first post/blood tests results

Hi everyone, I am a 51 year old female that has suffered from fatigue my whole life. When i was a child I was told I had" borderline" Mediterranean anemia... maybe the doctor meant I was a carrier, a minor?? Here are some blood test results.. How do these look? What else should i have tested to seem about about anemia? (Total iron binding capacity was mentioned in other posts as well as other things, which i don't remember)


Vitamin D 25-Hydroxy   30.0 - 100.0 ng/mL   31.0

Ferritin   10 - 250 ng/mL   68

Vitamin B-12   200 - 900 pg/mL   483
WBC   4.40 - 11.30 k/mcL   5.37   
RBC   4.50 - 5.10 m/mcL   4.40   L

Hemoglobin   12.3 - 15.3 g/dL   12.8
   
Hematocrit   36.0 - 45.0 %   39.2   

MCV   80.0 - 96.0 fL   89.1   

MCH   27.5 - 33.2 pg   29.1   

MCHC    33.4 - 35.5 g/dL   32.7   L

RDW   11.3 - 15.3 %   13.0   

Platelet Count   145 - 445 k/mcL   273   

MPV   7.4 - 10.4 fL   11.3   H

All the readings are withing normal range except Vit D which is a boundary line case. Since your MCV is 89.1, in my opinion you being a thal carrier or minor is also ruled out.  Even your RBC is with in the normal range. Usually Thal carriers have MCV less than 80 (55- 75) and have slightly elevated RBC. Fatigue and tiredness could be setting in because of lack of Vit D.

In addition to vitamin D, I would suggest taking a sublingual (under the tongue) B-12 supplement, as well. Even though your level is normal, it should be higher. Recent studies have shown that thal minors should strive for a B-12 level on the high end of normal. You should also consider taking folate in the form of L-methyfolate. Try to get your D level up above 50. All these together will help with tiredness and fatigue.