Have more results as have had a fbc...Had tsh but they don't bother taking t4 or t3.Had many more blood results as had fbc but put most relevant up.Have been told have folate problem.am on folic acid now.Was also told to buy vitamin d tablets.Told all other results are fine apart from cortisol.Havent had appointment yet.Yet all satisfactory are on the low side.Thank you
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Rachel20
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So GP prescribed folic acid, have you started taking it yet?
You really need an appointment face to face with your GP to discuss these results.
Whats happened about testing for pernicious anaemia?
Your ferritin is NOT satisfactory. NICE guidelines state that a ferritin of lower than 30 is deficiency which yours is. Do point this out to your GP.
Vitamin D should be around 100 - 150. Buy one that includes vit K2 to help it go to your bones. Some are available in oil or you can take it with an oily meal for better absorption. Use this calculator to work out how much to take to get your level to 100-150. wildatlantichealth.com/vita...
Many members get on well with the Better You spray vit D & K2.
Hi Jaydee,yes i have started folic acid.Have an appointment next week but only comments on blood results are about my cortisol.I think all my results are low but Dr said were all fine apart from vit d and folic acid.My ferritin I thought was really low aswell as my b12 but they say they are in guideline as ferritin starts from 17 to 291 and I have 10.Very low same as b12...as they are just above blood result comment guidelines i just think they think its fine
This is where you need to understand that GPs get very little training on vitamins/nutrients and they do not understand that being low even within range can cause symptoms. See infographic below. You need to challenge your GP on needing treatment and highlight the NICE guidelines.
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.
Hopefully humanbean can respond regarding the cortisol test.
Thank you so much Jaydee.Really need some advice before appointment because of all symptoms I have.i was told my bloods were fine then has a dietician appointment where they pointed out how low my b12 was...that led me to get a print out of bloods.i feel quite dreadful xx thank you for your help
Unfortunately we do need to question our doctors sometimes when they say things are 'fine', there are occassions when they absolutely are not.
It's not surprising at all that you feel dreadful and I hope that working on your vitamin levels might bring your TSH up a bit to help you get diagnosed for hypothyroidism.
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 and if you have B12 deficiency and it is not detected and treated then this could affect your nervous system. B12 deficiency should be treated before starting folic acid because folic acid can sometimes improve your symptoms so much that is masks B12 deficiency.
Vitamin d (low) 31 >49
Vit D deficiency is <25nmol/L and you are very close to that.
You might want to check out a recent post that I wrote about Vit D and supplementing:
they suggest that with you level, to achieve their recommended level of 125nmol/L (50ng/ml), then you should take 4,900iu D3 per day, nearest to buy is 5,000iu.
Retest after 3 months to check level and adjust dose as necessary.
Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3. You will have to buy these yourself.
D3 aids absorption of calcium from food and Vit K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc. 90-100mcg K2-MK7 is enough for up to 10,000iu D3.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking D3 as tablets/capsules/softgels, no necessity if using an oral spray.
For D3 I like Doctor's Best D3 softgels, they are an oil based very small softgel which contains just two ingredients - D3 and extra virgin olive oil, a good quality, nice clean supplement which is budget friendly. Some people like BetterYou oral spray but this contains a lot of excipients and works out more expensive.
For Vit K2-MK7 my suggestions are Vitabay, Vegavero or Vitamaze brands which all contain the correct form of K2-MK7 - the "All Trans" form rather than the "Cis" form. The All Trans form is the bioactive form, a bit like methylfolate is the bioactive form of folic acid.
Vitabay and Vegavero are either tablets or capsules.
Vitabay does do an oil based liquid.
Vitamaze is an oil based liquid.
With the oil based liquids the are xx amount of K2-MK7 per drop so you just take the appropriate amount of drops.
They are all imported German brands, you can find them on Amazon although they do go out of stock from time to time. I get what I can when I need to restock. If the tablet or capsule form is only in 200mcg dose at the time I take those on alternate days.
If looking for a combined D3/K2 supplement, this one has 3,000iu D3 and 50mcg K2-MK7. The K2-MK7 is the All-Trans form
Magnesium should be taken 4 hours away from thyroid meds and as it tends to be calming it's best taken in the evening. Vit D should also be taken 4 hours away from thyroid meds. Vit K2-MK7 should be taken 2 hours away from thyroid meds. Don't take D3 and K2 at the same time unless both are oil based supplements, they both are fat soluble vitamins which require their own fat to be absorbed otherwise they will compete for the fat.
Don't start all supplements at once. Start with one, give it a week or two and if no adverse reaction then add the next one. Again, wait a week or two and if no adverse reaction add the next one. Continue like this. If you do have any adverse reaction then you will know what caused it.
Ferretin (satisfactory) 17 10 - 291
As your ferritin is below 30 and suggests iron deficiency according to NICE, your GP should do a full iron panel to include serum iron, saturation percentage, total iron binding capacity and ferritin. This will confirm if you have iron deficiency or just low ferritin. Check your FBC to see if haemoglobin and haematocrit are below range, if so this suggests anaemia. You can have iron deficiency with or without anaemia.
Thank you....i do have symptoms of b12 but as my results are above the ranges they were deemed fine and i was put on folic acid tableta which i have been taking for 3 or 4 weeks now....ferritin on blood results was marked satisfactory but from here i now know below 3p id deficient xx thank you
Symptoms are supposed to take precedence over numners with B12. You could go to the Pernicious Anaemia Society forum here on HealthUnlocked for further advice on this, post on there listing your symptoms and test results:
thank you so much.I was worried about taking folic acid tablets but was told other reults were fine so started taking them. Have posted results on the anemia site.Thank you again xxx
Rachel, I would go and edit your post on the PA forum. Post your B12 symptoms (I gave you links in my first reply to you) and your B12 results, that is what you requide their advise on, the other things have been addressed here.
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Help with blood results please
Help with blood test results 
Help with blood results 
Help with blood test results 
Help With Blood Test Results
