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So I finally talked to my doctor(the results came back a week ago and it took her this long to get back to me with me calling and leaving a message each day). She says my thyroid hormones are nice and normal and that I should take 1000 IU of Vitamin D and a B12 pill. When she suggested that, I said that I already take a vitamin that has 200% Vitamin D daily value (800 IU) and 100% of B12 (6 mcg). Her response was that I should just take more and that my levels weren't that low. What should I do? Is she right? Should I get a second opinion? Are my thyroid levels fine? I didn't think oral B12 worked if you can't absorb it? Ugh, I"m so frustrated. Symptoms and test results are below.

Symptoms: Always cold, dizzy (vertigo and nausea), soooo tired all the time, gastro problems (both ends of the spectrum), low libido


Nov. 2007 (CBC differential and Comprehensive Metabolic Panel)
TSH 3.076 (range .35-5.5)
AST (liver) 48 (range 0-40)
Everything else was supposedly in range

Nov. 2008 (CBC, TSH, and FT4)
TSH 2.01 (range .45-4.5)
FT4 1.0 didn't get range
Everything else was supposedly in range, but was never given labs

March 2009
ALT (liver) 61 (range 7-56)
AST (liver) 46 (range 15-46)
RDW 11.4 (range 11.5-14.5)
LYMPH 20.3 (range 20.5-51.1)
Everything else in range (also negative for Hepatitis B and C)

April 2009
Vitamin B12 231 (range 211-911)
Folic Acid 20.9 (range 5.4-16)
TSH 1.2 (range .45-4.5)
FT4 .99 (unsure of range)
Vitamin D 37.8 (range 32.02-100)
T4 8.4 (range 4.5-12)
FT3 2.8 (range 2.3-4.2)
TPO antibodies (less than 10)
FLFLOWERGIRL -- Thank you so much for your response. I was wondering if the B12 you mentioned was sublingual or oral or if it even mattered. How much shoudl I take? Should it be a lot in the beginning and lower as time goes on?

My main concern with my doctor was her saying to just take a B12 vitamin because I thought that low B12 meant that you weren't able to absorb it in your stomach. I'm also concerned because my mother passed away from stomach cancer at the age of 49 (didn't fit the typical stomach cancer patient at all) and I know low B12 can be one of the first symptoms. That's mainly why I"m so scared.
I take 1000 mcg. of methylcobolamin and my level is very similar to yours. I also take vit. B6 and methylfolate 1000 mcg. Supposedly taking methylfolate along with the B12 helps with absorption of the B12. I take Vit. D 1000 i.u. as I had low Vit. D too, twice a day.





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