Feedback, help, bloodtest

[T2017]

P-ferretin 16. (5-150)

Folate 4. (6-40)

Vitamin D. 24. (60-200)

B12 150. (140-730)

TPO. 14. (under 35)

TSH: 1,9. (0,3-4,0)

Free t4: 22. (10-22)

Free t3: 3,6. (3,3-6,0)

I take 125 mcg levo.

Please any advice or help?

Thanks

[crimple]

For starters your ferritin, folate, Vit D and B12 are all way to low and therefore your body will not be making best use of the levo you are prescribed. It is accepted on here that a TSH over one is usually unsatisfactory when you are being given levo. Your T3 is too low you might be a poor converter. Your antibodies are very low so you do not have Hashimotos disease.

You need to look on this site (see topics to the right of this) for info about how to improve your vits etc and also need an increase in your levo. No doubt GP won't be happy about that.

[T2017 in reply to crimple]

Thank you for your reply.

I want to start with t3 or ndt. I dont know how to do that, maybe its best to get my vits in order first.

[T2017 in reply to T2017]

Is my t4 to high to increase my levo?

[SeasideSusie Remembering in reply to T2017]

Yes it is, you need some T3 and maybe reduce the Levo a bit.

[T2017 in reply to SeasideSusie]

the only t3 I have is ndt... and can I start with that when my vitamin levels is what it is?

And what supplements should I take and how much?

Thank you for replying

[SeasideSusie Remembering in reply to T2017]

I think the best thing would be to take just NDT rather than any Levo, that gives a T4:T3 ratio of roughly 38mcg T4 : 9mcg T3

**

Ferritin 16. (5-150) - you need to get this up to half way through range (77) so you need to get some iron tablets. I don't know what available in your country, if you were in the UK then Ferrous Fumerate would be recommended, one tablet twice daily and each tablet to be taken with 1000mg Vit C. You should take iron four hours away from any thyroid meds and two hours away from any other medication and supplements.

**

B12 150. (140-730)

Folate 4. (6-40)

These work together. Your folate is under range so you have folate deficiency. Your B12 is very low and you should really be tested for Pernicious Anaemia. Do you have any signs of B12 deficiency as shown in this link

b12deficiency.info/signs-an...

Can you speak to your doctor about these. You shouldn't really start any supplements until further investigation takes place. You could end up with being prescribed folic acid and B12 injections or supplements.

You could pop over to the Pernicious Anaemia Society forum here on Health Unlocked for further advice. Tell them which country you are in.

healthunlocked.com/pasoc

**

Vitamin D. 24. (60-200) - is the unit of measurement nmol/L?

If it is nmol/L then the recommended level is 100-150nmol/L. You will need some D3 and you could start with a loading dose of 10,000iu daily for 6-8 weeks then reduce to 5000iu daily. You should retest after 3 months and if you've reached the recommended level then reduce to 5000iu alternate days. You should retest Vit D once or twice a year to ensure you stay within the recommended range.

When taking D3 there are important cofactors needed vitamindcouncil.org/about-v...

D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems. D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 should be taken four hours away from thyroid meds.

Magnesium comes in different forms, check here to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds naturalnews.com/046401_magn...

If the unit of measurement is not nmol/L let me know what it is.

**

Start supplements one at a time. Start with one, if no adverse reaction after a week or two then add the second one, leave it a week or two and if no reaction you can add the next one, etc. That way if there is a problem you will know what caused it.

**

It would be a good idea to try and improve your levels first, particularly ferritin. Ferritin needs to be around 70 for thyroid hormone to work properly.

[T2017 in reply to SeasideSusie]

Thank you so much for your answer. It seems you know alot. I wish I could start with all at ones so I could feel better soon.

The d vitamin is in pmol/L.

[T2017 in reply to T2017]

No. You where right. It is nmol. Sorry

[T2017 in reply to SeasideSusie]

And also can I be hashi even if this test is low? What is the cause of hypo in children?

[SeasideSusie Remembering in reply to T2017]

One negative antibody result doesn't rule out Hashi's, as antibodies fluctuate the test could have been carried out when the antibodies were low. You would need a few negative results to say you don't have Hashi's.

However, you can have negative TPO antibodies but positive Thyroglobulin antibodies, which is why it's best to test for both.

I imagine the cause of hypothyroidism in children varies like it does with adults, there won't be just one reason.

[T2017 in reply to SeasideSusie]

Okey. It was trouble to get my doc to even test this ones so I think the doc is gonna say no to more testing. I had to test t3 private. Maybe I have to switch doctor... Again. Why do they do this? Its their job to help, but no.

[T2017 in reply to SeasideSusie]

My anxiety is worse. Started with ndt and iron. And my anxiety almost made me end up in a hospital.

please help

[soppysokes in reply to T2017]

Seaside s has given some great advice as you know your bits and minerals which are vital,are in a pretty dire state.it doesn't help but these will take a fair while to be brought up and balanced so that any thyroid meds can do their job.get that doc to address them or get some supplements to get you started.sometimes it's just time to get the balances right before any improvement can start but it's worth it,but so sorry to hear you feeling so awful right now.can only say make a GP emergency appointment if the anxiety is too much to cope with on your own they can give something to help with that while the long term solution starts to work.

[T2017 in reply to SeasideSusie]

How much k2 should I take?

My calcium is a bit over

2,52. (2,15-2,50)

Is this a problem with d3 and k2?

[SeasideSusie Remembering in reply to T2017]

It could be a problem. Your calcium is slightly over range. D3 aids absorption of calcium from food. So I think you need to discuss this with your GP. Your Vit D is very low so something has to be done about that but calcium could be a problem. I'm not medically trained so can't advise about this.

The normal dose in a K2 supplement is around 90-100mcg.

[T2017 in reply to SeasideSusie]

I already took 10000ie of d3. It seems its a jungle when your vits are bad. But thanks for writing. I need all the help I can get.

[bantam12 in reply to T2017]

You should have a parathyroid blood test before taking anything else.

[T2017 in reply to bantam12]

I think they tested this.

Do you know what is normal, its the pth test you mean?

[T2017]

Ive been hypo since I was a child but I only found out many years later and thats when I got meds for it. Ive been reading alot but since my memory is really crap it feels hopeless. Hope there is people who can help me understand my results and what to do to make them good so that maybe I can feel better.