) would be necessary.

[130396 in reply to SeasideSusie]

Thank you SeasideSusieI will do that then and start with the B complex.

I just thought if you were taking anything with B12 in it that it was not recommended to test .

[SeasideSusie Remembering in reply to 130396]

It's B12 that's not worth testing when having B12 injections because it's always going to be high after an injection and low when the next injection is due.

[130396 in reply to SeasideSusie]

So as it’s not injections then it’s ok ?

[SeasideSusie Remembering in reply to 130396]

It's folate you want checking as that's what you're trying to improve not B12 so it doesn't come into it at all.

[130396 in reply to SeasideSusie]

Wouldn’t a high B12 be a problem as from the last results it’s already pretty good in the range - almost top at 615

[SeasideSusie Remembering in reply to 130396]

I have quoted above from Sally Pacholok's book where she says

"serum B12 levels should be maintained near or above 1000 pg/ml."

Any excess B12 is excreted.

I've also mentioned that the Vit C keeps the body from using B12 and the Igennus includes Vit C so you may or may not be getting any B12 from that supplement.

[130396 in reply to SeasideSusie]

Thank you very much . I’ll start tomorrow. How long after my morning thyroid meds do I take it and with or without food?

[SeasideSusie Remembering in reply to 130396]

All supplements should be at least 2 hours away from thyroid meds (iron, calcium, vit D and magnesium need 4 hours). B vitamins can be stimulating so it's best to take them no later than lunchtime so as not to disturb sleep. The bottle will tell you if you should take them with food.