Help with blood results please

[Maria-33]

My Daughter has just had some blood results and I would be grateful if you could advise on them. I know I should be able to help having had a TT nearly 20 years ago and I have previously received invaluable help from members. But my cognitive abilities have declined and I cannot even remember how to find my posts as my memory has been wiped of a lot of my built up knowledge. I would be appreciative for any help given . My Daughters GP has told her all is fine except her folate and has prescribed a months medication. My Daughter has also struggled with PCOS since a young age.

TSH - 2.5 (0.27 - 4.5)

Free T4 - 12.1 (11.0 - 23.0)

B12 - 274ng/L (197.0 -771.0)

Folate - 1.3 ug/L (2.0 - 18.7)

Ferritin- 85.1 ug/L (20.0 - 130.0)

Free T3 could not be taken

Thank you

[Jaydee1507 Administrator]

What time of day was this test taken & is daughter diagnosed or not yet?

Ferritin is pretty good but depends if any inflammation is present which can give a false high.

Folate is deficient. Show results to GP for them to repeat test and hopefully offer folic acid prescription. Don't start folic acid until investigations re low B12 are complete.

B12 is very low.

B12 - does she 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...

B complex suggestions: Slightly cheaper options with inactive B6:

amazon.co.uk/Liposomal-Soft...

Contains B6 as P5P an active form:

bigvits.co.uk/thorne-resear...

healf.com/products/basic-b-...

Explanation about the different forms of B6:

helvella.blogspot.com/p/hel...

Need to test vit D.

NHS easy postal kit vitamin D test £31 via

vitamindtest.org.uk

[Maria-33 in reply to Jaydee1507]

Thank you for your reply and information given. It is interesting you mention information, would the bloods I have just provided cause a difference in ferrtin ?

Bloods taken morning and my Daughters GP are prescribing folic acid and will retest that, but not B12 as they say this is in range.

Bloods were not taken for thyroid (no diagnosis of thyroid) but for a medication for anxiety I believe

[Jaydee1507 Administrator in reply to Maria-33]

What time of the morning were the bloods taken? Theres quite a differnce between early and late morning.

Is she vegan or vegetarian? You need to start a B12 supplement before the folic acid.

You havent given an inflammation marker result such as CRP so its hard to know without that if she has inflammation.

her FT4 is very low in range so suggest retesting after a few months on supplements for B12 & folic acid.

[Maria-33 in reply to Jaydee1507]

It was early morning. I did post the actual result's but goodness knows where I sent them 🙄 I will see if I can write them in.

Total white blood count…13.7 10*9/L (4.3 - 11.2)

Platelet count…. 413 10*9/L (150.0 - 400.0 )

Neutrophil count…. 9.42 10*9/L (2.1 - 7.4)

Eosinophil count…0.14 10*9/L (0.02 - 0.05)

Basophil count….0.09 10*9/L (0.02 - 0.1)

The above they are going to repeat

Serum C reactive protein level 19mg/L (<5.0) Boderline (no further action)

Liver marked satisfactory

Urea and electrolytes marked satisfactory

Haemoglobin A1c level - IFCC marked satisfactory

[Jaydee1507 Administrator in reply to Maria-33]

Is she vegan or vegetarian? This is important to give an idea as to why her levels are so low.

Suggest she get’s tested for coeliac.

Her inflammation is high so likely ferritin is low too.

Does she have an infection?

[Maria-33 in reply to Jaydee1507]

No she is not vegan and usually eats a well balanced diet. She did have an infection and her bloods were taken about 2 weeks after she came off the antibiotics

[pennyannie]

Hey there again :

To find your previous posts and all you have written and all your replies simply press the

Profile icon alongside the My Hub-Chat-Post-Alert and Menu icons which on my laptop are top right on this page - so if not there - look bottom left on whatever you are using ???

Also I sent you a PM a year ago - so that will be under your Chat box icon.

[Maria-33 in reply to pennyannie]

Thank you so much this is a great help. It is so frustrating not being able to remember things

[SlowDragon Administrator]

is your daughter diagnosed and on levothyroxine or trying to get diagnosed

Her Ft4 is extremely LOW

If she’s on levothyroxine she needs 25mcg dose increase

Is she’s not on levothyroxine she needs retesting 6-8 weeks after improving very low vitamin levels

She needs thyroid antibodies tested for autoimmune thyroid disease (hashimoto’s)

Autoimmune thyroid disease and PCOS are strongly linked

Recommended that all thyroid blood tests 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)

is this how she did her test

[Maria-33 in reply to SlowDragon]

No my Daughter was having blood tests for something else and the Doctor still has not mentioned the thyroid after the blood tests. I will speak to my Daughter and ask her to speak to her GP. It is a huge help the information provided.

Thank you 🙂