BLUE HORIZON RESULTS.

[clare10]

Following a total thyroidectomy in February of this year, which was done for a multi nodular thyroid with a dominant nodule increasing significantly in size. Despite numerous visits to my DR with the same symptoms which i now know was Graves it took the removal of my thyroid to be told of it. I am currently taking 100mg of Levothyroxine and no other supplements. I have spoken to my DR as in recent weeks i have not felt at all well, no stamina palpitations and having an occasional daytime sleep something i have never done. My most recent bloods done at the surgery was a month ago and was taken late afternoon and i had taken my levothyroxine in the morning, result was

TSH 0.779 RANGE 0.27-4.20. LAB REFUSED T4 T3 DUE TO TSH IN RANGE.

BLUE HORIZON RESULTS DONE THIS WEEK.

CRP H 5.60 RANGE <5.0

FERRITIN H 192.6 RANGE 20-150

TSH4.16 RANGE0.27-4.20

T4 H 146.0 RANGE 64.5- 142.0

FREET4 17.35 RANGE 12-22

FREET3 3.55 RANGE 3.1- 6.8

ANTI THYROIDPEROXIDASE ABS 31.8 N0RMAL RANGE <34

ANTI THYROGLOBIN ABS 33.9 NORMAL RANGE <115

VITAMIN B12 L 185 DEFICIENT<140- INSUFFICIENT 140-250 CONSIDER REDUCING DOSE>725?

SERUM FOLATE 14.53 RANGE 10.4- 42.4

I am going back to the DR to discuss these results as there is a few which i am not happy with, but would appreciate any advice as i am now not sure if its the thyroid results or any of the other results causing me to feel like i am swimming against the tide. Thankyou this forum as completely opened up my eyes to the complexity of thyroid disease.

[greygoose]

Your TSH is too high and your FT3 is too low. You aren't converting very well, so you are now hypo.

Your vit B12 is very low. Ask him to test for pernicious anemia.

[clare10 in reply to greygoose]

Thankyou i will ask for the Dr to test for pernicious anemia.

[humanbean]

CRP H 5.60 RANGE <5.0

FERRITIN H 192.6 RANGE 20-150

CRP is C-Reactive Protein, which is a measure of inflammation and/or infection in the body. It is non-specific so it doesn't tell you whether this is occurring in joints, organs, muscles, gut, skin, or wherever.

labtestsonline.org.uk/under...

Imagine you have an undiscovered minor chronic bacterial infection somewhere. That bacteria needs iron in order to reproduce, just like other cells in the body do. In order to protect itself the body stores as much iron as possible in ferritin (iron stores) rather than risking any iron getting to the bacteria to allow it to reproduce. The result is that people can be mildly low in iron for all practical purposes because a lot of the iron they do have is locked up in ferritin to keep it away from the infection. So, someone might have low in range or under the range RBC, hemoglobin, and serum iron despite having plenty of ferritin.

Once the infection is cleared the iron stores are reduced, more iron is made available to make red blood cells and other things iron is needed for.

So, the fact that your CRP and ferritin are raised is not unusual.

If you were to develop something major like pneumonia (for example), your CRP would go into the 1000s, so a level just over the reference range is not dramatic.

Nevertheless, since your ferritin is high you should avoid taking any supplements which contain iron because your body will just shovel it straight into ferritin.

In the meantime, you could do some research into ways and means of reducing any inflammation you have.

Hope this helps.

[clare10 in reply to humanbean]

Thankyou for such an imformative and easy to understand answer, you have put to together what i couldn't the connection between raised biochemistry results and low vitamin result .