Multi Vitamins?

[Nicksellick]

Hi,
I have had my annual review today, my frst one.
Dianosed T2 on October 19th 2022. A1c of 115.
12 months later, to the day, A12 43. So chuffed and so close to remission. Fingers crossed for next test.
My figures were generally good, but the DN made a couple of suggestions.
1. Take a multi vit with a decent B12 and vitamin D dose. My B12 and my haemoglobyn were borderline low.
2. Try and reduce my cholesterol.I confess to not quite understanding the cholesterol.
My numbers are as follows. Serum cholesterol 5.7 mmol/l
Serum HDL cholesterol 1.4 mmol/l.
Se non HDL cholesterol. 4.3mmol/l.
Serum cholesterol/HDL ratio. 4:1.

If anyone can recommend a decent, but not exorbitant multi vit, and or unpick the cholesterol stuff. I’d be enormously grateful.
Thank you.
Cheers Nick.

 

[HSSS]

What were you triglycerides and ldl? without these it’s not a full panel and even then without particle size it’s still a bit limited. There is a huge thread by Bulkbiker explaining cholesterol and how most medics don’t really under it properly according to the latest research and findings.

a multi vitamin will do very little for b12 levels and even less for haemoglobin, a waste of money imo. The amounts are too small and the type used is usually cheap and least available forms for absorption. And for b12 especially once you start supplementing any blood test might show a rise for the next 4 months but it doesn’t necessarily mean it’s being absorbed and used properly. Active b12 is better but rarely done in the nhs. And unless you are avoiding animal products or have an known reason for low levels this needs to be identified or else you’re just filling a leaky bucket. Did they test ferritin or folate? This can be deficient even when haemoglobin is ok.

Do a bit of research of the various forms of b12 and the cofactors needed on their various forms (iron, folate, vitamin d, magnesium) as they all work together for both b12 and haemoglobin Levels.

well done on the great hba reduction

 

[Nicksellick]

What were you triglycerides and ldl? without these it’s not a full panel and even then without particle size it’s still a bit limited. There is a huge thread by Bulkbiker explaining cholesterol and how most medics don’t really under it properly according to the latest research and findings.

a multi vitamin will do very little for b12 levels and even less for haemoglobin, a waste of money imo. The amounts are too small and the type used is usually cheap and least available forms for absorption. And for b12 especially once you start supplementing any blood test might show a rise for the next 4 months but it doesn’t necessarily mean it’s being absorbed and used properly. Active b12 is better but rarely done in the nhs. And unless you are avoiding animal products or have an known reason for low levels this needs to be identified or else you’re just filling a leaky bucket. Did they test ferritin or folate? This can be deficient even when haemoglobin is ok.

Do a bit of research of the various forms of b12 and the cofactors needed on their various forms (iron, folate, vitamin d, magnesium) as they all work together for both b12 and haemoglobin Levels.

well done on the great hba reduction

Wow, thank you. You clearly know your stuff. I thought the numbers were a bit lacking, I’ll try and get more details. Thanks again for taking the time.

 

[HSSS]

Wow, thank you. You clearly know your stuff. I thought the numbers were a bit lacking, I’ll try and get more details. Thanks again for taking the time.

Needs must as I’ve had chronically low b12, ferritin, vit d and iron for years and. Totally ignored by the nhs and numerous drs as ok despite ongoing symptoms. Sometimes labs are a deterrent to the old fashioned methods of treating symptoms

Lab reference ranges are NOT the same as optimal levels. They are what’s typically seen by that lab (95%). Consider it’s people not well that are typically tested and regionally particular health conditions are common and that if a lab tells a dr it’s ok the person will not be treated and then that same level will be seen as normal or diagnosed as idiopathic (we don’t know what the problem is!) or some syndrome attributed to non specific symptoms.
Low b12 and low ferritin can present with symptoms well above the nhs minimal levels. In Japan for instance they treat anyone with b12 below 500. In the U.K. it about 160. NICE say that ferritin under 30 (regardless of haemoglobin levels) is absolute iron deficiency (not the same as anemia) yet lab minimal reference is about 11 to 13. Quality optimal references begin at 50 and many are at 100