recent blood tests

[alysonkerry-]

My fault try again 😊

Thankyou to everyone who replied to my posts yesterday apologies for not posting correctly these are my recent blood test results

Ferritin 59.6L

B12 351 ng/L

Folate 8.6 ug/L

Albumin 43g/L

Calcium 2.37mmo/L

Adjusted calcium concentration total 2.3

Total white blood count 4.47

Haemoglobin concentrate 134

Platelets 249

Harmocrit 0.401

Mean cell volume 91.1

MCHC 3.35g/L

Red blood cell distribution width 13.5%

Neutrophils 1.78 10”9/L

Lymphocyte count 2.05 10”9/L

Monocyte 0.44

Eosinophil 0.13

Basophil 0.07 10”9/L

Bilirubin 17 umo/L

Celkdine phosphate 59 u/L

Protein 65 g/L

Globulin 22g/L

Serum sodium 141 mmo/L

Potassium 4.4 mmo/L

Urea 5.8 mmo/L

Creatine 57 umo/L

Haemoobim A1c level 36 mmo/L

TSH 1.7

Cholesterol 5.3 mmo/L

Triglyceride 0.6

HD cholesterol 2.1

HDL ratio 2.5

Non high density lipoprotein cholesterol level 3.2 mmo/L

I really appreciate anyone’s thoughts I know there are no T3 or T4 levels as GP wouldn’t test them which is so frustrating. As I mentioned previously I keep getting an intermittent discomfort in my throat / thyroid area Gp examined throat and thyroid fully and checked lymph nodes etc all seemed fine. Just wondered if anyone else had experienced anything similar and how they treat it can eat drink swallow etc normally isn’t a pain & doesn’t feel like something is stuck there just an odd feeling occasionally.

I have had a couple of thyroid scans previously and was told no signs of nodules or goitre but that my thyroid looked like a shrivelled up walnut ?

I take Vit d every day but should I be taking zinc and magnesium and maybe eating a couple of Brazil nuts daily for selenium?

any advice greatly appreciated. Thankyou in advance.

[helvella]

Much easier to read! Thank you.

However, do you have the reference intervals (ranges) as they do vary from lab to lab?

[alysonkerry- in reply to helvella]

Will have a look and post them Thankyou

[alysonkerry- in reply to alysonkerry-]

Ref ranges as follows :

Haemocrit 0.37-0.47

Mean cell volume 82-100

Mean cell Haemo goblin 27-32

MCHC 320-360

Red blood cell distribution 12.0-15.0

Neutrophils 2.0-7.5

Lymphocytes 1.5-4.0

Monocytes 0.2-0.8

Eosinophil 0.0-0.4

Basophil 0.0-0.1

Bilrubin 0.0-21.0

Alkalise phosphate 30-130

Alanine amintransfers 0.0-40

Total protein 60-80

Globulin 20-35

Sodium 133-146

Potassium 3.5-5.3

Urea 2.5-7.8

Creatinine 49-90

Haemo goblin A1c 20-41

TSH 0.3-4.5

Triglycerides <1.8

HDL cholesterol >1.2

These are all the reference ranges that my blood results refer too. GP says all satisfactory? I know my neutrophils are slightly low they always are but other than that all other readings with in the normal range although a lot are nearer the bottom end of range. Thanks again for all yours and everyone else’s help 😊

[SlowDragon Administrator]

Ferritin 59.6L

B12 351 ng/L

Folate 8.6 ug/L

These are low

no vitamin D

Test twice yearly when supplementing

Can test via NHS private testing service

vitamindtest.org.uk

previous post

You are on 100mcg Levo

Obviously need to test TSH, Ft4 and Ft3 together

Suggest you work on improving low vitamin levels FIRST

[alysonkerry- in reply to SlowDragon]

Thankyou will do

[SlowDragon Administrator]

Low B12 and folate

With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement

A week later add a separate vitamin B Complex 

Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.

If Vegetarian or vegan likely to need ongoing separate B12 few times a week

Highly effective B12 drops

natureprovides.com/products...

Or

B12 sublingual lozenges

uk.iherb.com/pr/jarrow-form...

cytoplan.co.uk/shop-by-prod...

In-depth article on different forms of B12

perniciousanemia.org/b12/fo...

B12 range in U.K. is too wide

Interesting that in this research B12 below 400 is considered inadequate

healthunlocked.com/thyroidu...

perniciousanemia.org/b12/le...

And why aiming to keep B12 over 500 recommended

perniciousanemia.org/b12/le...

Low folate

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)

This can help keep all B vitamins in balance and will help improve B12 levels too

Difference between folate and folic acid

healthline.com/nutrition/fo...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid supplements

thyroidpharmacist.com/artic...

B vitamins best taken after breakfast

Igennus B complex popular option. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose and may need separate methyl folate couple times a week

Post discussing different B complex

healthunlocked.com/thyroidu...

Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule) Thorne can be difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 5-7 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

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

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

[alysonkerry- in reply to SlowDragon]

Many many thanks again your so helpful and always take the time to reply and pass on your knowledge your very much appreciated

[SlowDragon Administrator]

Look at increasing iron rich foods in diet

Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption

List of iron rich foods

dailyiron.net

Links about iron and ferritin

irondisorders.org/too-littl...

davidg170.sg-host.com/wp-co...

Great in-depth article on low ferritin

oatext.com/iron-deficiency-...

drhedberg.com/ferritin-hypo...

This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.