Since the age of 16 I've had hypothyroid symptoms but it wasn't until I was 41 that my thyroid function was tested. The results were borderline and as such dismissed as having no impact on my health, which was very poor to say the least. In the last four years it has deteriorated to such an extent that some days I can barely get out of bed. It truly is a miserable existence, both for myself and my family. I've seen five different GPs, two endocrinologists, gastroenterologist, had numerous abdominal scans and more blood tests than I can remember. In these there were some consistencies, most notably anemia, low levels of vitamin D, B12, folate, high cholesterol but low triglycerides and lymphocytes. A few weeks ago I collapsed in the morning and had yet another blood test. I wonder if any of you could shed some light on them as my endocrinologist and my GP think they are quite normal. Am I barking up the wrong tree in thinking that perhaps I suffer from hypothyroidism?
Vitamin D (25-hydroxy) 77 (51-163) Up from 33 after several injections and daily doses of 4000 IU
Vitamin B2 501 (197-771) Up from 143 after supplements
Ferritin 272 (13-150) Far too high, previously 6.0
Folate 3.3 (3.9-20)
Lymphocytes 1.3 (1.5-4.0)
Choresterol 5.9
TSH 1.01 (0.27-4.20) 2.6 in Oct
T4 12.84 (12.0-22.0) 9.0 in Oct
T3 tested only in Oct: 4.1
Thyroid peroxidase abs 12.27 (0-34)
Any comments would be hugely appreciated as I'm at my wits' end and cannot face being advised to start taking anti-depressant for the sixth time by my GP. I do not suffer from depression but I do get low when feeling particularly unwell.
M
Oh dear martivane , your story is so familiar. One good thing though, at least you've had lots of tests and found some deficiencies and these are being addressed. I was just told (very many years ago) that I was a young mum with a toddler and a baby and I should expect to get tired. That went on for two years.
So - Vit D - continue supplementing, you want to get that up to 100+ and then go on a maintenance dose of, say, 2000iu daily.
B12 (You've put B2 but I expect that's a typo) - continue supplementing, you want that to be about 1000 (optimal level according to the Pernicious Anaemia Society).
Folate - oh my, that is under range. As you're taking B12 you should also be taking a B Complex to balance all the B vits. I'd recommend Thorne Basic B which has good bioavailability and contains 400mcg folate. It got my folate up from bottom of range to top of range in less than 3 months by taking one a day.
Lymphocytes, sorry I don't know and can't comment.
You have very low antibodies and they would need to be above 34 to confirm autoimmune thyroiditis (aka Hashimoto's disease).
Your TSH is actually in a nice place but your FT4 is only just in range and your FT3 would seem to be very low but without a range it's impossible to say.
As your TSH has decreased and your FT4 increased from below range to just in range since October, I personally would be doing a private test (unless your GP would agree to testing again) to see where your FT3 and your antibody levels are now. You have had TPO antibodies tested but not TG antibodies. You can get a private test done easily at home using a fingerprick test from Blue Horizon. A Thyroid Plus Ten, Plus Eleven or even a Plus Twelve (requires blood draw as it includes reverse T3) will give you everything you need regarding your thyroid status plus your vitamin and mineral levels too.
thyroiduk.org.uk/tuk/testin...
and go to the first option "postal kits sent nationwide".