Question: Hi I have had low iron for over a year... - Thyroid UK

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HannahTayl28 profile image
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Hi I have had low iron for over a year in January 2024 I was experiencing horrific bone pain after I move around actively.

I have lost 9 stone nearly in 2 years by doing very low calorie diet on and off.

When I was 9 stone heavier I had no pain or problems.

When I had blood tests in January I had full blood count ,every routine blood test the NHS give in uk,the test came back OK apart from

Low vitamin D

Low Iron

Low Selenium

My hair has thinned 50 percent ,I'm very pale and my chest hurts when I'm stressed which is alot as I'm currently studying a qualification for 3 years so if I fail it's alot of pressure on me etc.

I have even given no help from my doctor at all,he said you would need to go private if you want investigate as nhs guidelines don't permit this.

I've been taking 4000 up vitamin D a day,but I've got low vitamin d2 and d3 along with the low iron and Selenium and I've read online if your low on one thing it just won't work.

I don't even though if I'm taking vitamin d2 or d3 ,it just says vitamin D

I'm very lost and I feel as if I've got a underlying problem as I have unexplained bruising for 2 years now but the bruises are only on my legs no where else.

They are the size of my hand and appear from no where

My aunt has myeloma blood cancer and my mum has lupus.I know people say it don't relate to families however there seems to be a issue with bloods.

Can anyone help me in any direction, I would love to go private for deeper blood tests or anything however it will be expensive, I'm looking to have a specific test that maybe could solve this ?

I have read about Vitamin D IV and Selenium IV

I'm worried as don't want this to develop into an illness untreated as its been 3 months now and my hair is falling out even more.

I told the doctor and he said your hair looks fine

I'm 28 and lost 9 stone if that's make any difference,I'm worried about infertility too.

Any advice tablets ,tests or anything would help.

Thank you

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HannahTayl28
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8 Replies
FallingInReverse profile image
FallingInReverse

Hannah, you’ve come to the right place! Your story is very familiar in many ways to many of us here. We can definitely help with guidance, shared experience, and generally to support you as you explore why you are feeling so bad!

First question - it’s helpful to share full blood test results, because even though doctors always assume “in range” is “ok” - when it comes to thyroid, it’s not always ok at all. So please share what you have, including the ranges.

So from a thyroid perspective, and iron as well here are the blood tests we recommend.

A compete picture of your thyroid health comes from these tests:

1) TSH

2) Free T3

3) Free T4

Plus these vitamins

4) ferritin

5) folate

6) B12

7)Vit D3

****Consistently test all at the same time, around 9 am is best if you can. Fasting before. No biotin for 3-5 days before. Wait a full 6-8 weeks after a dose change ****

These should be tested to see if an autoimmune cause to any thyroid issues can be identified:

1) TRab

2) TSI

3) TPOab

4) TGab

Finally, an iron panel generally consists of:

-Iron

-Total iron-binding capacity (TIBC)

-Transferrin saturation

-Ferritin (note - also in thyroid panel)

-High Sensitivity CRP (CRP-hs)

but also could include transferrin, and UIBC.

You’ll get lots of great input here! Let us know any and all questions you have. Welcome!

SlowDragon profile image
SlowDragonAdministrator

That’s significant weight loss

Presumably this was intentional ?

Are you diagnosed as having a thyroid issue?

Can you add actual vitamin D and ferritin results

What’s GP doing about your low iron/ferritin

For full Thyroid evaluation you need TSH, FT4 and FT3 tested

Also both TPO and TG thyroid antibodies tested at least once to see if your hypothyroidism is autoimmune

Very important to test vitamin D, folate, ferritin and B12

If your GP hasn’t done all these tests you can test privately

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test

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

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

Post all about what time of day to test

healthunlocked.com/thyroidu...

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus BOTH TPO and TG antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes BOTH TPO and TG antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Only do private testing early Monday or Tuesday morning.

Link about thyroid blood tests

thyroiduk.org/testing/thyro...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism

thyroiduk.org/signs-and-sym...

Tips on how to do DIY finger prick test

support.medichecks.com/hc/e...

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

SlowDragon profile image
SlowDragonAdministrator

if you add your results members can advise on next steps

FallingInReverse profile image
FallingInReverse

Also Hannah, I should have mentioned just one thing also. My daughter (17 years old) had the same kind of bruising you describe and it ended up being iron anemia with an almost non existent Ferritin (it was about 5) and under range iron.

Please do share all your blood test results and we can advise on some next steps for you to get some of this sorted!

HannahTayl28 profile image
HannahTayl28

This was result in January, I have taken vitamin d 4000ui everyday that I brought online

Photo
HannahTayl28 profile image
HannahTayl28

Photo

Photo
HannahTayl28 profile image
HannahTayl28

This is a bruise on my leg my legs are still large even though I lost weight, but this seems a bug bruise.Showed the doctor, no interest in it

Bruise
humanbean profile image
humanbean

I don't even though if I'm taking vitamin d2 or d3 ,it just says vitamin D

I don't know if this will help.

Check the ingredient lists for :

Ergocalciferol which is Vitamin D2

Cholecalciferol which is Vitamin D3

Vitamin D3 is a better supplement than Vitamin D2.

Most D3 supplements are sourced from animal products e.g. the lanolin from sheep's wool. If you are vegetarian or vegan you might prefer Vitamin D3 which is sourced from lichen. It has only become available in recent years but there are plenty to choose from on Amazon, and probably other sites selling vitamin D.

You might find this link of help :

grassrootshealth.net/projec...

Remember that vitamin D in excess can become toxic so regular testing is essential. Once you've got your level to optimal you might need a maintenance dose to keep your level where you want it.

You should be aiming for a level of 100 - 150 nmol/L. Personally I get no benefit if my levels go above 100 nmol/L but some people feel better at higher levels.

Just as an example of what you need to learn :

When I take vitamin D at 1000 iU per day, my levels in testing drop.

When I take vitamin D at 2000 iU per day, my levels stay fairly stable.

When I take vitamin D at 4000 iU per day, my levels rise (slowly).

It would be helpful if you could learn your equivalent doses for this.

Let's suppose you need 5000 iU to make your levels actually rise, and when your level is optimal you might find that a dose of 3000 iU keeps your levels stable, you might find that taking 5000 iU 3 or 4 days a week will maintain your levels.

I find that knowing these things about my supplements is helpful in saving money.

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