Latest bloods - supplement advice please

[Rhinogirl1959]

Hi

My adult son had his levo increased to 100 (which he takes very early morning) in October and his latest bloods are:

TSH 0.866 (0.27-4.20)

Free thyroxine 22.1 (12-22)

Total thyroxine (T4) 115 (59-154)

Free T3 5.29 (3.1-6.8)

His antibodies are high as he has hashimotos he's trying gluten free diet and taking selenium.

Am I right in thinking these look reasonably good (medichecks seem to think his thyroxine is too high so opinions welcome).

Active B12 256 (25.1-165)

Folate (serum) 19.98 (2.91-50)

Ferritin 88.4 (30-400)

Not sure what to do about above vitamins as he was supplementing with B12 until 3 months ago and switched to a B complex instead, he's also been taking 5mg folic acid for the lasr 6 weeks. Someone said he shouldn't have started supplementing without having a full iron panel first so we're now confused as to the best way forward. Should he stop supplementing the B complex and folic acid for a period of time (and if so how long) and then request a full iron panel or just carry on?

He's supplementing vitamin D which is now coming up nicely.

His main symptoms now are fatigue, dizziness and anxiety.

Any advice on the next steps very welcome.

Thanks

[Jazzw]

I agree you’re on the right track. The FT4 is only a smidge over the top of the range and your son seems able to convert sufficient T4 to T3. So that’s all good. It looks like the switch to B complex was a good idea as his B12 was over-range (though that’s not to say he definitely doesn’t need more as it’s not always easy to discern).

Has improved overall? Unfortunately, a fuller recovery does take time and patience.

[silverfox7]

Once the vitamins are optimal then he will probably convert that little extraT4 into T3 and be better balanced. Symptoms often lag behind bloods. Remember somectake a while to build up so they aren't going to disappear quickly.