Results help please

[debs]

I would appreciate help and suggestions with my recent blood results. I am tired, sleep for 9-10 hours every night, am overweight, suffer memory loss and brain fog. I am currently taking 125mcg Levothyroxine, have been prescribed Liothyronine and when it was stopped by my GP I bought it from Greece, unfortunately I have been unable to find a supplier and have been taking Levothyroxine for about 4 months.

I also have a hiatus hernia and have been taking Omeprazole for a few years and have Sleep Apnoea and use CPAP.

My recent blood results are:-

TSH 0.73 (0.27 - 4.20)

T4 Total 133.0 (64.5 - 142.0

Free T4 19.50 (12.0 - 22.0)

Free T3 4.04 (3.1 - 6.8)

Reverse T3 29.0 (10 - 24)

Reverse T3 ratio 9.07 (Normal>15 Borderline 12-15 Low <12)

Anti-Thyroidperoxidase abs 15.7 (<34)

Anti-Thyroglobulin abs 139 (<115)

Vitamin D 36 (Deficient <25 Insufficient 25-50 Consider reducing dose >175)

Vitamin B12 238 (Deficient <140 Insufficient 140-250 Consider reducing dose >725)

Serum Folate 10.9 (8.83-60.8)

HbA1c-(IFCC) 39 (20-42)

he-CRP 7.90 (<5.0)

Ferritin 38.7 (20-150)

Magnesium 0.95 (0.6-1.0)

Insulin 93.5 (0-88 Fasting)

Thanks for your time, Debs.

[Inaquandary]

No wonder you feel rubbish! Your Vitamin D is very low,I would recommend a supplement of 3000iu to 5000iu to get Vitamin D up... Take with K2 to get the D where it needs to go.

I don't know much about other results but the experts on this fabulous site will advise you. Hope you feel better soon x

[debs in reply to Inaquandary]

Thanks Lindsay x

[greygoose in reply to Inaquandary]

'Take with K2 to get the D where it needs to go'

Actually, the K2 makes sure the calcium goes to where it needs to go. Taking D3 increases absorption of calcium from food, and K2 makes sure it doesn't build up in the soft tissues.

[Inaquandary in reply to greygoose]

I knew it was something like that! I'm taking so many painkillers and supplements I should be rattling x

[thesla1948]

Hi Debs. I have many of your issues so can commiserate with you, including sleep Apnoea. I have taken omeprazole for 6 years now, for hiatus hernia and stomach surgery. It really does help and I would recommend staying with it. I also take vitamin d as a chewable tablet and have a vitamin b12 injection every 3 months, which definitely help with the tiredness issues. Like you I take loads of pain killers including Zomorph and a vitamin additive called Desunin, which was prescribed by the dietician after my stomach surgery. I would recommend you allow your body to sleep as much as possible right now. When all the vitamins kick in you will gradually feel less tired. Hope that helps and happy to chat any time if you just want to talk with someone who understands what you are going through

Monica

[SlowDragon Administrator]

Are your vitamin levels improved since this post?

They are all very low and may be a significant reason why you feel rubbish

Taking a ppi like omeprazole lowers vitamins so your GP should be regularly testing B12 and magnesium especially, but folate, vitamin D and ferritin too

thyroidpharmacist.com/artic...

drmyhill.co.uk/wiki/hypochl...

scdlifestyle.com/2012/03/3-...

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

pulsetoday.co.uk/clinical/m...

gov.uk/drug-safety-update/p...

Essential to have optimal levels of vitamin D, folate, ferritin and B12 for T3 or T4 to work

Vitamin D around 100nmol

B12 and folate towards top of range

Ferritin at least half way in range

Ask GP to test or test privately

For full Thyroid evaluation you need TSH, FT4, FT3 plus TPO and TG thyroid antibodies and also very important to test vitamin D, folate, ferritin and B12

Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or vitamins

thyroiduk.org.uk/tuk/testin...

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.

All thyroid tests should ideally be done as early as possible in morning and fasting. When on Levothyroxine, take last dose 24 hours prior to test, and take next dose straight after test. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, GP will be unaware)

If also on T3, make sure to take last dose 12 hours prior to test

Ferritin you can improve by eating liver or liver pate once a week

Are you regularly supplementing vitamin D, magnesium and a good quality daily vitamin B complex

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Are you also now on strictly gluten free diet as advised by SeasideSusie in a previous post