Anaemia test results: I have recently done an... - Thyroid UK

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Anaemia test results

Tina_Maria profile image
8 Replies

I have recently done an anaemia test and would like some input please. This was done with Monitor My Health. Their analysis and interpretation is according to the British Society of Haematology, which just specifies which levels indicate deficiency. I have added the top value of the green range MMH uses to provide a sense of scale; however, it does not distinguish between male and female.

Haemoglobin (Hb): 152 ug/L (120 - 270) <120 in women indicates anaemia

Ferritin: 55 ug/L (15 - 410) < 15 indicates anaemia

TSAT: 40% (16 - 52%) < 16 indicates anaemia

active B12: 184 pmol/L (38 - 210) < 38 indicates deficiency

Folate: 13.5 ug/L (3-25) < 3 indicates deficiency

From what I understand is that my iron is not that bad, but my Ferritin (iron stores) might be a bit on the low side?

Active B12 looks okay, but perhaps folate could be a bit higher? Although I should say that my first folate test failed, so had to do it again and by that time I was 2 weeks off the Igennus B-complex I usually take, so that could have impacted on the reading.

Suggestions welcome, thanks!

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8 Replies
SlowDragon profile image
SlowDragonAmbassador

Although I should say that my first folate test failed, so had to do it again and by that time I was 2 weeks off the Igennus B-complex I usually take, so that could have impacted on the reading.

Yes very likely

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)

Look at increasing iron rich foods to improve ferritin

Tina_Maria profile image
Tina_Maria in reply toSlowDragon

Thanks slowdragon, I was considering having chicken liver once a week to raise the ferritin levels. I have noticed that been eating less meat over the last year (not deliberately I should say), I guess I have to be more conscious about keep ferritin levels higher.

I will look into the methyl folate before the blood tests in the future. Thanks again.

humanbean profile image
humanbean

I have added the top value of the green range MMH uses to provide a sense of scale; however, it does not distinguish between male and female.

Anaemia for males is defined by the World Health Organisation as a level of haemoglobin under 30 g/L.

Source :

See page 3 / Table 1 of the following document :

iris.who.int/bitstream/hand...

...

Haemoglobin (Hb): 152 ug/L (120 - 270) <120 in women indicates anaemia

Ferritin: 55 ug/L (15 - 410) < 15 indicates anaemia

TSAT: 40% (16 - 52%) < 16 indicates anaemia

active B12: 184 pmol/L (38 - 210) < 38 indicates deficiency

Folate: 13.5 ug/L (3-25) < 3 indicates deficiency

1) Your haemoglobin is good.

2) Your ferritin is a bit lower than optimal. See this link :

thyroidpharmacist.com/artic...

Quote :

Normal ferritin levels for women are between 20 and 200 ng/mL. According to some experts, ferritin levels of at least 40 ng/ml are required to stop hair loss, while levels of at least 70 ng/ml are needed for hair regrowth. The optimal ferritin level for thyroid function is between 90-110 ng/ml.

For optimal levels of other iron related measures :

rt3-adrenals.org/Iron_test_...

3) Transferrin saturation:

• optimal is 35 to 45%

• higher end for men

4) Active B12 - I'm not sure what the optimal level is for Active B12, but for Serum B12 see these links :

Which form of B12 to supplement with : perniciousanemia.org/b12/fo...

Personally, I use methylcobalamin.

perniciousanemia.org/b12/le...

perniciousanemia.org/b12/le...

Optimal levels for Active B12...

I aim for a level which is top of range or 150 pmol/L.

5) For folate I don't have a special source for optimal. Personally I supplement with methylfolate 1000mcg per day to raise my level or, for maintenance, I would supplement the same dose for 2 or 3 days a week.

It is important to keep levels of other B vitamins at a good level and to use only active forms when supplementing. See this link for more info :

jigsawhealth.com/blogs/news...

Tina_Maria profile image
Tina_Maria in reply tohumanbean

For some reason my haemoglobin levels were always on the higher end of the scale (same for my Mom interestingly, so probably genetic), even before menopause. It is a bit of a shame though that they use such a wide scale, as it is difficult to gage where your levels are, as other female ranges are a lot narrower.

I thought that the ferritin looked a bit on the low side, but I think I might be able to address this with some additional helpings of haem iron in the diet. I noticed a bit more hair loss over the last 6 months (although there is regrowth as well), so it will be interesting to see if that will improve.

Methylfolate supplement sounds like a good idea, I am usually taking 1 Igennus B-complex tablet per day, but I was off it for 2 weeks before my folate was measured, as the first sample was haemolysed.

Thanks very much for your input and helpful links, greatly appreciated! 👍😉

jgelliss profile image
jgelliss in reply tohumanbean

Very informative . I would love to know if you add the 1000mcg folate in addition to taking B-Complex?

humanbean profile image
humanbean in reply tojgelliss

I only take a separate folate supplement in addition to B Complex if testing shows my folate is below optimal. I don't need to take it every day - I probably take it no more than 2 or 3 days a week.

jgelliss profile image
jgelliss in reply tohumanbean

Thank you Human bean for your very kind response. It amazes me how wonderful and kind the members are and lift one another to in better one anothers lives.

Tina_Maria profile image
Tina_Maria

I know, liver is not everyone's cup of tea! 😂 I haven't had it for years, so I hope that my taste buds have not changed too much, as it is actually quite nutritious. If not, I am sure there is other haem iron I can incorporate. As my haemoglobin level is quite good already, I am trying to raise the ferritin with diet in the first instance.

It is interesting though, that although I do eat lots of beans, wholegrain and green veg, it's just not as good in keeping the ferritin at an optimal level 😢.

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