I’ll ask the GP for some iron, I’ve bought a blood test online which is more thorough. Waiting for day 3 of my period as there’s lots of hormones included, just wondered if the b12 or folate are ok?
Serum vitamin B12 level 311 ng/L [180 - 640]
Serum ferritin level 20 ng/ml [15 - 200]
Serum folate level 6.8 ng/ml [3 - 20]
TSH 0.47 mu/L [0.35 - 4.94]
Free t3 4.1 pmol/L [2.6 - 5.7]
Free t4 11.8 pmol/L [9 - 19]
looking at previous posts
Not had thyroid antibodies tested yet for autoimmune thyroid disease
For TSH, Ft4 and Ft3 ALWAYS test early morning ideally just before 9am on empty stomach
Cheapest
Just Thyroid includes BOTH TPO and TG antibodies -£49
randoxhealth.com/at-home/Th...
No vitamin D test result?
I’ve booked the ultimate performance medichecks blood test which covers the antibodies and vit d 
(tho I bought the £8 Tesco one and that showed normal, I’ll share the full tests once I get them back)
I’ll make sure it’s before 9am and won’t take supplements till I get that done x
Tesco cheap tests are unfortunately useless
Slow dragon the tg antibodies are those for Graves?
no
Hashimoto’s patients usually have high TPO or high TPO and high TG antibodies
Significant minority of Hashimoto’s patients only have high TG antibodies
20% of Hashimoto's patients never have raised antibodies. If both antibodies are low consider ultrasound scan of thyroid
healthunlocked.com/thyroidu...
Paul Robson on atrophied thyroid - especially if no TPO antibodies
paulrobinsonthyroid.com/cou...
Link about thyroid blood tests
thyroiduk.org/getting-a-dia...
Link about Hashimoto’s
thyroiduk.org/hypothyroid-b...
Symptoms of hypothyroidism
thyroiduk.org/wp-content/up...
Thank you and sorry for jumping on this thread.
the more the merrier
Folate and B12 are too low
Particularly B12
Are you vegetarian or vegan
Low B12 symptoms
b12deficiency.info/signs-an...
methyl-life.com/blogs/defic...
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a B12 supplement as well as a B Complex
Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.
If Vegetarian or vegan likely to need ongoing separate B12 few times a week
B12 drops
healthunlocked.com/thyroidu...
B12 sublingual lozenges
amazon.co.uk/Jarrow-Methylc...
cytoplan.co.uk/shop-by-prod...
B12 range in U.K. is too wide
Interesting that in this research B12 below 400 is considered inadequate
healthunlocked.com/thyroidu...
Low folate
About 2 weeks after starting B12 add vitamin B complex
supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)
This can help keep all B vitamins in balance and will help improve B12 levels too
Difference between folate and folic acid
chriskresser.com/folate-vs-...
Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.
thyroidpharmacist.com/artic...
B vitamins best taken after breakfast
Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule)
Thorne currently difficult to find at reasonable price, should be around £20-£25 - try iherb.com
wow that is incredible information! Thank you so much for all the advice! I purchased the industrial blood test before the doc agreed to test these but thought it was worth getting some feedback on here in the meantime! I’ll have a good read of the links you’ve shared thank you!
also, I don’t restrict my diet at all, my husband is on keto so high fat, high protein and low carb so I tend to eat similar but I still have carbs/sugar! Probably not the best combination! I have a very slim build and tall! I can’t remember if I’ve shared my cholesterol here, I was worried because my hdl is quite high but I’m told it’s ok overal!
Well your Ft4 and Ft3 are low so it’s not surprising cholesterol is on higher side
Work on improving all four vitamins to optimal levels and retest TSH, Ft4 and Ft3 again in 4-6 months
perfect will do! Thank you so much!
what are your thoughts on b12 injection? There is a training school near me so I can get one for about £30… I’ve not done it yet as I didn’t know where mine was in the range… but if it needs to come up, is an injection a a sensible option?
personally I would try daily B12 supplements first
ok great, thanks for the advise 👍🏻
Ferritin is still terrible
It’s probably going to take at least a year to improve ferritin to at least over 70
With Ferritin below 30 GP must do full iron panel test for anaemia
cks.nice.org.uk/topics/anae...
Serum ferritin level is the biochemical test, which most reliably correlates with relative total body iron stores. In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency.
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
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.
healthunlocked.com/thyroidu...
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...
Excellent article on iron and thyroid
cambridge.org/core/journals...
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...
Shellfish and Mussels are excellent source of iron
healthline.com/nutrition/he...
Heme iron v non heme
hsph.harvard.edu/nutritions...
Ferritin over 100 to alleviate symptoms
healthunlocked.com/thyroidu...
Low Iron implicated in hypothyroidism
healthunlocked.com/thyroidu...
Ferritin range on Medichecks
healthunlocked.com/thyroidu...
healthunlocked.com/thyroidu...
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. ‘
Here’s absolutely excellent reply by @humanbean
on iron and ferritin panel test results for another member
healthunlocked.com/thyroidu...
Good explanations of iron
theironclinic.com/iron-defi...
theironclinic.com/ironc/wp/...
Helpful info on iron infusion and supplements
healthunlocked.com/thyroidu...
again thank you so much for the info! My ferritin was 32 in November and I was told that’s normal but when I spoke to this GP she actually said that you start getting symptomatic when below 50 and my jaw hit the floor and I thanked her for saying that! There’s a full panel in the blood test I’ve bought so I’ll share that once I get it done/back!
I’ve always struggled with ferritin and keeping it up after supplementing! Just wanting to get everything in balance!
Actually many people get symptoms when Ferritin drops under 100
NHS only obligated to treat vitamin deficiencies
So you are likely to need to self manage to bring ferritin levels up significantly
Vit B12 and other levels
Blood tests results advice please... 
Thyroid blood test results - very low vit d and high TgAB
Testing for effectiveness of B vits 
Which Vits to test for
