Latest NHS Bloods, opinions please.

[Sparklingsunshine]

Hi

Well my surgery had to chase up the pathology lab for my blood tests, don't know what went on there. My ferritin is now 163, range 13-150. Folate still low at 3.4. B12 a massive 2000, but I had my B12 jab a couple of weeks ago. I requested they test vitamin D but they didn't. All my FBC was good. So no anaemia.

My thyroid also got tested, 0.22 TSH range 0.27 to 4.2

FT4 dropped again to 13 range 12-22

I hit the jackpot and they tested FT3, which was 3.6, range 3.1 to 6.8.

These results are on 125mcg Levo only. The surgery don't seem too bothered about the highish ferritin. It's only just above range and I'm post menopause. I u derstand ferritin often rises after menopause.

I'm pretty surprised that both thyroid hormones are low in range and welcome your thoughts please. I've felt pants recently and am wondering if it's thyroid related.

[humanbean]

Folate still low at 3.4

Do you supplement with any form of folate or folic acid? If yes, could you give us a link to the product, and give us the dose you take.

[Sparklingsunshine in reply to humanbean]

Hi

I was taking a B complex with 400mg of methylfolate. Can't remember the brand, I got it from Amazon.

[humanbean in reply to Sparklingsunshine]

I would suggest that you continue with the B Complex and add in a separate methylfolate supplement containing 1000mcg per tablet.

400mcg methylfolate is a perfectly good dose for healthy people maintaining a healthy level of folate. But since you have thyroid disease and very low folate this doesn't apply to you and you need more.

[SlowDragon Administrator]

B12 injection - Do you have PA?

Low folate

Do you normally take a vitamin B complex daily

As you have B12 injections it’s recommended also to supplement 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

Difference between folate and folic acid

chriskresser.com/folate-vs-...

B vitamins best taken after breakfast

Thorne Basic B or Jarrow B Right are recommended options that contains folate, but both are large capsules. (You can tip powder out if can’t swallow 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...

In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate methyl folate supplement

[Sparklingsunshine in reply to SlowDragon]

Hi

I've been supplementing with methylfolate 400mg since October but my level has gone down. I don't known if I have PA as I've never been told one way or another but I get a B12 jab every 3 months. I do normally take a B complex daily but I made sure I stopped a week before the blood tests.

[SlowDragon Administrator]

How much vitamin D are you currently taking

What was result at last test

Test twice yearly via NHS private testing service when supplementing

vitamindtest.org.uk

[Sparklingsunshine in reply to SlowDragon]

Hi

I haven't tested it for a number of years. The NHS stopped my monthly dose of vitamin D a few years ago and told me to buy my own. I take 5000iu with K2 daily.

[Sparklingsunshine in reply to SlowDragon]

Hi

I suppose the real question is do I need to increase Levo?

[SlowDragon Administrator in reply to Sparklingsunshine]

Looking at Ft4 and Ft3 …..yes

But GP will only look at low TSH

You need to test vitamin D

Which methyl folate were you taking…..did you continue this until day before test?

[Sparklingsunshine in reply to SlowDragon]

Hi

I was taking it until a week before as its in a B complex with biotin. I've got plenty of Levo floating around so can easily up my dose.

[SlowDragon Administrator in reply to Sparklingsunshine]

In week before blood test, when you stop vitamin B complex, you probably want to consider taking a separate methyl folate supplement

[SlowDragon Administrator]

There’s nothing on your profile

Couldn’t see any info on previous posts as to wether you have Hashimoto’s

Are you lactose free or gluten free

Do you always get same brand levothyroxine at each prescription

Have you tried increasing your dose levothyroxine?

[Sparklingsunshine in reply to SlowDragon]

Hi

No to hashimotos, antibodies always negative. I've had antibodies checked privately and via NHS.

Always get Accord as named brand.

Not lactose free but am gluten free.

I did try increasing to 150mcg between February and April. I found it was giving me migraines so dropped to 125mcg. I was due to,privately test my thyroid levels but MMH rejected my sample as I couldn't get enough blood out. That was end of April. Today's NHS result is the first one I've had since December.

Shall I go up to 150mcg Levo?

[SlowDragon Administrator in reply to Sparklingsunshine]

Perhaps increase a little….137.5mcg 3 days week and 125mcg 4 days a week

Have you done Dio2 gene test

thyroiduk.org/deiodinase-2-...

regeneruslabs.com/products/...

[Sparklingsunshine in reply to SlowDragon]

HiNo never had it done.