Last blood test. : Advice please on the following... - Thyroid UK

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Last blood test.

Rosa50 profile image
8 Replies

Advice please on the following results. Meds eltroxin 125 daily. Folate 5 mg at present. Vit d3 4000 daily. B12 patch5000 mcg

09/12/15

B12 453. (187 -883)

Folate 1.9. (3.1-20.5)

Ferritin 32. (15-150)

Chol 6 (less than 5.2)

Trig 2.16 (0.00-2.26)

Hdl 1.00 ((greater than 1.68)

LDL 4.37 ( less than 2.59)

Free t4 16.1. (9-19)

Tsh 0.37 (0.35-4.94)

I'm taking the folate since these tests as gp refused to do vit d test and I had to ask for folate. I find sleeping so so difficult and also anxiousness about the least thing. Have managed to lose some weight but still 16 st 10lb. Can't seem to deal with any stress at all. Constipation has always been a problem. Gp seems to see 55 yr old overweight woman and shows no interest whatsoever. It was another Dr put me on eltoxin ten Years ago. Have the puffy face ankles and joints since then. I would be so grateful for your advise please.

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Rosa50
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8 Replies
Rosa50 profile image
Rosa50

Sorry just to add had private scan on thyroid it's astophic I think that's the word meaning non existant

waveylines profile image
waveylines

Hi Rosa,

Am assuming that your blood tests results are since you've added the other supplements in apart from the folate? If so your B12 is too low according to the Perncious Anemia society and could explain the anxiety, poor sleep you are experiencing. Do you know what your B12 was before you supplemented?

B12 needs the other b vitamins to work well. You should always take a good b vitamin supplement alongside B12 vitamin.

You can get your vitamin D level checked privately if your doctor won't do it. Look at The Vitamin D Council or Grassroots websites they have advice to where you can get these done. I think your in the USA? Your symptoms could be to do with low vitamin D or/and the relative low B12, ferritin and folate. I'll leave other to comment on the ferritin as its not something I've ever had a problem with. Did your doctor do a check on red blood cell and the mcv? You might want to ask him if he could check your Intrinsic Factor too to see if you have a problem with absorbing B12 through your stomach.

Your thyroid level looks pretty good on the face of it but there is potential room for a small increase. Would your doc do a ft3 blood test too? Be interesting to know how well you are converting T4 to T3. T3 being the useable hormone in the body. T4 is a storage form of the thyroid hormone. As you don't have a thyroid it is important your ability to convert Is checked. It might be that you would feel better with combination therapy -that is adding a bit if T3 such as Liothyorine in as well as the levothyroxine or moving across to a natural dessicated thyroid.

hose1975 profile image
hose1975

I wouldn't pay too much attention to the total cholesterol score. What's much more important are the ratios. And yours are pretty bad. The single thing you could do to improve your scores are to eat a little less carbohydrate (since the triglyceride level is directly related to carbohydrate intake) and a little more fat. Eggs, maybe? I am a diet-controlled diabetic and so keep my carb intake low, around 70g/day. (I'm not suggesting that you drop this low, unless you have blood sugar abnormalities too.) But my last triglyceride reading was 0.4 (bottom or range 0.3) and although my total cholesterol is 5.4, my ratios are all ideal.

You really, really need to improve the HDL levels.

A quick run of your figures through a standard cholesterol calculator gives the following breakdown:

Your Total Cholesterol of 6.00 is BORDERLINE

Your LDL of 4.00 is BORDERLINE

Your HDL of 1 is HIGH RISK

Your Triglyceride level of 2.17 is BORDERLINE

RATIOS:

Your Total Cholesterol/HDL ratio is: 6.00 - (preferably under 5.0, ideally under 3.5) AT RISK

Your HDL/LDL ratio is: 0.250 - (preferably over 0.3, ideally over 0.4) AT RISK

Your triglycerides/HDL ratio is: 4.968 - (preferably under 4, ideally under 2) HIGH RISK

I appreciate that having hypothyroidism in whatever flavour (Hashimoto's or, more likely in the West, Ord's thyroiditis) makes cholesterol a pain to deal with and that you should find it easier to control when you're optimally dosed but there are things you can do now to help yourself. And I really would advise dropping your carb intake a little as that should make a huge improvement in your trig levels.

waveylines profile image
waveylines

House1975 I am following a low carb diet to manage my weight etc..so am a big fan of this approach as nothing else has worked for me to date -classically gained widget around my middle so was heading in the direction of diabetes if I wasn't careful. So you make a good point.

However I do know that if the thyroid is poorly manage it also raise the bad cholesterol so giving the fact that she is feeling so poorly at the moment wouldn't she better to get the other matters I mentioned checked and sorted first before embarking on what is a pretty serious dietary change?

greygoose profile image
greygoose in reply to waveylines

Totally agree with you. But would add that there's no such thing as 'bad cholesterol'. It's not the cholesterol itself that they test, it's the protein carriers, one in and one out, or something, can't remember the détails. But how can a protein carrier be good or bad. The 'good and bad' idea is just a marketing gimmik thought up by the manufacturers of statins.

Besides, cholesterol at this level is totally irrelevant. It's not going to cause a heart attack or anything. That idea was debunked a long time ago. Rosa, before you go worrying about your cholesterol, I suggest you Google Dr Malcolm Kendrick, and have a read. We've all been conned about cholesterol! :)

waveylines profile image
waveylines in reply to greygoose

I know we've all been conned -similar to the marg is better then butter fiasco!! But maybe I'm being dense because if it all hype why are recommending Rosa goes on a low carb diet.....or have I missed something? Am getting confused...

greygoose profile image
greygoose in reply to waveylines

I didn't recommend she went on a low carb diet. Actually, you missed a word out there. :) Why are who recommending a low carb diet?

waveylines profile image
waveylines

you're right Greygoose I did 😊😊

I didn't mean you re the low carbs though so sorry if I gave that impression.

Was up to late last night so not sure I made much sense in my postings!!

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