Hi everyone. Doctors today!

[skimmy]

I have a review of my results today. I went in complaining of depression and no energy and wanted to check if deficient in anything first before I considered anti depressents.

I am 48 and went through the menopause at 44. I have been on thyroid medication since 2013 now 75mcg.

Anyone help with these results please?

VITAMIN D

Combined total vit D2 VITAMIN D

Combined total vit D2 + D3 lvl64.800 nmol/L

Serum 25-HO vit D2 level7.400 nmol/L

Serum 25-HO vit D3 level57.400 nmol/L

Serum zinc level10.000 umol/L 10 - 22 umol/L

Thyroid function test

Serum free T4 level12.800 pmol/L 10 - 26 pmol/L

Serum TSH level2.350 mu/L 0.2 - 5 mu/L

Serum folate11.600 ug/L 3.9 - 20 ug/L

Serum ferritin22.000 ug/L 13 - 150 ug/L

Serum vitamin B12703.000 ng/L 197 - 771 ng/L + D3 lvl64.800 nmol/L

Serum 25-HO vit D2 level7.400 nmol/L

Serum 25-HO vit D3 level57.400 nmol/L-

Serum zinc level10.000 umol/L10 - 22 umol/L

Thyroid function test

Serum free T4 level12.800 pmol/L 10 - 26 pmol/L

Serum TSH level2.350 mu/L 0.2 - 5 mu/L

Serum folate11.600 ug/L 3.9 - 20 ug/L

Serum ferritin22.000 ug/L 13 - 150 ug/L

Serum vitamin B12703.000 ng/L 197 - 771 ng/L

Serum magnesium level0.900 mmol/L 0.7 - 1.1 mmol/L

Red blood cell (RBC) count4.780 10*12/L3.8 - 5.5 10*12/L

Haemoglobin estimation136.000 g/L 115 - 165 g/L

Haematocrit0.398 ratio0.37 - 0.47 ratio

[beh1]

Hi Skimmy, other more knowledgable people will comment on vits, but I would ask doc today for an increase in Levo. Your free t4 is low and there's room to decrease TSH a bit, so do consider more Levo before embarking on antidepressants. Good luck.

[greygoose]

Totally agree with beh1, your TSH is much too high for someone on thyroid hormone replacement, and your FT4 is too low - therefore your FT3 is more than likely low. You are under-medicated.

Also, your ferritin is too low - should be at least mid-range - and your D3 is too low - should be up around 100. Low vit D3 will cause depression, as will low T3.

So, you need an increase in dose, and your FT3 tested, and some supplements for iron and vit D3, before you even consider antidepressants!

[skimmy in reply to greygoose]

I spoke with the doctor and pointed out the low FT4 and I asked for an increase in dosage as she wasn't suggesting anything so Im now on 100 mcg - Requested a FT3 test but said they don't test for this. Doctor is happy with my D3 and iron but said I could take a multi vitamin if I wanted to ......

Thanks everyone for your help

[greygoose in reply to skimmy]

Stupid, ignorant doctor! Whatever you do, don't take a multi-vit, you won't get anything out of it. Take iron and vit D3 separately - iron with 1000 mg vit C, and Vit D3 with 100 mcg vit K2. Those are what you need. A multi-vit will contain a load of stuff you don't need.

[SlowDragon Administrator]

Also have you ever had your thyroid antibodies checked? There are two sorts TPO Ab and TG Ab. (Thyroid peroxidase and thyroglobulin) Both need checking, if either, or both are high this means autoimmune thyroid - called Hashimoto's the most common cause in UK of being hypo.

(NHS rarely checks TPO and almost never checks TG. NHS believes it is impossible to have negative TPO and raised TG. It's rare, but not impossible, there are a few members on here that have this.)

If you have Hashimoto's then you may find adopting 100% gluten free diet can help reduce symptoms, and lower antibodies too. Selenium supplements can help improve conversion and reduce symptoms too

You do not need to have ANY obvious gut issues, to still have poor nutrient absorption or low stomach acid or gluten intolerance

Best advice is to read as much as you can. Vitamin and minerals levels are very important, but standard NHS thinking, doesn't at the moment seem to recognise this. You will see, time and time again on here lots of information and advice about importance of good levels of B12, folate, ferritin and vitamin D, low stomach acid, leaky gut and gluten connection to autoimmune Hashimoto's (& Grave's) too.

chriskresser.com/the-gluten...

hypothyroidmom.com/92-of-ha...