Health Protocol & Next Visit Reference
Started: July 30, 2026
Next Blood Work: November 2026 (~3-4 months)
Current Baseline Labs (July 2026)
| Test |
Value |
Status |
| Vitamin D3 (25-OH) |
11.5 ng/ml |
Severely deficient |
| TSH |
4.100 mIU/L |
High-normal (borderline) |
| Free T4 |
1.22 ng/dL |
Normal (mid-range) |
Daily Supplement Protocol
| Time |
Supplement |
Notes |
| Wake up (empty stomach) |
B12 |
Absorbs better without food |
| Breakfast (~1 hr later, 2 eggs) |
D3 10,000 IU + K2 200 mcg softgel |
Fat from eggs helps D3 absorption |
| Breakfast |
Magnesium glycinate 1 capsule (~133 mg) |
With food for better absorption |
| Evening/dinner |
Magnesium glycinate 2 capsules (~267 mg) |
Glycinate supports sleep/relaxation |
| Night |
Statin 5 mg |
As prescribed |
Total daily magnesium: 400 mg elemental (3 capsules of NatureBell Magnesium Glycinate)
Exercise
- Daily walking and/or stationary bike
Blood Work to Request in November
Must-have:
- Vitamin D (25-hydroxyvitamin D) — target: 50+ ng/ml, ideally 100-140
- B12
- TSH — recheck, see if D3 correction lowers it
- Free T4
- Lipid panel (total cholesterol, LDL, HDL, triglycerides)
- A1C or fasting glucose
Strongly recommended:
- PTH (parathyroid hormone) — indirect indicator of D3 function
- Free T3 — fuller thyroid picture
- Thyroid antibodies (TPO, TgAb) — rules out Hashimoto’s
- Homocysteine — cardiovascular risk marker linked to B12
If D3 goes above 200 ng/ml (unlikely at 10,000 IU/day):
What to Discuss with PCP
- Loading dose? — At 11.5 ng/ml, ask if a higher initial dose makes sense
- Magnesium — Mention you added it; ask if they agree
- Statin reassessment — If cholesterol improves with D3/magnesium correction, discuss whether 5 mg statin is still needed
- TSH at 4.1 — Ask about subclinical hypothyroidism and whether thyroid antibodies should be checked
- Vitamin D target — Ask what their target BPL is (many aim for only 30-40; literature supports 50-100+)
Why These Deficiencies Matter Together
Low D3 contributes to:
- Elevated cholesterol (body hoards cholesterol to make D3)
- Higher A1C / insulin resistance
- Elevated TSH / thyroid dysfunction
- Fatigue, depression, weak immunity, bone loss
Low Magnesium contributes to:
- Anxiety, panic attacks
- Insomnia
- Muscle cramps, heart palpitations
- Poor blood sugar control
- Poor D3 absorption and metabolism
Low B12 contributes to:
- Numbness/tingling (neuropathy)
- Fatigue, brain fog
- Elevated homocysteine (cardiovascular risk)
- Depression, memory issues
Overlapping symptoms (all three):
- Fatigue
- Brain fog
- Depression / mood issues
- Heart palpitations
- Muscle weakness
Expected Improvements by November
| Marker |
Expected Direction |
| Vitamin D3 |
↑ significantly (target 40-60+ ng/ml) |
| Total cholesterol |
↓ |
| LDL |
Possibly ↓ |
| Triglycerides |
↓ |
| A1C |
↓ |
| TSH |
Possibly ↓ (toward 1.5-2.5) |
Watch For (First Few Weeks)
Positive signs:
- Better sleep
- Less anxiety
- More energy
- Fewer muscle cramps/twitches
- Improved mood
Back off magnesium if:
- Loose stools / diarrhea → reduce by 1 capsule
- Nausea
Key Reminders
- D3 requires magnesium for absorption and conversion — never take D3 without magnesium
- Serum magnesium blood tests are unreliable (serum holds <1% of total body magnesium)
- D3 is fat-soluble — always take with a meal containing fat
- B12 absorbs best on an empty stomach
- 2,000-4,000 IU/day (previous dose) is likely too low to move levels from 11.5 ng/ml
Sources
- Dr. Judson Somerville — judsonsomerville.com/magnesium-and-vitamin-d3/
- Vitamin D3 Cheat Sheet (5 levels of D3 effects)
- Dr. Coimbra Protocol (autoimmune dosing reference)