New test results

[ewilma26]

I got my new results

Thyroglobulin AB<1 range <or =1/ml

Cortisol 5.6 range 4.0-22.0

Thyroperoxide AB 86 range < 9 ou/ml

Vit d 43 range 30-100

Ferritin 103 range 6-137

B12 447 range 239-931

Foliate 7.3 range 3.4-5.4

T4 free .61 range 0.78-2.19

Tsh 28.70 range 0.46-4.70

[Clutter]

Ewilma26,

Thyroid peroxidase antibodies are positive for autoimmune thyroid disease (Hashimoto's). There is no cure for Hashimoto's which causes 90% of hypothyroidism. Levothyroxine treatment is for the low thyroid levels it causes. Many people have found that 100% gluten-free diet is helpful in reducing Hashi flares, symptoms and eventually antibodies.

chriskresser.com/the-gluten...

thyroiduk.org.uk/tuk/about_...

Your TSH is high and FT4 below range which means you are overtly hypothyroid. Your GP should prescribe Levothyroxine. 50mcg - 100mcg is an appropriate starting dose but it will probably need increasing at 4-6 week intervals until you are optimally dosed.

The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 0.3 - 1.0 with FT4 in the upper range. FT4 needs to be in the upper range in order that sufficient T3 is converted. Read Treatment Options in thyroiduk.org.uk/tuk/about_...

For maximum absorption Levothyroxine should be taken with water 1 hour before, or 2 hours after, food and drink, 2 hours away from other medication and supplements, and 4 hours away from calcium, iron, vitamin D supplements, magnesium and oestrogen.

It takes 7-10 days for Levothyroxine to be absorbed before it starts working and it will take up to six weeks to feel the full impact of the dose. Symptoms may lag behind good biochemistry by several months.

You should have a follow up thyroid test 6-8 weeks after starting Levothyroxine. Arrange an early morning and fasting (water only) blood draw when TSH is highest, and take Levothyroxine after your blood draw.

thyroiduk.org.uk/tuk/about_...

VitD is optimal 40-60. If you're in the northern hemisphere you may want to supplement 2,000iu D3 daily Oct-Apr when ultraviolet light is too low to stimulate vitD. VitD should be taken 4 hours away from Levothyroxine.

Ferritin, B12 and folate results look fine.