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Apologies in advance here I usually read a lot of these boards before I ask neophyte questions .... I have a test for tomorrow AM, and wondered if I should add B12 to it.

I'm male, Hypothyroid, on T4/Armour, suspected adrenal fatigue, not on Cortef yet, all the obvious symptoms.

Looking back at my labs over the past couple of years, I just noticed that my Ferritin has been low.


2/2004:
Iron 124 mcg/dl ( 35 140 )
Ferritin 64 ng/dl ( 22 322 )
Phosphorus 2.8 mg/dl ( 2.5 4.5 )
WBC 7.5 k/mcl ( 4.0 11.0 )
RBC etc. well in ranges

11/2004:
Iron 143 mcg/dl ( 35 185 )
Phosphorus 2.6 mg/dl ( 2.5 4.5 )
Ferritin 46 ng/ml ( 22 322)
WBC 6.2 k/mcl ( 4.0 11.0 )
RBC etc. well in ranges

3/2005:
Iron 62 ug/ml ( 55 165 )
TIBC 310 ug/dl ( 250 400 )
% Iron Saturation 20.0 % ( 15.0 45.0 )
Ferritin 88.0 ng/ml ( 25.0 350.0 )
Transferrin 234 mg/dl ( 175 350 )
B-12 486 ng/ml ( 223 1132 )
Folic Acid (Polate) 10.3 ng/ml ( 3.1 12.4 )
Phosphorus 3.8 mg/dl ( 2.1 6.8 )
WBC 4.8 10^3 ( 5.0 10.0 )
RBC etc. well in ranges

3/2005 (different test):
Iron 98 mcg/dl (35 185 )
Ferritin 33 ng/ml ( 22 322 )
Phosphorus 2.6 mg/dl ( 2.5 4.5 )
WBC 6.1 k/mcl ( 4.0 11.0 )
RBC etc. well in ranges

3/2006:
Iron 106 mcg/dl (35 185 )
Ferritin 45 ng/ml ( 22 322 )
Phosphorus 2.4 mg/dl ( 2.5 4.5 )
WBC 5.7 k/mcl ( 4.0 11.0 )
RBC etc. well in ranges

6/2007:
Iron 98 ug/dl (40 155 )
Ferritin 35 ng/ml ( 22 322 )
Phosphorus 2.2 mg/dl ( 2.5 4.5 )
WBC 6.9 x10E6/ul ( 4.0 11.0 )
RBC etc. well in ranges

Being male, I never thought much about the Ferritin. But that is anemic-ly low, even for a male, right? Now I'm reading that low phosphorus can cause anemia too.

So, one of my tests this month has to be repeated. I'm thinking about adding a B-12 test to that. Does that make sense? Any preparation (avoid supplements for example)?

And, what causes low phosphorus?
Your labs don't indicate that you are anemic. Your red blood cells are of good size (indicated by the MCV). Your iron stores are low for a male but still within the normal range even though we know higher is better.

Your B12 is normal; however, I've heard that higher values are desired. All in all, you are in normal ranges and not anemic. But it wouldn't hurt on trying to increase your iron stores and your B12 levels.
I am in the extreme fatigue camp as well. I was dx as hypo last year. Fatigue has been ongoing for years.

Investigation pointed me toward anemia and adrenals. I found after researching, that I am iron deficient, this is below 20. As I said in my earlier post, my researched indicated that in the clinical nutrition field, 20 is the threshhold for deficiency. Hematoligists and mainstream drs are much lower. What made me consider siding with the clinical nutriiton studies were other articles concerning fatigue in persons who have a ferritin lower than 50. See the well-known BNMJ article:
[url]http://www.bmj.com/cgi/content/full/326/7399/1124[/url]
Iron supplementation for unexplained fatigue in non-anaemic women: double blind randomised placebo controlled trial

I know you are a male, but I would think the conclusions could be applicable to you as well, esp as you are experiencing fatigue and your ferritin has been dropping over the years.

I also had low (but not below range b12). Been working on that as well.

I am at the moment focusing on the ferritin, since I have also had hair loss for years, and I understand that some dermatoligical studies on hair loss and iron status suggest that a level of 70 ferritin is necessary.

If you talk to your dr, he/she will likely not suggest supplementing, esp as concern over hemchromatosis (iron overload) is all the rage, and drs seem to err on the safe side, that is, if you are not below range you do not have a problem.

I will be investigating my adrenals in the near future.

Incidentally, I did see a small jump in my energy when I added Armour to my meds - my free T3 was low even though I was on 100mcg of T4 and I could not tolerate anything higher....:) I know you are on the armour T4 combo, but how are your free values?





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