Active B12 & TSAT: My test result for Active B1... - Thyroid UK

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Active B12 & TSAT

14 Replies

My test result for Active B12 is 113 pmol/L.

Is this a good result, or should I take supplements to improve it?

And for TSAT it's 49% which is right at the top of normal. Should I be concerned about that?

Interested to hear opinions anyone cares to share.

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14 Replies

TSAT result

TSAT graph
SeasideSusie profile image
SeasideSusieRemembering

CherryLiqueurs

It's a shame that MonitorMyHealth don't include proper ranges for some of their tests, the numbers on the left hand side and the green band give too wide an interval compared with other testing companies.

Medichecks use 37.5-188 and I've also seen 25.1-165.

We always say on here that below 70 suggests testing for B12 deficiency and to aim for 100 plus. Your level is good, you do not need a B12 supplement.

As for TSat, you can't take this one test of an iron panel on it's own, you need the full iron panel which consists of

Serum iron

Total Iron Binding Capacity

Transferrin saturation

Ferritin

and to know that Ferritin is a true level you need CRP which is included in Medichecks Home Iron Test. CRP is an inflammation marker, ferritin rises with inflammation, so ideally both tests will be done.

in reply toSeasideSusie

Thank you for your speedy reply. MonitorMyHealth say everything is normal, and they only seem to think it matters if your results are below normal range. So I thought I'd check here as we all know what the labs say isn't necessarily true 🤔

The other results are

Feritin 184 ug/L

Folate 6.3 ug/L

HB 151 g/L

TiggerMe profile image
TiggerMeAmbassador in reply to

Folate is low then

in reply toTiggerMe

Oh really? It's supposedly normal. Do I need to do something to improve it do you think?

folate result
helvella profile image
helvellaAdministrator in reply to

It's normal in the "you can get by with that" sense.

I think I'd try some common, inexpensive 200 microgram tablets of folic acid. And taking excess folic acid is not good. If you feel fine on that, and folate rises a bit, then great. If not, maybe try a different supplement such as methylfolate.

You could also consider dietary sources. Have a look at this link:

ods.od.nih.gov/factsheets/F...

It is from the USA so the foods are not all exactly what we'd expect! But it is a more useful document than most in the UK.

in reply tohelvella

Thank you!

SeasideSusie profile image
SeasideSusieRemembering in reply to

With ferritin you can't be sure that the result is true unless CRP is also done. If CRP is showing inflammation then the ferritin level will be higher than normal. MonitorMyHealth range for ferritin shows as 125-270 as normal (green band) whereas most private labs use 13-150 for females although my surgery uses 15-300 for everyone. Your ferritin level seems to be quite high for a female. Do you supplement?

Folate range is approx 3.5-25 so your level of 6.3 is low.

Hb range is 125- 270, your level of 184 is good.

What were you particularly looking for with this test?

in reply toSeasideSusie

No i don't supplement anything to do with these test results. My interest was mainly about the B12 as deficiency seems common with hypothyroidism. I have a hereditary tendancy to haemochromatosis so that probably accounts for the ferritin? Could that be helped or hindered by increasing folate do you think?

SeasideSusie profile image
SeasideSusieRemembering in reply to

I have a hereditary tendancy to haemochromatosis so that probably accounts for the ferritin? Could that be helped or hindered by increasing folate do you think?

Sorry, I've no idea about that but seeing as folate and B12 work together I doubt it has anything to do with it.

With your folate result I'd be supplementing with a good quality, bioavailable B Compex, it's recommended that folate be at least half way through it's range.

Consider

Thorne Basic B

Vitablossom Liposomal B Complex (from hempoutlet.co.uk)

Yipmai Liposomal B Complex (from Amazon when it's in stock, it's actually Vitablossom)

Pink Tribe Liposomal B Compex (from Amazon)

When supplementing with B Complex we should leave this off for 3-7 days before any blood test as it contains biotin and this gives false results.

You don't need to worry about your B12 level but the B Complex contains 400mcg methycobalamin B12 which should give your level a boost anyway.

in reply toSeasideSusie

Thank you so much for your suggestions. I'll look into these.

beh1 profile image
beh1

My ferritin was even higher than yours at one stage-you can reduce it (if you wish to) by giving blood. Brought mine right down and did a good deed at the same time.

humanbean profile image
humanbean in reply tobeh1

Did you feel any better for giving blood?

beh1 profile image
beh1 in reply tohumanbean

honest reply-felt no different, but my numbers were in range! Hopefully avoided long term effects of high ferritin which can impact on organs apparently

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