Advice Please
Ferritin 19ug (10.0-204)
Folate 3.8 (3.1-20.5)
Both normal but low
Do I need to take any action to increase Ferritin and Folate please?
B12 seems ok 562ng/L(187.0-883)
Going to test Active B12
Thank you any advice is much appreciated
Yes
Ferritin is deficient
Are you vegetarian or vegan
Pre menopause? Heavy periods?
GP should be doing full iron panel test for anaemia before (likely) prescription for iron supplements
It is possible to have low ferritin and high iron, so you need full iron panel test
cks.nice.org.uk/topics/anae...
In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency
Also See page 7 on here
rcn.org.uk/-/media/royal-co...
Look at increasing iron rich foods in diet
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
List of iron rich foods
Links about iron and ferritin
An article that explains why Low ferritin and low thyroid levels are often linked
preventmiscarriage.com/iron...
irondisorders.org/too-littl...
davidg170.sg-host.com/wp-co...
Great in-depth article on low ferritin
oatext.com/iron-deficiency-...
drhedberg.com/ferritin-hypo...
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
Thyroid disease is as much about optimising vitamins as thyroid hormones
healthunlocked.com/thyroidu...
restartmed.com/hypothyroidi...
Post discussing just how long it can take to raise low ferritin
healthunlocked.com/thyroidu...
Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing. It’s possible to have low ferritin but high iron
Medichecks iron panel test
medichecks.com/products/iro...
Iron and thyroid link
healthunlocked.com/thyroidu...
Posts discussing why important to do full iron panel test
healthunlocked.com/thyroidu...
healthunlocked.com/thyroidu...
Chicken livers if iron is good, but ferritin low
healthunlocked.com/thyroidu...
Heme iron v non heme
hsph.harvard.edu/nutritions...
Good explanations of iron
theironclinic.com/iron-defi...
theironclinic.com/ironc/wp/...
Helpful info on iron infusion and supplements
What are your thyroid results and ranges
How much levothyroxine are you currently taking
If going to test Active B12 do so before starting on vitamin B complex
Hi SlowDragon Thank you for the informationI am currently waiting for a colonoscopy I have gastro issues including bleeding from back passage.
I have had a positive FIT stool test and Calprotectin stool test 156.
I am currently taking 50mcg Levothyroxine 20mcg T3 Liothyronine
My last thyroid tests
T4 10.07(9.0 -19)
T3 4.4(2.4-6)
TSH 0.01(0.35-4.94)
I also have Secondary Adrenal Insufficiency.
I used to Take 100mcg T4
4 days & 75mcg 3 days before starting T3. I am definitely better on T3 but very tired in afternoons.
Was this test done as recommended
Testing early morning, ideally just before 9am and last dose levothyroxine 24 hours before test
Day before test splitting T3 as 3 smaller doses spread through the day, with last 5mcg dose T3 approx 8-12 hours before test
FT4: 10.7 pmol/l (Range 9 - 19)
Ft4 extremely low at only 17.00% through range
FT3: 4.4 pmol/l (Range 2.4 - 6)
Ft3 better at 55.56%
Helpful calculator for working out percentage through range
Many members on levothyroxine plus small dose T3 need BOTH Ft4 and Ft3 at least 50-60% through range
Your Ft4 is likely too low
Suggest you try increasing from 50mcg daily to 75mcg and 50mcg alternate days (or add 12.5mcg every day if you need unchanging Levothyroxine dose)
When was vitamin D last tested
Just waiting for another T4 test result from 31/8 I thought T4 looked a bit low (Take in morning & didn't take morning of test 9am)
I didn't know if it was normal to be low when taking T3 as well.
Will speak to GP & Endocrinologist when get results of T4 from 31/8.
D3 tested 31/8 -137.9 Results stated >50 normal.
Was taking BetterYou D3000 + K2 when had test I was going to reduce from 3 sprays (3000) to 1 spray = 1000.
Do you think this is a good idea?
Ferritin
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