Advice on Vitamin levels: Hello members , I’ve... - Thyroid UK

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Advice on Vitamin levels

Blackpanther46 profile image
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Hello members , I’ve had medichecks test and thyroid is good but wanted to check my levels with you .

My ferritin level has increased a lot from eating red meat liver etc and not from iron supplements since November now .

Ferritin 153 range 13-153

Vit D 110 range 50-200

B12 62 range 25.1-165

Inflammation markers are normal it says

Am I correct in thinking that my B12 could increase a bit but everything else okay now ?

Thankyou

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Blackpanther46
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SeasideSusie profile image
SeasideSusieRemembering

Blackpanther46

B12 62 range 25.1-165

Am I correct in thinking that my B12 could increase a bit but everything else okay now ?

Yes. Active B12 below 70 suggests testing for B12 deficiency according to Viapath at St Thomas' Hospital:

viapath.co.uk/our-tests/act...

Reference range:>70. *Between 25-70 referred for MMA

There is a link at the bottom of the page to print off the pdf to show your GP.

****

Do you have any signs of B12 deficiency – check here:

b12deficiency.info/signs-an...

b12d.org/submit/document?id=46

If you do then list them to discuss with your GP and ask for testing for B12 deficiency and Pernicious Anaemia. Do not take any B12 supplements or folic acid/folate/B Complex supplements before further testing of B12 as this will mask signs of B12 deficiency and skew results.

If you don't then it is probably fine for you to supplement with sublinguasl B12 1000mcg, along with a good quality, bioavailable B Complex to keep all B Vitamins balanced. When you have finished the one bottle of B12 your level should have increased enough for you to dispense with that and just continue with the B Complex.

When I used B12 I liked Cytoplan cytoplan.co.uk/vitamin-b12-...

This contains two the active forms of B12 - methylcobalamin and adenosylcobalamin.

For B Complex I like Thorne Basic B.

Be aware that any B Complex you use should contain methylcobalamin and methylfolate as these are the active forms of the ingredients. Also be aware that any B Complex containing Vit C will keep the body from using the B12. Vit C needs to be taken 2 hours away from B12.

When taking B Complex we should leave this off for 7 days before any blood test, this is because it contains biotin and gives false results when biotin is used in the testing procedure (which most labs do).

I wish eating liver would improve my ferritin level as much as yours! I don't know how much you eat but you could possibly reduce it and see how it affects your level.

Vit D is recommended to be 100-150nmol/L by the Vit D Society and Grassroots Health, with Grassroots Health recently making this blog post suggesting at least 125nmol/L for optimal thyroid function:

grassrootshealth.net/blog/t...

Blackpanther46 profile image
Blackpanther46 in reply to SeasideSusie

Wow thanks for your very detailed advice . My GP has said my b12 is fine as there test shows it’s normal.

I have had some of those symptoms mouth ulcers esp and other symptoms, the doc won’t do anything then I’ll just carry on with jarrows 1000 lozenges then

SeasideSusie profile image
SeasideSusieRemembering in reply to Blackpanther46

Blackpanther46

My GP has said my b12 is fine as there test shows it’s normal.

GP tests Total B12 which measures both bound and unbound (free/active) B12 and doesn't differentiate between the two.

Active B12 tests just the free/active B12 which is available to the cells.

You can have a good level of Total B12 but a poor level of active B12.

What is the result of your GP test, can you post the result, range and units of measurement please.

Blackpanther46 profile image
Blackpanther46 in reply to SeasideSusie

Hi @SeasideSusie GP was 316 ng/L and range is 120- 625 ng/L

SeasideSusie profile image
SeasideSusieRemembering in reply to Blackpanther46

Some people with Total B12 in the 300s have been found to need B12 injections, it's all down to symptoms with B12 not numbers but not all GPs know the guidelines.

Blackpanther46 profile image
Blackpanther46 in reply to SeasideSusie

Ok my GP doesn’t think I need them so I’m not sure what to do now . I’ll just keep supplementing . Someone has told me about transdermal b12 being absorbed better .

Blackpanther46 profile image
Blackpanther46 in reply to SeasideSusie

@SeasideSusie do you think I should supplement the vit D aswell then ?

SeasideSusie profile image
SeasideSusieRemembering in reply to Blackpanther46

It isn't bad and it's within the 100-150nmol/L range recommended, so it's up to you. Some people prefer to be at the top of that range, some are fine just being in the range.

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