Iron/folate results advice please: Hi everyone... - Thyroid UK

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Iron/folate results advice please

Becsf profile image
4 Replies

Hi everyone,

Posted here before but not for a while. Have been slowly working on improving my thyroid function and iron levels while trying to conceive (I'm 41). After taking high dose iron bisglycinate my iron results are looking much better. Most recent tests was 8 Sept and results are:

Serum ferritin - 56 ug/l (13-150)

Serum iron level - 26 umol/L (6.6-26.0)

Seurm TIBC - 53 umol/L (40.8-76.6)

(test done having stopped iron supplements a few days before, and without eating anything that morning)

I can tell my ferritin should still be higher, but now my serum iron is top of the range (which I was so happy about - in June it was 12.5!) presumably I should go onto a maintenance dose of the iron bisglycinate I've been taking? I'm aware having too much is also bad. And that it could drop down again if I stop it altogether. Or should I keep going to raise the ferritin a bit further? And is the TIBC ok?

I'm not vegetarian and I've been eating more red meat, and chicken liver pate than before, and already eat a lot of lentils, spinach etc. Periods no longer so heavy or painful. Am also gluten free (for almost a year now). Stomach/digestive issues feel much improved. Stomach acid still low according to the bicarb test - betaine and pepsin didn't seem to do much.

Also, my folate results now come back as just >20, not a specific numberr. I've been taking extra high dose methylfolate as it had been very low. Should I stop this now? I do take a b-complex vitamin with 400mg of methylfolate - might I get too much?

As for the thyroid my Sept results were:

T4 - 17.2 (pmol/L) (12-22)

TSH - 1.1 mu/L (0.3-4.2)

I failed to convince the GP of the need to test T3 as well, grrr!

I'm presuming that without T3 these results are pretty meaningless. The reason I was able to get them was because I'd increased the dose of levo I was on from 100mg to 112 (taking 25 extra every other day) and I needed to get this dose authorised. I believe I will be able to do this now but am a bit dismayed that the extra 12.5mg didn't increase the my T4. When it was tested June 28th it was 17.2. Both tests done with no levo/food/coffee on the morning of the test and were done at around 9am, and having stopped any biotin supplement for 4 days before. Have I reached a plateau? I will probably pay for a full thyroid panel test but money is a bit tight at the moment. At least the TSH is low now and in general I've so much more energy - putting that down to the raised iron though.

Thanks very much for any advice anyone has.

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Becsf
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SlowDragon profile image
SlowDragonAdministrator

So you probably have room to increase to 125mcg daily

But ……..Get private test first

test early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

List of private testing options and money off codes

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

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Only do private testing early Monday or Tuesday morning.

Link about thyroid blood tests

thyroiduk.org/getting-a-dia...

Symptoms of hypothyroidism

thyroiduk.org/wp-content/up...

Tips on how to do DIY finger prick test

healthunlocked.com/thyroidu...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

Just TSH, Ft4 and Ft3 test - £32

monitormyhealth.org.uk/thyr...

10% off code here

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Monitor My Health also now offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65

(Doesn’t include thyroid antibodies)

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10% off code here

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I've been taking extra high dose methylfolate as it had been very low. Should I stop this now? I do take a b-complex vitamin with 400mg of methylfolate

Yes suggest you reduce, then try stopping separate folate

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12

CocoLoco12 profile image
CocoLoco12

Please could you tell which iron supplement you used ? Thankyou

Becsf profile image
Becsf in reply toCocoLoco12

Sure. It was vitality iron bisglycinate. 40g per tablet, with vitamin c as well. According to the marketing because it's chelated you don't have to worry about it affecting the absorption of other supplements but I always had it away from other things. I took two per day most days, since around April. It's not available on Amazon anymore but you might be able to find it somewhere else.

Gentle Iron Tablets High Strength, Iron Bisglycinate - Vegan Iron Supplements for Women and Men - Relieve Fatigue and Tiredness with Combination of 60 Iron and Vitamin C Tablets

amzn.eu/d/gk4DDZa

CocoLoco12 profile image
CocoLoco12

Thankyou so much for replying .

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