Thyroid blood results

[Tofi]

Hi everyone

Just got these back and would value feed back on them.

[ITYFIALMCTT]

I can't read those results even with zooming because of the resolution - I've no idea if other people can.

If other people can't read it, can you type out the results and their reference ranges so that it's practical for members to comment?

[SeasideSusie Remembering]

Even on my PC with a good sized screen, they're impossible to read. If you can't zoom in to show just the results clearly, rather than including all the black screen surrounding the results page, then please type them out, there's not that many (we don't need all the blurb given alongside the Vit D result, we just need the actual figures).

[Tofi in reply to SeasideSusie]

Apologies for delay re results. Results as follows:

Tsh 3.99

Free thyroxine 13.1

T4 92.6

Free t3 4.72

Reverse t3 15

Reverse t3 ratio 20.49

Thyroid peroxidase antibodies 13.6

Thyroglobulin antibodies <10

CRP 5.4

Ferritin 30.6

B12 180.6

Folate 8.49

Vitamin d 50.7

Your thoughts would be appreciated

[ITYFIALMCTT in reply to Tofi]

Can you edit this post to include the reference ranges please (usually to the right of the results and might be in brackets). The ranges differ from one lab. to another for various reasons so it's not possible to comment without them. E.g., there's a difference between B12 of 180 when the range is 140-800 v. 220-1000, particularly when it comes to discussing them with a GP.

[SeasideSusie Remembering in reply to Tofi]

Tofi I do know most of Medichecks ranges so will do my best.

Tsh 3.99

Thyroid is struggling. In another country you would be diagnosed Hypothyroid with a TSH of 3.

Free thyroxine 13.1

Free t3 4.72

These are low in range but would need to be below range for any GP to even consider subclinical hypothyroidism.

Reverse t3 15

Reverse t3 ratio 20.49

These present no problem.

Thyroid peroxidase antibodies 13.6

Thyroglobulin antibodies <10

These are within the normal limits so don't show autoimmune thyroid disease.

CRP 5.4

I think this might be just over range. It may have been mentioned in their comments, it's an inflammation marker so maybe you were not feeling 100% when you did the test.

Ferritin 30.6 (Is the range 15-150 or similar?)

This is low. 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 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...

If the range is different from that which I have quoted, and if your level is right at the bottom, then you need to ask your GP to do an iron panel and full blood count to see if there is any anaemia.

B12 180.6

Medichecks do Active B12 which I know nothing about, I can only interpret Serum B12 results.

Folate 8.49

I don't know if Medichecks use a range or just >XX

If they use a range and this is low, then you need a B Complex containing 400mcg methylfolate to help raise this level.

Vitamin d 50.7

The unit of measurement will be nmol/L and this is low. The Vit D Council recommends a level of 100-150nmol/L. You could supplement with D3 softgels 5000iu for 3 months then retest (Doctor's Best are very good and not expensive). If you only want to test Vit D then use City Assays who do a home fingerprick bloodspot test for £28

vitamindtest.org.uk/

When you've reached the recommended level 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.

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 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

naturalnews.com/046401_magn...

Check out the other cofactors too.

[Tofi]

Tsh 3.99 (0.27-4.20)

Free thyroxine 13.1 (12.-22)

T4 92.6 (59-154)

Free t3 4.72 (3.10-6.80)

Reverse t3 15 (10-24)

Reverse t3 ratio 20.49 (15.01-75)

Thyroglobulin antibodies <10 (0-115)

Thyroid peroxidase antibodies 13.6 (0-34)

Active b12 180.6 -(25.1-165)

Folate 8.49 -(2.91-50)

Vitamin d 50.7 50-200)

CRP 5.4 (0.0-5)

Ferritin 30.6 (13-150)

Trust this is what you mean

[Tofi]

Last fbc showed

HB 118(115-165)

Haematocrit 036 (.37-.47)

Wbc 5.5 (4-10)

Already taking 305mg ferrous fumerate daily. Just never seem to get my haemoglobin to stay up that I can feel the benefit .

I've had numerous spats with GP and have finally got letters to see an endo privately. Will take your advice re vitamins etc , many thanks.

[SeasideSusie Remembering in reply to Tofi]

Be careful with private endos. They're usually NHS endos taking private patients so will possibly toe the NHS line.

If you email [e-mail] she has a list of thyroid friendly endos and you could ask for feedback on the forum (replies will have to be by private message) and you might be better seeing one of those. Paying to see one who just will say the same as an NHS endo is wasting your money.

Do you take your ferrous fumarate with 1000mcg Vit C with each tablet to help absorption? Also, it should be taken 2 hours away from any other medication and supplements as it affects absorption.

What about MCV/MCHC? These should have been tested in your full blood count. If MCV is low and MCHC is high this suggests iron deficiency anaemia.

Did you have an iron panel to include serum iron, transferrin, transferrin iron saturation percentage and TIBC?

As your folate is low, I would get some Thorne Basic B for your B Complex and take 1 daily.

Do you have any gut/absorption problems? Coeliac?

[Tofi]

Appreciate your help. I will make contact re thyroid friendly endo. I was waiting to get blood results back before I proceed on the private endo. I do take iron with vit c and also have had gut issues in the past few years and attending a gastro consultant but apparently I don't have a ceoalic problem!its been a vicious circle without an end.GP won't let me have my b12 any sooner than the normal 3 months even though I know when I need it.i'll keep trying for a better way forward.