TSH is high in range which indicates you are becoming hypothyroid as evidenced by FT4 low in range and FT3 relatively low in range. Antibodies are positive for autoimmune thyroiditis (Hashimoto's) so it would be pragmatic for your GP to prescribe Levothyroxine now rather than wait for hypothyroidism to progress and symptoms worsen. Read Dr. Toft's comments 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 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.
CRP is low which is good as it is an inflammation marker.
Ferritin is stored iron. Ferritin is optimal half way through range to 100. Either eat more iron rich food or supplement iron. Iron should be taken with 1,000mg vitamin C to aid absorption and minimise constipation.
VitD is optimal 100 - 150. I would supplement 2,000iu D3 vitD daily to raise levels and retest in 3 months. Most people need to supplement 2,500iu daily Oct - April to maintain levels.
My GP is not interested in giving me any medication. I will take Dr Toft's article with my to the GP's the next time ago, and see if she is willing to change her mind. I am trying to get a referral for a Endo Consultant who has been recommended, hopefully he may prescribe me Levothyroxine on a trial basis.
I have Just started with gluten free diet, and I am hoping it will improve my joint/muscle pain and my IBS.
I am thinking I was definitely B12 deficient last month, as my levels are still low after a B12 injection. I am taking a B- complex tablet everyday, should I change that to just a B12?
Thanks for the information on the Ferritin, as iron is probably the only vitamin I am not taking right now
Your doctor may not diagnose hypothyroidism until TSH is over range but she could prescribe Levothyroxine on a trial basis to see whether it improves symptoms as your TSH is high in range with positive thyroid antibodies.
Low vitD can cause joint pain so upping your D3 dose may help.
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