New blood test.

[clubby29]

Hi all my quarterly bloods from BH: T4, 23.8. (12-22) T3 5.3. (3.1-6.8). TSH 0.05. (0.2-4). T4 total 141.3. (64-142). B12. 525. Folate 30.2. (10-42). Ferritin 121.2. (30-400). TPO 544. TGO 451. Vit D 36.

Been gluten free for 3 months now antibody count only came down a little is it worth continuing?

T3 in the post need help with a start point to take combination 3 & 4, currently 175 levo.

Notes said might benefit from Vit D supplement , what and how much?

Many thanks as always

[Clutter]

Clubby29,

TSH is low, FT4 mildly elevated, and FT3 good. You don't appear to have a conversion issue so I'm not sure you'll have much benefit from adding T3 to T4. Still, if you want to try, I suggest you reduce Levothyroxine to 150mcg and add 6.25mcg T3.

VitD is replete >75 and most people are comfortable around 100. Supplement 5,000iu for 8-12 weeks then reduce to 5,000iu alternate days.

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I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.

[estelle08]

Depending on age decides level of vit D at age 45+ it's should be 50 so yours is a little low. An ordinary supplement follow directions or ask in health store they would know but I use vit D3 with calcium

[hunny59]

Doctors Best do a D3 softgel capsule which aids absorption. They do 1, 5 and 10000IU capsules. Take with a good quality Vitamin K2 supplement to redirect the calcium to the bones rather than the tissues and ideally consume with a meal with healthy fats which will also help absorption.

[greygoose]

Well, I Don't think you are converting very well, witnessed by the fact that you need your FT4 over-range in order to have an FT3 of less than 75%. FT3 should be higher in rante than the FT4 if you're converting well. So, I think you would benefit from a little T3. But, as clutter says, do lower your Levo when adding the T3.

If you're not feeling any benefit from being gluten-free, then the next step is to try eating it again, and see how you feel.

B12 is optimal at 1000, so that could do with going up a bit. Your folate is good, but you should still supplement with a B complex when taking B12, to keep your Bs balanced.

[clubby29 in reply to greygoose]

Hi thanks for reply, Still feeling a bit heady and get tired really easily so i thought I would try a reduction in t4 maybe down to 100 eventually and top up with t3 till I feel human. The GF thing has dropped my AB but only a little, bit disappointed because it was hard to do. Have found out today I have a low testosterone count as well so not sure how much influenence this is having. NHS is making this much harder than it needed to be I think but that seems to be the norm.

Cheers

[greygoose in reply to clubby29]

All hormones are linked. So, if one is skewed, the rest are likely to be. Hopefully, the testosterone will rise when you get your thyroid hormone levels up.