Have been told my Vitamin d is too high at 120nmol calcuim is 2.26 ps not supplementing atm either also have no thyroid cfs and fibromyalgia and Gerd and sinutitis29/12/2022
You have a low level of haemoglobin which is also known as anaemia. Your results indicate that this is unlikely to be related to low levels of iron, vitamin B12 or folate. The best course of action is to discuss these results with your doctor. Please check test-specific details below as there may be important additional information.
HB
29/12/2022
107 g/L
You have low levels of haemoglobin. The best course of action is to see a doctor as soon as possible.
FERRITIN
29/12/2022
34 ug/L
Normal
TSAT
29/12/2022
28 %
Normal
ACTIVE B12
29/12/2022
132 pmol/L
Normal
FOLATE
29/12/2022
>20.0 iu/L
Normal
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Pen1966
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MonitorMyHealth do give ranges. The normal range is the green band on the graphic and you will see the lower/upper limits there. You will see for your haemoglobin test the low limit of the normal range is 126 (the upper limit isn't showing in your image).
Also my MMH results have ranges as shown in the box below the graphic:
I'm not surprised your head isn't working, your FT3 is only at 21% of it's range. It needs to be 60-70%. Really you need a 25mcgs dose increase but you might also want to think about adding some T3.
Probably best to take those results to GP and get them to do full blood count and full iron panel. Your ferritin (iron storage) is all but off the bottom of range so would be interesting to see where the rest of your iron is at.
I mean a different GP in the same practice. I see you've had more advice on the iron etc Would be good to follow that, also perhaps push for an iron infusion.
You really do need some added T3 though. How might you do that?
Perhaps start a new thread to ask about that specifically.
I've been fighting symptons for 3 years with thyroid anemia etc then diagnosed with fibro ME and FND last July August time
Obviously it's your choice, but just to share a bit about myself, I've been hypo 30 odd years, on Levo only for the majority of that and have ended up virtually housebound for the past 9 years with multiple diagnoses. Now just adding some T3 via a private Endo, it's early days still but I do feel different and also very positive about what I'm doing. The risk is in not adding T3 and staying as I was and getting worse!
Most people need to drop around 25mcgs levo for a week and then add the smallest amount possible of T3. You have 25mcg tablets, so cut into quarters with a pill cutter and take 6.25 in the morning. Also be sure you can source more Tiromel.
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
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.
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
We have received further information the lab about ferritin reference ranges. They confirm that they are sex dependent up to the age of 60, then beyond the age of 60 the reference range is the same for both sexes:
Males 16-60: 30-400 ug/L
Female's: 16-60: 30-150
Both >60: 30-650
The lower limit of 30 ug/L is in accordance with the updated NICE guidance and the upper limits are in accordance with guidance from the Association of Clinical Biochemists. ‘
So how many iron tablets have you been taking per day
Do you take iron with vitamin C or orange juice to improve absorption and at least four hours away from levothyroxine and 2 hours away from other vitamin supplements
Unless you were already on 3 tablets per day GP could/should have increased dose of iron
There’s loads of other/better/different iron supplements that you can self supplement
Have been told my Vitamin d is too high at 120nmol
Who told you that? According to the Vit D Council, Vit D Society and Grassroots Health it's just about perfect. They recommend a level of 100-150nmol/L with a recent blog post on Grassroots Health recommending at least 125nmol/L. If you are achieving 120nmol/L naturally then that is good.
The attached image is a sample results sheet from the NHS lab in Birmingham which offers Vit D testing to the general public, you can see that a Vit D level of over 220nmol/L is considered high and increases the risk of Vit D toxicity. So according to the NHS your level of 120nmol/L is nothing to worry about.
Well MMH are an NHS lab too, shame they don't all sing from the same hymn sheet.
Personally I would ignore what MMH says and go by the dedicated Vit D websites and follow their recommendations. In their, and my, opinion there is nothing wrong with your Vit D level, it is just about perfect.
When I showed gp she said haemoglobin was low and that was it and she will retest in March
have been on ferrous fumerate 210 mgs for 6 months and 5mg folic acid
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Your ferritin and Transferrin Saturation (TSAT) are both low and your haemoglobin shows that you are anaemic. It would be very helpful if you could find the ranges for your results.
The optimal levels for you iron-related results are given in this link :
I've used the following ranges. They came from my last Medichecks test in summer 2022 - doing this is not valid, but I don't have a choice without the MMH ranges.
Ferritin 13 - 150 ug/L
TSAT 20 - 50%
Haemoglobin 120 - 160 g/L
Active B12 37.5 - 150 pmol/L
Folate > 3.89 ug/L
Ferritin - Your ferritin (iron stores) is much too low. Ferritin would be expected to be low in someone who is anaemic. According to the NICE Guidelines a level below 30 is an indication of iron deficiency. On this forum we suggest an optimal level of ferritin of at least mid-range, or with a range of 13 - 150 a result of around 90 - 110 is good.
Transferrin Saturation - Your TSAT is also low. Optimal according to the link in bold above is 35% - 45%, higher end of that for men.
Haemoglobin - Yours is under range showing that you are anaemic.
Active B12 - Optimal is 100 pmol/L and upwards. So your result is fine.
Folate - Optimal is either in double figures or upper half of range if the range has an upper limit. Yours is fine.
Please read these links on the subject of folate and folic acid :
Since your folate result is quite high I would suggest that you don't need it any more. And if you need it in future you should buy a methylfolate supplement. If you need to supplement B12 in future please take a methylcobalamin supplement. Both these suggested supplements are available on Amazon and other sites selling supplements.
For future reference you might find this link of interest on the subject of anaemia :
On that link under "What's Included", click on "Iron Status" and "Inflammation". It lists the full test as including :
CRP - hs
Iron
Tibc (Total Iron Binding Capacity
Transferrin saturation
Ferritin
Your doctor has obviously assumed that your prescriptions for ferrous fumarate will fix your anaemia. But since you have been on it for six months already and your haemoglobin is still very low I think you need to ask for further testing and a referral to a haematologist or a gastroenterologist.
How many ferrous fumarate 210mg have you been taking per day? And how many days a week?
Have you ever checked your poo for blood? It would be a good idea - and do the check several times because some conditions that cause GI bleeds e.g. polyps can bleed intermittently. Bright red blood usually comes from piles, dark red blood or anything that looks like black coffee grounds could be coming from bleeding polyps, bleeding ulcers or probably many other conditions I don't know about. The higher up the gut the blood comes from the darker it will be, as a result of it being digested. You could ask your doctor to test your poo for blood (a faecal occult blood test) . Be aware that they are not very reliable tests.
How to reduce the risk of false positives or false negatives :
Ask if they can give you an iron transfusion or a blood transfusion after they have found the source of your bleeding. Otherwise you could be struggling to get your iron and haemoglobin levels back to normal for a long time. I don't know what the response will be.
You could ask them to do a full iron panel and a Full Blood Count after your problem is found and fixed, and you should do them every few months until your levels are good, you feel at your best, and your haemoglobin is back to being 120+ i.e. you are no longer anaemic.
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