Due to see a nurse on Monday

Hi I was diagnosed with Hashimoto's Thyroiditis at the start of the year and I researched into how my illness could be causing nutritional deficiencies and malabsorption. Well, because my illness would normally predispose me to gain weight...I don't gain weight. I lose it, and it doesn't matter what I eat or how much. The weight just falls off me.

So, because my GP kept saying they would follow-up the following two weeks I would go back to the appointment exactly two weeks later and be told the same thing again I got a bit annoyed at why it looked as though they were messing me about. I changed GP practices and I have got an appointment booked for Monday to see a treatment nurse who wants to weigh me, check my height, calculate my BMI and take a sample of my urine.

I don't mind her taking a sample of my urine or checking my height, but I know full well that she will note from my weight and body mass index that I am underweight.

I have been told by my GP my ferritin and Vitamin D levels are low.

Ferritin: 21 (30-400)

Vitamin D: 59.6 (50-75 suboptimal)

Vitamin B12: 362 (180-900)

Folate: 4.9 (4.6-18.7)

An online nutrition calculator says I am deficient/low in other vitamins and minerals too such as Vitamin K, Vitamin A, Vitamin B2, B6, B3, B1, Vitamin E, magnesium, selenium, potassium, phosphorous, etc. But the calculator I feel is not very accurate as it does not take the autoimmune illness into consideration, did not ask me for my height/weight and only really asks how much of each food I eat per week (legumes, grains, carbohydrates, vegetables, fruit etc)

Is there anything I can say at this appointment I have on Monday? I am nervous and worried that she'll think I'm an anorexic. Could I ask for a referral to a dietician or is my situation more likely to be solved with a more straightforward solution? I was told by some alternative nutritionist in March I was dairy and gluten intolerant but she did no blood tests regarding this.

My reasons for possibly consulting a dietician are:

* My endocrinologist and alternative nutritionist have suspected I have digestive problems.

* I have had an autoimmune attack in which my antibodies have almost quadrupled in amount despite me eliminating gluten and dairy as advised.

* I have been diagnosed with an autoimmune illness and iron deficiency.

* I have oral nutrition requirements (prescribed ferrous fumarate for iron)

* I need to put on weight following a spate of ill-health and the result of my medical conditions.

* It has been suggested I have allergies/intolerances to certain foods and I would like to know what they are.

* I would like advice on my diet because I have lived a sheltered life and had my meals cooked for me.

Thank you for any feedback.

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