Meheg3 She was asking about coeliac disease, but no family history of. Really don’t want an endoscopy! (I work there!)
So don't have one. You are Hashi's, it doesn't matter whether you are coeliac or not, gluten free is most likely going to help, so just do it. Also, to help reduce the antibodies, supplement with selenium l-selenomethionine 200mcg daily.
Said they weren’t concerned about tSh being raised slightly as t4 is good.
Utter tosh! Ask what reference ranges are for if they're going to ignore them. And show your GP this information from thyroiduk.org.uk/tuk/about_... > Treatment Options:
According to the BMA's booklet, "Understanding Thyroid Disorders", many people do not feel well unless their levels are at the bottom of the TSH range or below and at the top of the FT4 range or a little above.
The booklet is written by Dr Anthony Toft, past president of the British Thyroid Association and leading endocrinologist. It's published by the British Medical Association for patients. Avalable on Amazon and from pharmacies for £4.95 and might be worth buying to highlight the appropriate part and show your doctor.
Dr Toft states in Pulse Magazine, "The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.
In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance.
But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.
This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."
You can obtain a copy of the article by emailing firstname.lastname@example.org print it and highlight question 6 to show your doctor.
So if you still have symptoms, don't fee optimally dosed, then ask for an increase in line with Dr Toft's suggestion.
Vit D 76.5 (>75 optimal)
Vit D is recommended to be 100-150nmol/L according to the Vit D Council. Your result will satisfy your GP but you really need to improve it, especially now it's winter and we can't make natural Vit D from the sun for the next few months, your body will use the Vit D stored during the summer so your level might drop. I would get yourself a maintenace dose of D3 and be aware of the important cofactors also
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 helps D3 to work and 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
Check out the other cofactors too.
You can get combined D3/K2-MK7 supplements, capsules or oral spray. Magnesium can be taken in powder form or tablets, magnesium oil or cream, epsom salt baths, etc.
Ferritin 10 (range 13-150)
For thyroid hormone to work (that's our own as well as replacement hormone) ferritin needs to be at least 70, preferably half way through range.
You need an iron supplement and as your level is so low you should ask for an iron infusion which will raise your level within 24-48 hours, tablets will take many months.
You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, and including lots of iron rich foods in your diet apjcn.nhri.org.tw/server/in...
But most important also, you need an iron panel and full blood count because there's a very real possibility of anaemia.
B12 157 (range 197-771)
Folate 2.7 (range 3.9-26.8)
This is serious. Go and post on the Pernicious Anaemia Society forum for further advice healthunlocked.com/pasoc Quote these results, your ferritin result, any iron information you may already have, also list any signs of B12 deficiency you are experiencing - check here b12deficiency.info/signs-an...
You will need testing for pernicious anaemia and most likely will need B12 injections. If you are prescribed folic acid don't start taking it until further investigations have been carried out.