Good afternoon ThyriodUk
I have had my results back from the GP for my thyroid as I have Graves which has been fine for a few year now, so just have thyroid bloods done when they allow them so it’s not every year, should they be done more often.
Feeling really tired and just not myself!
Is this possible thyroid related?
Serum free T4 - 10.5
Serum TSH 0.9
B12 - 334
Folate - 18.84
Vitamin D - 60
I am on HRT also.
Any advice would be gratefully received.
Please add reference ranges for each test. Ranges vary from lab to lab so are important.
Vit B (145- 914)
Folate ( 3.00 -20.00)
T4 (7.7-20.6)
TSH ( 0.30- 4.80)
Vit D ( 25-50)
Just a tip when responding in this group. If you use the reply button directly below the persons response then they will get a notification of your reply. 
I am assuming that you are not on any meds at the moment?
TSH should be disregarded if you have graves as it is often not accurate once it has been suppressed for any length of time.
Free T4 (fT4) 10.5 pmol/L (7.7 - 20.6) 21.7%
Your FT4 is on the low side and we really do need to see an FT3 to see where your active hormone is at. You could ask your GP/Endo or see link for companies offering private blood tests & discount codes, some offer a blood draw service at an extra cost. thyroiduk.org/help-and-supp...
There is also a new company offering walk in & mail order blood tests in London, Kent, Sussex & Surrey areas. Check to see if there is a blood test company near you. onedaytests.com/products/ul...
Only do private tests on a Monday or Tuesday to avoid postal delays.
Folate is good.
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. Many members like the ‘Better You’ range of mouth sprays that contain both bit D & K2. Use this calculator to work out how much to take to get your level to 100-150. wildatlantichealth.com/vita...
Your B12 is quite low. Are you vegan or vegetarian? If not:
B12 - do you have symptoms of B12 deficiency? The reference range for B12 is very wide and cut off point too low. theb12society.com/signs-and...
If you do then you should discuss this with your doctor for further tests for Pernicious Anaemia.
If not, then start with a methyl B12 sublingual spray or lozenge for a week, then add a good B complex. Once you run out of the separate B12 just continue with the B complex.
cytoplan.co.uk/vitamin-b12-...
amazon.co.uk/Better-You-Boo...
This B complex has all the right vitamins at a not unreasonable cost for 90 days supply(also contains folate). Once B12 is good you can stop the stand alone B12 and just continue with the B complex.
amazon.co.uk/Liposomal-Soft...
No ferritin result.
Thank you, for your reply.
It’s really helpful.
I am not on any meds, but take vit D and B12 complex daily and have done for a few years.
No to being vegan and veggie.
Have no Endo, did ask a while back if I could be referred but as my results are ok they said I didn’t need to do this.
Will look at doing private bloods ect
Thank you once again. 👍
If you're not vegan/vegetarian and are already taking a B complex then you have an issue absorbing B12 and should definitely persue that further with your GP.
Which B complex are you taking? Brand?
Holland and. Barrett high strength complete Vit B complex.
Holland & Barrett specialise in cheap, low quality vitamins on the whole. That B complex is not the active/methylated form and its also low in quantity as well.
It contains 25ug of cyanocobalmin as opposed to the 400ug (or mcgs) in Thorne Basic B or equivalent. It also contains folic acid the inactive form of folate as opposed to methylfolate which is much easier for your body to use.
Despite its claims that it is 'high dose' it really isn't at all, so you do have to compare labels of vitamins to know what you are getting is genuinely a high dose.
I'd recommend binning that product (which is where it belongs) and replacing with one of the three listed here once you have investigated PA thoroughly with your GP.
amazon.co.uk/Liposomal-Soft...
amazon.co.uk/Yipmai-Liposom...
hempoutlet.co.uk/vitablosso...
Also, the Holland & Barrett uses the Pyridoxine Hydrochloride form of vitamin B6.
helvella - Vitamers of Vitamin B6
Some time ago, I mentioned that the form in which we take vitamin B6 is important. I think I linked to this paper:
So I have been taking this for years and to be honest not felt any better, but it was a doctors recommendation!
What the view of B12 injections?
Thank you for your advice as I am really struggling at the moment and have most of the B12 symptoms on the list, but thought it must be something else because I was taking them.
If you have PA then really any form of tablet is not going to get the B12 where it needs to be - in your cells. You need injections if you have PA and you may well need them.
Now you have been taking a product containing B12 it will take 3 months to get that out of your system for blood results to show where you really are.
Go back to your GP an explain that supplementing B12 hasn't been successful and you still have low B12 symptoms and insist on further investigations & treatment.
Now you have been taking a product containing B12 it will take 3 months to get that out of your system for blood results to show where you really are
Medichecks do two tests that are allegedly conclusive, MMA and homocysteine
For MMA, on their website it stipulates that you should not take B12 for two weeks prior to the test. I know this because I’m looking into getting my son tested for PA. How correct this info is, I know not but it’s what the website says
For homocysteine it doesn’t say whether one should stop taking it or not, so I imagine it means that it doesn’t matter, B12 can be continued. I would email them to be certain
Thank you for you help, I will be getting on it today.
Hopefully I replied in the right place. 😝
Probably a good idea to go to the Pernicious Anaemia Society forum:
Just a tip when responding in this group. If you use the reply button directly below the persons response then they will get a notification of your reply.
For some reason it sometimes doesn’t work if you’re the first to reply, as you’ll notice in your response to seaside54’s post
How strange I hadn't noriced that before. I will flag it up with HU tech help. Thanks for mentoning it.
Sorry I have done it a couple of times now it’s because there are 2 buttons! Need to wear my glasses more! 😝
You don’t need to tap the blue reply button when you respond to the original poster. They will be notified of a response. Jaydee1507
are these test results ok
Do these results look ok? 
Results ok but hypo symptoms
Thyroid Panel Results - seem OK?
Thyroid antibody test results -are they ok.
