De-ciphering lab results...../Do i need to supplement..???

[wilf_plisken]

HI,

Can anybody help me de-cipher these results from blue horizon...

Many thanks in advance Wilf.....

biochemistry

CRP 1.70

FERRETIN 200.

thyroid function

TSH 1.03

T4 TOTAL 85.3

FREE T4 15.44

FREE T3 4.46

REVERSE T3 21.0

REVERSE T3 RATIO 13.83

immunology

ANTI-THYROIDPEROXIDASE ABS 16.4

ANTI-THYROGLOBULIN ABS 10.8

vitamins

VITAMIN D 39

B12 373

SERUM FOLATE 35.37

[greygoose]

Can you add the ranges, please.

[wilf_plisken in reply to greygoose]

Hi Greygoose..

I hope this helps, i didnt know i could simply cut & paste as that was mush quicker than typing it up..

Many thanks..

Ranges are.

CRP 1.70 < 5.0 mg/

L Ferritin 200.0 30 - 400 ug/

L

Thyroid Function TSH 1.03 /0.27 - 4.20 mIU/

L T4 Total 85.3 /64.5 - 142.0 nmol/

L Free T4 15.44 /12 - 22 pmol/

L Free T3 4.46 /3.1 - 6.8 pmol/

L Reverse T3* 21.0 /10 - 24 ng/

dL Reverse T3 ratio L 13.83 /Normal >15 Ratio Borderline 12-15 Low <12

Immunology Anti-Thyroidperoxidase abs 16.4 /<34 kIU/

L Anti-Thyroglobulin Abs 10.8/ <115 kU/

L

Vitamins Vitamin D (25 OH) L 39 Deficient <25 nmol/L Insufficient 25 - 50 Consider reducing dose >175

Vitamin B12 373 /Deficient <140 pmol/L Insufficient 140 - 250 Consider reducing dose >

725 Serum Folate 35.37 8.83 - 60.8 nmol/L

[greygoose in reply to wilf_plisken]

Well, your vit B12 and vit D are much too low. D should be about 100, and B12 at least 500. So, they need supplementing.

Your antibodies are negative, but that doesn't mean you don't have Hashi's, because antibodies fluctuate.

You don't say anywhere whether you've had a diagnosis of hypo, and/or if you're taking any thyroid hormone replacement. If you do, you need an increase. If you don't, you won't get a diagnosis with that TSH, even though your Frees are on the low side, I'm afraid.

[wilf_plisken in reply to greygoose]

Thanks greygoose...

My GP says my thyroid is normal and needs no further action, that is also the opinion of blue horizon who conducted the test of the results i have shared with you...

So i have not been given any diagnosis apart from vitamin d deficiency....

The only thyroid supplements i take are 2 drops of lugols 5%, 200/400 mcg selenium, 2x1000mg doctors best curcumin & lots of virgin coconut oil...

Do you think i need thyroid medication....

Thank you so much for taking the time to help me...

[greygoose in reply to wilf_plisken]

Unless you have had your iodine tested, and found deficient, I would stop the lugol's immediately! That is probably making you worse, rather than better.

I don't think you need thyroid medication at the moment, but keep an eye on it. Get tested every year, and see how it goes.

But, you'll probably find you feel much better when you've optimised your vits D and B12.

[Clutter]

Wilf_Plisken,

CRP is good and low.

I can't remember BH's range for ferritin but half way through range is optimal.

Thyroid results are euthyroid (normal). If you are taking Levothyroxine you appear to be adequately medicated. Thyroid antibodies are negative for autoimmune thyroiditis (Hashimoto's).

Vitamin D 39 is insufficient. Most people are comfortable with vitD around 100. I would supplement 5,000iu D3 for 8-12 weeks and then reduce to 5,000iu alternate days and retest in May. Take vitamin D 4 hours away from Levothyroxine.

B12 <500 is sub optimal. I would supplement 1,000mcg methylcobalamin with a B Complex vitamin. Folate is good.

______________________________________________________________________________________________

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

[wilf_plisken in reply to Clutter]

Thank you Clutter...

I take no thyroid medication, should i try some..??????

[Clutter in reply to wilf_plisken]

Wilf-Plisken,

No, your results are unequivocally euthyroid (normal). There is nothing to suggest you have any type of thyroid dysfunction.