Blood test results - comments gratefully received.

[MCDW]

I would be grateful for thoughts on these blood tests. Prior to these I was on 75mcg Levo. Subsequently the endo put me up to 100mcg for 2 days a week, but my GP has now raised that to 100mcg every day as a subsequent blood test my TSH had increased to 1.9 - with the aim of achieving a TSH of approx 0.05

(I stopped all self-prescribed vitamins prior to these tests and tests all fasting and no Levo in previous 24 hours.)

I now take 400 mg daily magnesium citrate to manage the associated constipation. I am struggling to keep my weight down - though previously have never needed to diet. I'm considering supplementing with T3.

Many thanks

Vitman B12 630 (191-663) pg/mL

Serum Fotate. 16.0 ( > 3.8) ng/mL

Calcium 2.48 (2.10 - 2.55) mmo1/L

Corrected calc. 2.44 (2.10-2.55) mmo1/L

Magnesium 0.82 (0.70 - 1.00) mmo1/L

Inorganic Phos. 1.30 ( 0.80 - 1.50) mmo1/L

Albumin 45 ( 35 - 50) g/L

Ferritin 86 ( 13 -150 ) ng/mL

25 OH-Vit D 67 nmo1/L (reference value - 25 - 50 insufficient)

TSH 1.31 ( 0.27 - 4.20 ) mU/L

FT4 17.6 ( 12.0- 22.0 ) pmo1/L

Free T3 4.0 ( 3.1 - 6.8 ) pmo1/L

Cortisol (AM) 332 nmo1/L ( 133 - 537 ) nmo1/L

Thyroid Perox Ab. 184 ( > 75 - positive)

Anti Thyrogl. Ab. 12 ( < 100 - normal )

[SlowDragon Administrator]

Are you strictly gluten free as you have Hashimotos

Your vitamin D is still too low. Aim for 100nmol

Good to see GP happy with aim of low TSH

A rare and refreshing approach

[Clutter]

MCDW,

100mcg daily should increase FT4 and FT3 and lower TSH.

B12, folate, calcium, phos, albumin and ferritin are good.

VitD is suboptimal, optimal is 100-150. How much are you supplementing?

Cortisol is within range.

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_...

[MCDW in reply to Clutter]

Many thanks Clutter.

I haven't gone gluten free as yet, but will certainly consider. Aware antibodies have reduced over last few months (from 400+)

Have started supplementing with D3 - 1000iu daily. Is that likely to be a suitable dose?

Thanks again.

[Clutter in reply to MCDW]

MCDW,

I'd supplement 5,000iu daily for 6 weeks then reduce to 5,000iu alternate days until April when you should retest.