Results

[Jadalouise]

Hi I am new and I had my latest bloods back. Taking 50mcg levo. Thankyou for reading

TSH 6.3 (0.2 - 4.2)

Free T4 12.9 (12 - 22)

Free T3 3.1 (3.1 - 6.8)

[shaws Administrator]

You've forgotten to post your results with the ranges

[Jadalouise in reply to shaws]

Done thankyou

[shaws Administrator]

You need an immediate increase. The aim is a TSH of 1 or below with FT4 and FT3 towards the upper part of the ranges.

[Jadalouise]

Also TPO antibody 832.5 (<34)

TG antibody 955.3 (<115)

[Jadalouise]

Ferritin 8 (15 - 150)

Folate 2.1 (4.6 - 18.7)

B12 191 (190 - 900)

Vitamin D 23.5 (<25 severe deficiency)

[Nanaedake in reply to Jadalouise]

You are very deficient in all vitamin and Vitamin D is severly deficient. What has your GP said and done?

[Jadalouise in reply to Nanaedake]

Thankyou nothing has been said I was hoping the doctor would advise

[Nanaedake in reply to Jadalouise]

Book an immediate appointment with the doctor and point out your deficiencies. Read SeasideSusie advice about vitamin supplementation before you visit the doctor. Go armed with a list of symptoms and tell your doctor you want to be treated as per the guidelines which you will find reference to on SeasideSusie's posts to other people.

In the meantime if you can't get an appointment and you suddenly feel very unwell visit your nearest A&E and get treatment. Your ferritin is very low and you need treatment and a full iron panel.

[Jadalouise in reply to Nanaedake]

Thankyou iron panel showed iron 5.7 (6 - 26) transferrin 15 (12 - 45) and MCV 76.1 (80 - 100) MCHC 378 (310 - 350) Haemoglobin 113 (115 - 150)

[ITYFIALMCTT in reply to Jadalouise]

Those additional results are very like the ones here that SeasideSusie discusses in her 3:31 comment and should give you some ideas of what would be useful to discuss with your GP: healthunlocked.com/thyroidu...

[Nanaedake in reply to Jadalouise]

Well, I believe that confirms iron deficiency so your GP should definitely be treating it. Read the two options advised on posts to other people by SeasideSusie. Iron infusion or supplements and discuss with GP to get urgent treatment.

Post your B12 and folate results with ranges on the HealthUnlocked Pernicious Anaemia forum for best advice. Give a bit of background with your information such as your symptoms etc.

[ITYFIALMCTT in reply to Jadalouise]

Those results are all below the reference range or crawling into it. SeasideSusie 's replies to people with similar results contain a wealth of useful suggestions for products and dosages to rectify these.

However, have you discussed these levels with your GP as your folate and B12 levels suggest a need to consider B12 deficiency (and anything that might cause that) - plus, are you being treated for iron deficiency as your ferritin is so low?

If you don't have an appointment booked to discuss these results then it would be good to make one as soon as practical.

[Jadalouise in reply to ITYFIALMCTT]

Thankyou nothing has been advised and not supplementing

[ITYFIALMCTT in reply to Jadalouise]

Please don't supplement until you've discussed your results with a GP as it would be too easy to interfere with the result of necessary tests. But, book a discussion as you need further investigation.

This is an example of SeasideSusie's suggestions for someone with results that are somewhat similar to your vitamins and minerals: healthunlocked.com/thyroidu...

ETA: it's preferable to have decent vitamin and mineral levels so that your own and any supplemented thyroid hormones can work effectively.

[SeasideSusie Remembering in reply to Jadalouise]

Jadalouise All these results are absolutely dire and you need to speak to your GP and get the appropriate treatment.

Ferritin 8 (15 - 150)

For thyroid hormone to work ferritin needs to be at least 70, preferably half way through range. You need an iron supplement and as your ferritin is below range then you need an iron infusion so ask for one,do not be fobbed off with tablets which will take months to raise your level whereas an infusion will raise your level within 24-48 hours. Fight for it!

*Ask your doctor why he has ignored this result*

**

MCV 76.1 (80 - 100) MCHC 378 (310 - 350) Haemoglobin 113 (115 - 150)

All this suggests iron deficiency anaemia. Ask for the appropriate treatment - see NICE Clinical Knowledge Summary for iron deficiency anaemia treatment (which will be very similar to your local area guidelines): cks.nice.org.uk/anaemia-iro...

How should I treat iron deficiency anaemia?

•Address underlying causes as necessary (for example treat menorrhagia or stop nonsteroidal anti-inflammatory drugs, if possible).

•Treat with oral ferrous sulphate 200 mg tablets two or three times a day.

◦If ferrous sulphate is not tolerated, consider oral ferrous fumarate tablets or ferrous gluconate tablets.

◦Do not wait for investigations to be carried out before prescribing iron supplements.

•If dietary deficiency of iron is thought to be a contributory cause of iron deficiency anaemia, advise the person to maintain an adequate balanced intake of iron-rich foods (for example dark green vegetables, iron-fortified bread, meat, apricots, prunes, and raisins) and consider referral to a dietitian.

• Monitor the person to ensure that there is an adequate response to iron treatment.

*Ask your doctor why he has ignored this result*

**

Folate 2.1 (4.6 - 18.7)

B12 191 (190 - 900)

You are folate deficient and at the very bottom of range for B12. Do you have any signs of B12 deficiency b12deficiency.info/signs-an...

Make sure you go over to the Pernicious Anaemia Society for further advice. Post your folate and B12 results, your ferritin and iron deficiency results, any signs of B12 deficiency you may be experiencing. Whatever they advise, discuss with your GP. You will probably need testing for Pernicious Anaemia and may require B12 injections.

If you are prescribed folic acid, do not start taking it until tested for PA and any other investigations.

*Ask your doctor why he has ignored this result*

**

Vitamin D 23.5 (<25 severe deficiency)

You have severe Vit D deficiency and need loading doses of D3. See NICE treatment summary for Vit D deficiency:

cks.nice.org.uk/vitamin-d-d...

"Treat for Vitamin D deficiency if serum 25-hydroxyvitamin D (25[OH]D) levels are less than 30 nmol/L.

For the treatment of vitamin D deficiency, the recommended treatment is based on fixed loading doses of vitamin D (up to a total of about 300,000 international units [IU] given either as weekly or daily split doses, followed by lifelong maintenace treatment of about 800 IU a day. Higher doses of up to 2000IU a day, occasionally up to 4000 IU a day, may be used for certain groups of people, for example those with malabsorption disorders. Several treatment regims are available, including 50,000 IU once a week for 6 weeks (300,000 IU in total), 20,000 IU twice a week for 7 weeks (280,000 IU in total), or 4000 IU daily for 10 weeks (280,000 IU in total)."

Each Health Authority has their own guidelines but they will be very similar. Go and see your GP and ask that he treats you according to the guidelines and prescribes the loading doses, do not accept anything less. Once these have been completed you will need a reduced amount (not a paltry 800iu) to bring your level up to what's recommended by the Vit D Council - which is 100-150nmol/L - and then you'll need a maintenance dose which may be 2000iu daily, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with City Assays vitamindtest.org.uk/

There are important cofactors needed when taking D3

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 four hours away from thyroid meds.

Magnesium comes in different forms, check 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...

Check out the other cofactors too.

*Ask your doctor why he has ignored this result*

**

You might be better off seeing a different GP, sort out the appropriate treatment and then make a formal complaint for negligence against this GP.

[Nanaedake]

How are you feeling because your TSH is too high and FT3 too low?

[Jadalouise in reply to Nanaedake]

Thankyou symptoms are dizziness, goitre, dry skin, sweats, constipation, weight loss, stomach upset, dry eyes, tiredness, hair loss, tinnitus, breathlessness

[Nanaedake in reply to Jadalouise]

Tinnitus is a symptom of B12 deficiency. Hypothyroid causes constipation, possibly weight loss, poor gut function, dry eyes and tiredness but other vitamin deficiencies can cause some of these symptoms too Hair loss could also be attributed to mineral deficiencies.

[SlowDragon Administrator]

Get an emergency appointment with a different GP TOMORROW

You need dose increase and supplements started urgently

See this reply by SeasideSusie to similar dire results today

healthunlocked.com/thyroidu...

Your antibodies are high this is Hashimoto's, (also known as autoimmune thyroid disease). About 90% of hypothyroidism in UK is due to Hashimoto's.

Hashimoto's very often affects the gut, leading to low stomach acid, low vitamin levels and leaky gut.

Low vitamins that affect thyroid are vitamin D, folate, ferritin and B12. When they are too low they stop Thyroid hormones working.

Changing to a strictly gluten free diet may help reduce symptoms.

thyroidpharmacist.com/artic...

thyroidpharmacist.com/artic...

amymyersmd.com/2017/02/3-im...

chriskresser.com/why-changi...

scdlifestyle.com/2014/08/th...

Low stomach acid can be an issue

Lots of posts on here about how to improve with Apple cider vinegar or Betaine HCL

thyroidpharmacist.com/artic...

Other things to help heal gut lining

Bone broth

thyroidpharmacist.com/artic...