Blood test results, interpretation needed please.

[Wilsospw]

My results from Blue Horizon

I am diagnosed as Hashi and currently take 37.5 Levothyroxine. Must add that I feel fine.

CRP 3.00 <5

Ferritin 89.3 20-150

TSH 3.97 0.27-4.2

T4 Total 100.0 64.5-142

Free T4 15.07 12-22

Free T3 3.88 3.1-6.8

ATPeroxidase abs 148.4 <34

Anti Thyroglobulin abs 29 <115

Vitamin D (25 OH) 55 DEFICIENT<25, INSUFFICIENT 25-50-, CONSIDER REDUCING DOSE >175

Vitmain B12 392 DEFICIENT<25, INSUFFICENT 140-250, CONSIDER REDUCING DOSE >725

Serum Folate 28.49 8.83-60.8

Are these ok or do I need to be taking any supplements, adjust Levo.

[Clutter]

Wilsospw,

If you feel well on your current dose there is no need to change it. Your TSH is higher than many would be comfortable with and FT4 and FT3 lower but it is how you feel which counts.

The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 1.0 or lower with FT4 in the upper range. FT4 needs to be in the upper range in order that sufficient T3 is converted. Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email [e-mail] if you would like a copy of the Pulse article.

Thyroid peroxidase antibodies are positive for autoimmune thyroid disease (Hashimoto's). There is no cure for Hashimoto's which causes 90% of hypothyroidism. Treatment is for the low thyroid levels it causes. Many people have found that 100% gluten-free diet is helpful in reducing Hashi flares, symptoms and eventually antibodies.

chriskresser.com/the-gluten...

thyroiduk.org.uk/tuk/about_...

VitD is replete 75-200 but most people are comfortable around 100. I would supplement 5,000iu D3 daily for 6 weeks then reduce to 5,000iu alternate days and retest in August. VitD should be taken 4 hours away from Levothyroxine.

B12 <500 can be deficient. If you have symptoms of B12 deficiency b12deficiency.info/signs-an... go to healthunlocked.com/pasoc for advice.

Folate and ferritin are fine.

[Wilsospw in reply to Clutter]

Thank you. What would you recomment to improve B12 levels?

[Clutter in reply to Wilsospw]

Wilsospw,

Methylcobalamin will improve B12 levels but if you have symptoms of B12 deficiency you should ask PASoc for advice before supplementing.

[Wilsospw in reply to Clutter]

OK Thank you.