Blood test results opinions/advice

[IgnoreMeEveryOtherReindeerDoes]

DD is 18 had bloods checked because of symptoms tired (more than just your typical teenager tired) /fatigue, always cold, headaches these are her results which have come back normal

Serum ferritin 32 ng/ml (11.0 - 307.0)

Serum vitamin B12 337ng/L (180.0 - 914.0)
Serum folate 6.1 ng/ml (4.6 - 18.7)
Serum T4 16.7 pmol/L (12.0 - 22.0)
Serum TSH 2.99 miu/L (0.35 - 5.5)

Did ask GP if could check vitamin D as DD an avid sun/day light avoider especially as last year she was on Roaccutane and occasionally still uses a cream that makes skin more sensitive to Sun, she is so pale she's almost transparent (she scars/bruises really easy) GP refused to test vitamin D

Am at a loss so can anyone give any suggestions or advice please

I would venture to suggest that these results are not 'normal', they are all within range, which is very different.

Ferritin should be at least 70 and preferably mid-range to be optimal. Ferrous fumarate tablets OTC should fix that.
Vitamin B12 needs to be over 500 to be sure of avoiding neurological damage. You can buy sublingual lozenges online which will raise this level. B12 is water soluble, so you can't overdose.
Folate needs to be high in range to be optimal. A folacin supplement can fix this.

TSH in a healthy, unmedicated person would usually be around 1.
FT4 in a healthy, unmedicated person should be in the top 25% of the reference range. This FT4 is just in the bottom half of the range.

With results like this, aside from the other issues, your DD is almost certainly deficient in vitamin D. You can get it tested through City Assays for less than £30, you can google for the protocol in your area and go back and tackle the GP, or you can just get a supplement and go for it. Loads of information online. Try the vitamin D Council.

Fixing the vits and mins will all help, but your DD would be diagnosed hypothyroid in many other developed countries, where the cut off for TSH is 2.5 and it does rather look as if her thyroid will fail at some point. The NHS will not treat her now and indeed may not do so unless or until her TSH reaches 10.

Oh, and I'm a historian, not a doctor.

Thanks for your reply it has really helped I looked at Hyperthyroid and it explains other symptoms she has that I didn't think where linked.

Am pissed tbh at the Dr dismissing almost mocking my theory as to why she lacking vitamin D.

With regards to the B12 subliminal lozenges I've looked online but confused by the difference mcg amount or the best place to purchase, are you allowed to recommend? Or would something like B12 from Holland & Barret be just as effective?

I will try my local chemist for the other two supplements

I get a B12 spray & a vit D spray from holland & barratt - which are very easy to take - I also take iron - umm Floradix tablets (which don't upset my tummy & have folate in as well I think)

I had to fight for a Vit D test & it was very very low

Agree with everything please says. I'm not a doctor either!

I had a ferritin level of 12 and was told I was fine.

Sadly, we need to take control of our own health. I would also bin any wheat too.

thanks for all suggestions DD has been taken supplements for a month now, the getting rid of wheat is hard for DD at moment.

DD was at GP's for her anxiety so I asked again about vitamin D test (different GP) again got told no as if my reasons for request where stupid.

Asked if I got them done private and they come back low then what, reply was that its a grey area.

Paid to have Vitamin D via the vitamindtest.org.uk and her results show insufficiency 37.7 nmol/L

D3 - 34.9 nmol/L
D2 - 2.8 nmol/L

So I'm going to buy her supplements would 3000 iu per day be enough and would this be a forever daily amount?

Your daughter’s vitamin D levels are ‘insufficient’. It would be worth having a look at the treatment protocol for your area, because your GP should really be advising on this.

Having said that, 3,000iu per day sounds good. I take 5,000iu and as soon as I stop, my levels start to fall, but everyone is different.

Remember, vitamin D, which isn’t actually a vitamin, it’s a pro hormone, is fat soluble, so you need softgels, not tablets.

It would be worth going for 3,000iu daily over the winter and re-checking levels in the spring.

Oh and this is the B12 I take: www.amazon.co.uk/Jarrow-Methylcobalamin-B12-1000mcg-Lozenges/dp/B002FJW3ZY

Fixing the vits and mins should help your daughter feel better, but you need to keep an eye on that thyroid. It may not be relevant at the moment, but the NICE guidelines ask for a TSH under 2.00 if TTC or PG.

how odd trhat t hey wouldnt test. vitamin D.

Thank you again for your much valued advice PleaseMrsTweedie next GP appointment of DD I will show copy of results

Noah 2nd GP Thought prescribing antidepressants would be the answer instead