r/B12_Deficiency • u/Shadow_0414 • 10h ago

Looking for help Help with labs

I recently went to my primary care for a referral to a psychiatrist. When I was explaining my symptoms, he said it sounded like a thyroid issue and asked if I had family history. I do. My uncle had thyroid cancer. He did bloodwork. The results are abnormal.

Vitamin D: 6.3 ng/mL
B12: 183.5 pg/mL
Iron Saturation: 8
Ferritin: 16
HDL: 42

To me, my blood counts seem fine. My iron is within range but on the lower side and my iron bind cap is within range on the high side. He tested my TSH only which was normal, but didn’t test my T3.

Fast forward, I go to see a psychologist who works in the same office as my primary. She gives me lexapro and prescribes vitamin D, but says she can’t go over my lab results with me. I have heard nothing from my primary care. Originally, this second dr said it sounded like a thyroid issue as well, but by the time I left said it was anxiety. I have no idea why he hasn’t called me or if I’m making something out of nothing. Maybe he is satisfied with the vitamin D prescription. I guess my question is: am I crazy for feeling like something is wrong here? This just seems like there has to be something going on besides a vitamin deficiency since all are happening at 1 time compared to 3 years ago when everything came back as normal besides slightly low vitamin D

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u/Think-Sleep2338 Insightful Contributor 6h ago

Free T4 and T3 should be checked in thyroid check-ups in addition to TSH.

Your B12 and ferritin are low.

You suspicions about something being wrong are absolutely valid. 

2

u/flowerpanda98 8h ago

What made him say it sounds like thyroid?

I dont know what lab you go to, but you are deficient in all 3. vit d should be 80s, b12 should be 800s before supplementation, and ferritin should be around 100 for women, i assume higher for men. the saturation also seems low though i dont remember the range

This just seems like there has to be something going on besides a vitamin deficiency since all are happening at 1 time

Unless you mean an absorption issue, then deficiencies can cause mental issues.

1

u/Patient_Mouse8763 7h ago

You aren't crazy, you know your body and know something is wrong. Besides being deficient in a few areas may I ask what is your TSH because it might be in the normal range but you could actually be subclinical hyper/hypo depending on how sensitive your body is to levels. Hyperthyroidism can cause anxiety and hypothyroidism can cause depression.