Vitamin results: Endo says whatever symptoms I... - Thyroid UK

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Vitamin results

Laurette1 profile image
10 Replies

Endo says whatever symptoms I have are not thyroid because thyroid results are now normal on dosage. I supplement 800iu D3 and ferrous fumarate on prescription. Advice appreciated.

Jan-17

Ferritin 33 ng/L (15 - 150)

Folate 2.1 ng/L (2.5 - 19.5)

Vitamin B12 193 pg/L (190 - 900)

Total vitamin D 22.6 nmol/L (<25 vitamin D deficiency)

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Laurette1
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Clutter profile image
Clutter

Laurette,

Normal is a very broad range. What are your thyroid results and ranges?

800iu is totally inadequate to correct vitamin D deficiency. I was prescribed 40,000iu ProD3 daily x 14 days followed by 2,000iu daily x 8 weeks and this raised my vitD from <10 to 107. You can buy vitamin D3 without prescription and self supplement if your GP won't increase your prescription. D3 must be taken 4 hours away from Levothyroxine.

I suggest you go to healthunlocked.com/pasoc to discuss your very low B12 and folate deficiency.

Laurette1 profile image
Laurette1 in reply to Clutter

TSH 2.84 mIU/L (0.2 - 4.2)

Free T4 15.5 pmol/L (12 - 22)

Free T3 4.0 pmol/L (3.1 - 6.7)

TPOab 204.5 kIU/L (<34)

TGab 366.3 kIU/L (<115)

Taking 200mcg levo and 10mcg t3

Clutter profile image
Clutter in reply to Laurette1

Laurette1,

You are under medicated to have TSH 2.84. Increasing dose will raise FT4 and FT3 and bring down TSH.

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 louise.roberts@thyroiduk.org.uk if you would like a copy of the Pulse article to show your GP.

Thyroid peroxidase and thyroglobulin 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_...

Laurette1 profile image
Laurette1 in reply to Clutter

Thanks I am currently doing gluten challenge so cannot cut out gluten yet

lc1973 profile image
lc1973

Hi Laurette1

None of your vitamins are very good either. As Clutter has suggested your B12 and folate need investigating, these low results may explain the tingling you mention in your other post. It is quite common for all of these to be low when hypothyroid...mine are low also but i am supplementing. Are you taking any supplements for the B12 or folate? If not i would suggest your doctor investigate why the results are low before supplementing. Poor you, you must feel quite poorly.

Laurette1 profile image
Laurette1 in reply to lc1973

Thanks I supplemented folic acid very briefly but not anymore

humanbean profile image
humanbean

What strength and dose of ferrous fumarate are you taking?

Laurette1 profile image
Laurette1 in reply to humanbean

200mg once a day

humanbean profile image
humanbean in reply to Laurette1

That isn't really enough. I was prescribed Ferrous Fumarate 210mg, one tablet, three times a day. After the prescriptions stopped I continued buying my own and paying for regular private testing until I had got my levels up to optimal, which took nearly 2 years. People do vary enormously in how quickly they absorb iron, so regular testing is essential to avoid overdose. Iron is poisonous in overdose.

If you look at the BNF - British National Formulary - the doctor's bible of what they can prescribe :

Click on the sub-sections here :

evidence.nhs.uk/formulary/b...

and here :

evidence.nhs.uk/formulary/b...

Then click on Ferrous fumarate near the bottom of the page and you'll see this :

Tablets, ferrous fumarate 210 mg (68 mg iron), net price 84 = £2.30

Dose ADULT and CHILD over 12 years, prophylactic, 1 tablet 1–2 times daily; therapeutic, 1 tablet 2–3 times daily

The reference to "phrophylactic" means the dose which will maintain levels in someone who can't hang on to iron. The therapeutic dose mentioned i.e. the dose that will actually raise iron, is 1 tablet 2 - 3 times a day.

Ferrous fumarate 210mg can be bought online or in pharmacies without prescription at the pharmacist's discretion. I've had no problems getting hold of it in Lloyds and Tesco Pharmacies.

To keep tabs on your levels this is the best test at a reasonable price I know of :

medichecks.com/iron-tests/i...

humanbean profile image
humanbean in reply to humanbean

I forgot to say - you need to get your ferritin up to a minimum of 70, but most of use feel better with levels that are mid-range or up to about 100.

If the reference range changes then the optimal levels will change too.

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