Blood work - normal?

[Abingdon]

I have recently been experiencing some mild-moderate symptoms including loss of appetite, cramping and nausea if I do manage to eat, fatigue, and just generally feeling not like myself. I have also noticed my mental agility is perhaps not what it used to be and I sometimes find myself struggling to follow topics that I would have been fine with previously.

I went to see the doctor, and a urine test indicated a UTI. So I took the course of antibiotics and returned when I still had the same symptoms. Another urine test suggested no sign of infection but I still had blood and protein in there.
Next the doc ran some blood tests and I've just gone back for the follow up. She doesn't seem too concerned and has just asked me to come back in 2 weeks for a follow up urine test, despite there still being protein and blood in my urine today.

The bloods showed just under the threshold for ferritin (but the doc said this was still fine), but everything else came back normal.
I was hoping someone more knowledgable than I am would mind having a look over and seeing if everything seems to be looking good? I know the NHS thresholds for lots of tests are notoriously low, so thought perhaps self-supplementing with vitamins might do some good?

Any advice anyone would have would be sooo appreciated! I'm pretty fed up with feeling like crap but being told that everything is fine.

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Today's urine results:

Urine protein test = +++
Urine blood test = ++
Urine glucose test negative
Urine nitrite negative
Urine ketone test = +
Urine leucocyte test = negative

Blood tests from one week ago:

Haemoglobin A1c level - IFCC standardised 30 mmol/mol [< 42]
Serum potassium level 4.9 mmol/L [3.5 - 5.1]
Serum sodium level 145 mmol/L [136 - 145]
GFR calculated abbreviated MDRD > 60 mL/min/1.73m*2 [60 - 90]
Serum creatinine level 65 umol/L [44 - 80]
Serum folate level 3.9 ng/ml [3.9 - 25]
Serum vitamin B12 level 384 ng/L [197 - 771]
Serum albumin level 46 g/L [35 - 52]
Serum urea level 4.6 mmol/L [2.8 - 8.1]
Serum TSH level 2.13 miu/L [0.27 - 4.2]
Serum free T4 level 14.3 pmol/L [12 - 22]
Serum alkaline phosphatase level 67 iu/L [35 - 104]
Serum globulin level 22 g/L [18 - 36]
Serum total protein level 68 g/L [66 - 87]
Serum alanine aminotransferase level 11 iu/L [0 - 33]
Serum total bilirubin level 4 umol/L [0 - 21]
Serum C reactive protein level 1.1 mg/L [0 - 5]
Serum ferritin level 12.7 ng/ml [13 - 150]

I can only speak to the ones I know about OP, but no wonder you feel unwell.

Serum folate level 3.9 ng/ml [3.9 - 25] – this is right at the bottom of the range and needs to be nearer the top. Green leafy veg or methyfolate supplements are the way to go.

Serum vitamin B12 level 384 ng/L [197 - 771] – this is too low. It needs to be over 500 and possibly even nearer 1,000. It’s water soluble so you can’t overdose and Jarrows sublingual lozenges from Amazon are the way to go with this.

Serum TSH level 2.13 miu/L [0.27 - 4.2] – this is a tad too high. It should be around 1 in a healthy person.

Serum free T4 level 14.3 pmol/L [12 - 22] – this is too low. It should be 19 or 20. Looking at this with the TSH, I think your thyroid function needs monitoring and if I were you I would ask for thyroid antibodies to be checked now, just in case you’re winding up for autoimmune thyroiditis aka Hashimotos Disease.

Serum ferritin level 12.7 ng/ml [13 - 150] – this is appalling. Your ferritin is under range, when it actually needs to be in the 100-130 area at least. You should be having an infusion to bring your levels up instantly, but I’d put money on your not getting that from the NHS, so you will need a proper iron supplement (not Spatone) as a matter of urgency.

You might need a new GP as well on this showing.

Pleasemrstweedie, thank you so much for the reply! While I'd prefer to be fit and healthy, it's such a relief to hear there might actually be a reason I feel this way. At least now I can take some actions to help rather than relying on my clearly useless GP sigh

I will be taking your advice immediately with the supplements, and will be getting an appointment with a different doctor at the practice ASAP. I do wonder though if their hands are tied if the results come back within the given 'normal' ranges?

Fingers crossed the supplements start to make me feel human again, and again, thank you so much Pleasemrstweedie

You weren't tested for vitamin d

Are you due or on your period this could explain blood?

Also are you eating enough?

My period is due in a week, but there's been blood in my urine every time it's been tested (3 times, each about a week apart).

At the moment I'm definitely not eating enough - I've lost my appetite and when I do eat I get stomach cramps, nausea and diarrhoea (although I've only actually been sick once). I wouldn't say my diet was fantastic before this started but it wasn't terrible either - salad or soup from work's canteen for lunch, and a reasonable dinner. I was surprised by the low ferritin because of this actually, my OH runs a steak restaurant so I definitely get my share of red meat!

No idea why I wasn't tested for vitamin D. I'll definitely request this too when I see another GP.

I think GPs don't even look at the results unless they are outside the normal. My vitb12 and iron were at the lowest level and not a word was said. I got some thyroid tests done privately as TSH was 'normal'. You might want to look up subclinical hyper or hypothyroid.
Hope you can find something to help.