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<blockquote data-quote="Brunneria" data-source="post: 2091663" data-attributes="member: 41816"><p>I asked for a test for Vit D deficiency, and was refused by my doc. Then I paid for it privately and yup, I was deficient, so now supplement.</p><p>This link is to a 2014 NHS costing statement showing that large chunks of the NHS patients are deficient in D, assessing the huge cost of testing and treating, and basically saying 'so only test high risk groups, and encourage everyone to get out into the sun a bit or fund their own supplements - yes, that is a very rough paraphrasing! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /></p><p><a href="https://www.nice.org.uk/guidance/ph56/resources/costing-statement-69288013" target="_blank">https://www.nice.org.uk/guidance/ph56/resources/costing-statement-69288013</a></p><p></p><p>Because of that, I have funded a few extra private tests, and discovered significant deficiencies in folate and B12 too - both of which I now supplement. These tests were never offered by a doc despite me describing the symptoms (particularly fatigue) repeatedly.</p><p></p><p>The one time I did manage to manoeuvre a folate test out of my doc (and it took some manoeuvreing!) the test result came back as 'sample unviable' and I was cheerfully told 'no further action! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> '</p><p>That is the point I started to pay for the multiple tests myself.</p><p></p><p>What I <em><strong>have </strong></em>been offered repeatedly were the very basic thyroid tests (I think they see a fat woman and think of thyroid), but so far that <strong><em>very basic</em></strong> thyroid test result has always been fine.</p><p></p><p>The NHS tests for potassium and magnesium are basic too. As I understand it, they test for the magnesium in the blood, not the tissues, and the body lowers reserves in the tissues to maintain levels in the blood. Therefore the body's cells can be deficient while the bloodstream levels show a sufficiency. I understand that a more accurate magnesium test (the EXA test) is to take some cells, which is of course much more expensive, and therefore not on the NHS list of available tests.</p><p><a href="https://www.webmd.com/a-to-z-guides/magnesium-test#2" target="_blank">https://www.webmd.com/a-to-z-guides/magnesium-test#2</a></p><p>This study link shows that up to a third of low potassium (hypokalemia) may be missed because various factors during and after the test can give a falsely high reading.</p><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662091/" target="_blank">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662091/</a></p><p></p><p>So basically what I am saying is that</p><p>- I don't expect the NHS to reliably test and identify nutritional deficiencies</p><p>- I don't expect the NHS to be willing to run the tests in the first place</p><p>- I don't expect the NHS to spot the symptoms of deficiency to identify a need for the tests in the first place</p><p>- I take the view that I am responsible for monitoring my nutrition and deficiences and will then seek medical advice where I see a problem that I cannot deal with myself.</p><p></p><p>Obviously, I don't expect anyone else to have that attitude, so I am speaking for myself.</p><p>(I currently supplement with D3, K2, Potassium, Magnesium, Manganese, B vits, Omegas, Q10, folate and extra B12 and Vit C - and I feel better on them than off)</p></blockquote><p></p>
[QUOTE="Brunneria, post: 2091663, member: 41816"] I asked for a test for Vit D deficiency, and was refused by my doc. Then I paid for it privately and yup, I was deficient, so now supplement. This link is to a 2014 NHS costing statement showing that large chunks of the NHS patients are deficient in D, assessing the huge cost of testing and treating, and basically saying 'so only test high risk groups, and encourage everyone to get out into the sun a bit or fund their own supplements - yes, that is a very rough paraphrasing! ;) [URL]https://www.nice.org.uk/guidance/ph56/resources/costing-statement-69288013[/URL] Because of that, I have funded a few extra private tests, and discovered significant deficiencies in folate and B12 too - both of which I now supplement. These tests were never offered by a doc despite me describing the symptoms (particularly fatigue) repeatedly. The one time I did manage to manoeuvre a folate test out of my doc (and it took some manoeuvreing!) the test result came back as 'sample unviable' and I was cheerfully told 'no further action! :) ' That is the point I started to pay for the multiple tests myself. What I [I][B]have [/B][/I]been offered repeatedly were the very basic thyroid tests (I think they see a fat woman and think of thyroid), but so far that [B][I]very basic[/I][/B] thyroid test result has always been fine. The NHS tests for potassium and magnesium are basic too. As I understand it, they test for the magnesium in the blood, not the tissues, and the body lowers reserves in the tissues to maintain levels in the blood. Therefore the body's cells can be deficient while the bloodstream levels show a sufficiency. I understand that a more accurate magnesium test (the EXA test) is to take some cells, which is of course much more expensive, and therefore not on the NHS list of available tests. [URL]https://www.webmd.com/a-to-z-guides/magnesium-test#2[/URL] This study link shows that up to a third of low potassium (hypokalemia) may be missed because various factors during and after the test can give a falsely high reading. [URL]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662091/[/URL] So basically what I am saying is that - I don't expect the NHS to reliably test and identify nutritional deficiencies - I don't expect the NHS to be willing to run the tests in the first place - I don't expect the NHS to spot the symptoms of deficiency to identify a need for the tests in the first place - I take the view that I am responsible for monitoring my nutrition and deficiences and will then seek medical advice where I see a problem that I cannot deal with myself. Obviously, I don't expect anyone else to have that attitude, so I am speaking for myself. (I currently supplement with D3, K2, Potassium, Magnesium, Manganese, B vits, Omegas, Q10, folate and extra B12 and Vit C - and I feel better on them than off) [/QUOTE]
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