Thalminorguy,
I would suggest higher doses of vitamin D and L-methylfolate. My D level is quite high, as I want it, and it took taking 50,000 IU once weekly to get it where I want it. I am on a high dose of folate daily, 8000 mcg and it is the only thing that gets me through the day. I would not hesitate to take B-12 daily. I am also on a very high, 5000 mcg daily dose. With my thyroid, I have found that folate and B-12 are required for me to get through the day. Magnesium is also recommended. As far as kidney stones, it might be advisable to avoid foods high in oxalates. Good hydration is also extremely important at all times. Turmeic capsules may help with the body pain. I take it morning and night to relieve chronic joint pain.

I want to mention that your RDW is borderline for iron deficiency and it may be helpful to make sure you have adequate iron in your diet. Even though supplements are usually contraindicated in thal minor, a diet that contains adequate iron is necessary.

When a hemoglobin electrophoresis test is done, it gives the breakdowns of the types of Hemoglobin one has. A non-thal will have mostly HbA and small amounts of HbA2 and HbF. HbA2 is normally raised in thal minors and is used to diagnose the condition.

Since iron builds in the body over time and is not easily reduced, I feel we should always use caution when taking added iron. I do not think a high iron diet is appropriate for most people, as iron can cause many problems, as a person ages. Iron contributes to cancers, as well, so keeping iron in a normal range should always be the goal.

Yes, large doses are only recommended if it is L-methylfolate, as the body cannot process large amounts of folic acid. For reference, I am taking 8000 mcg daily to combat the fatigue I get from my bad thyroid. It is the only way I can make it past 4 pm at work.

Dharmesh,
That is wonderful news! I am so happy that you continue to find the inner strength to do what is necessary to maintain a good life.