warning this is a long post!
I recently signed up to this forum, and its been such a wealth of info! I've been diagnosed hypo since 2008, happily on T3 until last year when my new GP started her mission to remove it. I posted earlier about the lies she used to convince me to "trial" raised levo instead - and is now flatly refusing to re-prescribe T3... so I'm going through the motions to try and eliminate all others issues before I pick this up again... There was a potential offer of a private script from endo, but am not pursuing that yet, until I am convinced nothing else is causing my issues. I have major hypo symptoms returned - cold extremities, feel the cold, slow weight gain of about 6kg over a year (while eating between 1400-1600 cals per day trying to LOSE weight!!), tired (needing 9-10 hours sleep), heavy muscles feeling esp in mornings, weak and achy joints, acne, dry hair, dry skin, cracked heels, horrible "yeasty" breath (according to partner!) (btw GP refuses to test for candida infection), swollen tongue, headaches, tinnitus, bloated, digestive issues... I'm at wits end and just want to feel myself again, after being relatively happy on T4/T3 for years! Although I suspect something was up when I initially saw her last year, as my thyroid bloods were heading south back then...
She's been relatively helpful with getting lots of bloodwork done, and here's the latest, which I'd really appreciate your advice on. Warning - there is a lot here! But as I'm new to all this I thought it best to post all up so you can see.
GP has identified me as deficient in Vit D and Folate - both look extremely low to me. Nothing else identified as a problem, however I am not so sure. She has prescribed supplements of 1000iu D3 per day, and 400mcg folic acid per day. I take 125 levo daily, dropping to 100 on weekend 2 days to "manage" my TSH (it was slow range, down to 0.14 (same ranges) on 125/day)
Three questions -
1. Are the above supplements sufficient to bring me back to optimal levels (presuming over 3 months as that's when my next blood tests ordered)
2. Is there anything else that looks to be a problem with my results? in particular B12 looks low (although in range), transferrin/TIBC iron levels also on low end, and no mention made of serum albumin being below range - is this significant?
3. is there anything else I should have tested that I am missing?
Many thanks! Your knowledge and experience are much appreciated.
Serum TSH mu/L 0.85 (0.27-4.2)
Serum FT4 pmol/L 12.80 (10-23)
Serum FT3 pmol/L 3.40 (3.1-6.8) (this a month older, as she's now refusing to test T3)
IgA g/L 3.37 (0.8-2.8)
tTg iu/mL 0.50 (0-7)
Serum B12 ng/L 351 (200-1000)
Serum Folate ug/L 2.80 (4-18)
Serum Ferritin ug/L 72.00 (9-120)
Serum Transferrin g/L 2.08 (2-3.2)
Serum Iron level umol/L 15.00 (12-28)
Serum TIBC umol/L 52.00 (45-80)
Saturation IBC 29% (15-50%)
Serum vit D nmol/L 35.00 (80-150)
Serum albumin g/L 35.00 (38-50)
serum alkaline phosphate u/L 36.00 (25-115)
corrected serum calcium mmol/L 2.31 (2.2-2.6)
Serum inorganic phosphate mmol/L 1.11 (0.8-1.4)
Serum magnesium mmol/L 0.81 (0.7-1)
Haemoglobin estimation g/L 124 (115-165)
RBC count 10*12/L 4.07 (3.8-5.8)
Packed cell volume L/L 0.36 (0.37-0.47)
MCV fL 88.70 (80-98)
MCH pg 30.50 (27-32)
MCHC g/L 343 (310-350)
RBC disturb width % 12.70 (10-14)
Platelet count 10*9/L 283 (150-400)
Total white cell count 10*9/L 5.60 (4-11)
Neutrophil count 10*9/L 3.20 (2-7.5)
lymphocyte count 10*9/L 1.80 (1-4)
monocyte count 10*9/L 0.50 (0.2-1)
eosinophil count 10*9/L 0.10 (0-0.41)
Basophil count 10*9/L - (0-0.11)