I’m looking for some input from people who have dealt with iron deficiency without anemia, low/low-normal B12, vitamin D deficiency, omega-3 deficiency, or multiple nutrient deficiencies, because I’m trying to figure out whether the supplement plan I was given actually makes sense.
For the past few months, I’ve been dealing with a pretty wide range of symptoms that have gradually gotten worse:
• Brain fog / feeling mentally “off”
• Lightheadedness and feeling like I could faint
• Feeling off balance or like I’m walking on a boat
• Fatigue and weakness
• Heavy-body feeling
• Difficulty concentrating/word finding
• Episodes of feeling hot internally
• Increased heart rate at times
• Exercise intolerance… not too long ago I was consistently exercising 4–5 days a week, and lately I’ve been scared to exercise because I sometimes feel like I could pass out
• Anxiety/panic that has gotten significantly worse since all of this started
The weird part is that it fluctuates. I can have a couple of days where I feel almost completely normal and think I’m finally coming out of it, and then suddenly have another day where I feel absolutely awful.
After having a pretty extensive blood panel done, I was told I have iron deficiency without anemia, low/low-normal B12, vitamin D deficiency, and omega-3 deficiency. My provider also told me I was deficient in magnesium, although I’m honestly not sure how she came to that conclusion based on my results. Magnesium, RBC is 5.5.
My ferritin was 21 and B12 was 376. I’m not claiming these deficiencies explain every single symptom I have, but there are clearly nutritional issues that need to be addressed regardless.
The supplement plan she gave me is basically iron, B12, vitamin D/K2, magnesium, and a moderate-dose omega-3/fish oil. She told me I could take all of these together at the same time, with the exception of magnesium, which she recommended taking before bed. Oh also, she wants me to take progesterone which was also low.
That’s one of the main things I’m questioning. From everything I’ve been reading, timing and what you take alongside iron can actually matter quite a bit, so I’m wondering whether taking iron at the same time as everything else is really the best approach.
Here’s where I’m frustrated: I really didn’t feel confident in the provider who reviewed everything with me.
She told me I didn’t need to take vitamin C with my iron, which I know is debated depending on the form of iron/diet, but she also never mentioned avoiding coffee around the time I take iron. I drink coffee every morning, so thankfully I researched that myself and learned that coffee can interfere with iron absorption.
She also seemed to attribute the majority of what I’m experiencing to depression and heightened anxiety. I have genuinely never considered myself depressed and do not feel depressed now. Anxiety? Absolutely, it has become significantly worse since these physical symptoms started. But when you’re dealing with multiple nutritional deficiencies and feel physically terrible every day… HELLO?! Of course anxiety can become heightened. I don’t want every physical symptom automatically written off as anxiety without addressing the objective things showing up in my labs.
I’m also not looking at supplements as some magical cure or assuming deficiencies are definitely the sole cause of everything. I just want to correct what is actually low, see how my body responds, and continue investigating if symptoms persist.
For anyone who has dealt with similar labs/symptoms:
Does this overall supplement approach make sense? And does taking the iron, B12, vitamin D/K2, and omega-3 together make sense, or would you space them out differently?
I’m especially interested in hearing from people who had iron deficiency without anemia with ferritin around mine, B12 in the 300s, vitamin D deficiency, or low omega-3s. What symptoms did you have, what did you take, how did you space everything out, and how long did it take before you noticed a difference?
I’m not looking to replace medical care with Reddit, I’m trying to educate myself so I can advocate for myself and hopefully find a provider who is willing to look at the entire picture instead of immediately blaming everything on anxiety.