I'm after some help and guidance in understanding my lab results, what action I need to take to relieve my symptoms and what supporting evidence (if needed) that I can share with my GP and Endocrinologist to get them to take the right actions ;-).
I'm a 42 year old male with Autoimmune Thyroiditis aka Hashimotos. I was diagnosed 6 years ago following diagnosis of another autoimmune condition; Alopecia Areata.. I have been gluten free for 5 years, alcohol free for 3.5 years and have not smoked for 2 years. I still consume dairy (in the form of whey protein) and also eat soy and sugar in moderation..
I'm now under the care of an Endo and my GP and take 100mcg Levo/T4 and 20mcg Liothy/T3 per day.. Since taking the T3 I have seen some improvement in symptoms. Since beginning T3/ T4 combination treatment I have seen an improvement in how I feel but I am still suffering the following:
- Thin, fine and brittle hair (hair dresser has noticed progressive change in hair quality and but I am not showing any 'normal' signs male pattern baldness; not receeding nor crown baldness - just overall thinning and coarse).
- Wrist and joint paint
- muscle pain and lack of progress in gym (although labs show v low testosterone)
- Tendon pain (mainly achilles)
- tired by afternoon (followed by insomnia at night)
I've summarised my last lab test re: Thyroid and Vitamin results below:
Vitamin B12 = 333 ng/L (200-900) I was taking high strength Vit B Complex
Vitamin D = 83 nmol/L (75-200) I was taking 100 ui per day when these were taken
Ferritin = 184 ug/L (15-300)
Serum Folate = 7.4 ug/L (2-17)
TSH = 1.2 (0.35 - 5.0)
Free T4 = 12.7 pmol/L (9-24)
Free T3 = 4.6 pmol/L (3.5-6.5)
TPO Antibodies (207... these were 695 when first diagnosed)
TSH receptor antibodies less than 0.4
Synacthen test (Normal)
On 25th May Testosterone 9.2, free calculated testosterone 0.122, SHBG 56.3
Vitamin D = 83
I go to the gym 4 x per week (lift weights) and track my calories and macro intake with little to NO progress in the last 12 months (not normal I am told). I'm very careful not to over do it on cardio (I run maybe once a week).
I'm very keen to understand if I need to persuade my endo to up my T3 so it is in the upper quarter of the range (this is what I have heard) and how I do this with any supporting literature or material.
Good advice is much appreciated and of course any recommendations on the types of vitamins and vitamin product recommendations are very welcome..
Thanks in advance!