Thyroid test results

[Bubbles789]

Hi everybody,

If anybody is kind enough to give me their views on my test results recieved today.

My Levo was adjusted from 50mg to 75mg 4 weeks ago but i still feel tired and muscles all hurt. Any info welcome x

[SlowDragon Administrator]

Four weeks is really too soon after an increase to test thyroid levels. I know it can be difficult to wait. The advice is always 6 weeks minimum

You do not appear to have Hashimoto's (autoimmune thyroid disease) as both antibodies are low. Though you can't rule it out 100%

However it's clear to see your vitamin levels are too low

Ferritin and vitamin D especially

B12 possibly low

So you should start vitamin D supplements. Aiming to get level up to around 100nmol. Better You vitamin D mouth spray is good. Perhaps try 2000iu or 3000iu daily. Retesting in 2-3 months

Ferritin, you might ask GP for full iron panel to check for Anaemia. Eating liver once a week should help improve levels

You might benefit from good vitamin B complex that contains folate

If you are taking vitamin B complex, or any supplements containing biotin, must remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

See this detailed supplements advice from SeasideSusie

healthunlocked.com/thyroidu...

Always take Levo on empty stomach and then nothing apart from water for at least an hour after. Many take on waking, but it may be more convenient and possibly more effective taken at bedtime

verywell.com/should-i-take-...

Many people find Levothyroxine brands are not interchangeable. Once you find a brand that suits you, best to make sure to only get that one at each prescription. Watch out for different brand with dose changes

All thyroid tests should be done as early as possible in morning and fasting and don't take Levo in the 24 hours prior to test, delay and take straight after. This gives highest TSH, lowest FT4 and most consistent results

Would suggest you improve vitamins and retest in about two months.

[Bubbles789]

Thank you for your reply.

I am really trying to learn as much as i can, as the doctors dont seem to get it!

So i feel the only way forward is private blood tests and self medicating.

So your help is really appreciated. Xx

[Bubbles789]

Hello SlowDragon 😂

Thank you for your reply and advice.

I have been taking supplements of high dose B Complex (900uq b12, and 300uq biotin) 1000mg vit C, and 15mg Zinc, and 200mcg

[Angel_of_the_North in reply to Bubbles789]

Did you take biotin in the days before the test? Biotin can give incorrect test results esp for free T4 and TSH.

[Bubbles789]

Sorry - carry on from last message

Selenium

I never knew about the biotin.

The dr has put me on two different brands ((cant remember names) of levo 50 and 25 do you think i should ask if i could just be on one brand?

Thanks again x

[Nanaedake in reply to Bubbles789]

yes. Ask pharmacy to only supply the levo that suits you best. If you mix and match levothyroxine then if you have an absorption problem with one, a reaction or a bad batch, you won't know which one is the problem.