Help with blood results please!!!

[Katie39]

Hi can anyone understand these results as they have left me very confused!!

I am on levothyroxine 150mg

[Clutter]

Katie39,

TSH is suppressed because FT4 is high, slightly over range. You aren't overmedicated though because FT3 4.85 is not even halfway through range.

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 but some patients will need higher FT4 and lower TSH to convert sufficient FT3 to feel well. Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email [e-mail] if you would like a copy of the Pulse article to show your GP.

Thyroglobulin antibodies are negative but thyroid peroxidase antibodies are mildly positive indicating 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_...

Active B12 >35 is very unlikely to be deficient.

Folate 1.98 is deficient. Your GP should prescribe 5mg folic acid for 2-3 months to correct deficiency.

VitD 32.2 is insufficient. Replet is >75 with most people comfortable 100-150. Your GP should refer to local guidelines or the cks.nice.org.uk/vitamin-d-d... Do NOT accept a prescription for 800iu which is a maintenance dose prescribed after vitD is replete >75. My sister's GP prescribed 2 x 20,000iu D3 per week when vitD was 40. Vitamin D should be taken 4 hours away from Levothyroxine.

CRP is an inflammation marker and 8.3 is high.

Assuming you are not suppementing iron, high ferritin can also indicate inflammation. I would ask your GP to do a full blood count to rule out infection.