Support & Guidance please

[Harthill42]

Hi could I please help interpreting my results please Slow Dragon Seaside Susie and anybody who can guide me through these test results thank you.

Serum free T3 level coming back as normal no action for. 4. 5 pmol/ (3.6-6.4)

SE Sirod peroxidise. 263 kiU/L -34 Doctor has asked to see me to discuss these results. Elevated TPO level

B12 folate normal no action.

Serum vitamin B12.-212 (200-700)

Serum folate 7.7UG/L ( 3.9–26.8)

Plasma cortisol level 553 L (140- 500)

States just out of normal range so okay not cortisol deficient stress or medication causing elevation identified on the results? !!!

Serum ferritin normal no action 127 ug/L 13–150

Thyroid function - normal no action

Serum. TSH. Level 1.3 (0.30-6.00)

Euthyroid levels

Serum iron levels 21.8. (13.0-32.0)

Serum transferrin 2.37 (2.00-3.60)

Se unsat. Iron binding capacity 54 (45-70)

Serum TSH level 0.98 (0.30-6.00)

Serum free. T4 level 14.1 (10-22.0)

Started on 50 mcg in November 2017. Increased to 75 mcg. in January.18

Thank you

Harthill 42

[Clutter]

Harthill42,

Which are the thyroid results on 50mcg and which on 75mcg?

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_...

B12 212 is very low. If you have symptoms of deficiency in b12deficiency.info/signs-an... go to healthunlocked.com/pasoc for advice. If not, you can supplement 1,000mcg methylcobalamin to raise B12.

Folate 7.7 is low in range. If you supplement methylcobalamin or have B12 injections add a B Complex vitamin which will raise folate.

Ferritin and iron are good.

[SlowDragon Administrator]

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

Is this how you did the test?

GP will think TSH is good

However FT4 is low in range, should be higher, say around 19-21

FT3 is also low in range, aiming for over 5 or even over 5.5

You might need another dose increase, but suspect GP will be reluctant to do so yet.

Did you know you had Hashimoto's? Confirmed by high thyroid antibodies

B12 is very low. Ask GP to test for Pernicious Anaemia before starting B12 injections

You could ask advice on PAS healthunlocked too about this

Folate on low side as well.

If GP won't offer B12 injections you can self supplement B12 sublingual lozenges and a good vitamin B complex too

Ferritin is fine and iron

There's no vitamin D test. Ask GP to run test

As you have Hashimoto's are you on strictly gluten free diet?

If not that's next step. Ask GP for coeliac blood test first

[Harthill42]

Thank you this explains why I continue to feel not fully functional. The test results were done taking 75mcg for 6 weeks prio to this from November until the 3rd of January, I started on 50 mcg.

[Harthill42]

Thank you.

[Hidden]

What time of day were the blood tests done as that will affect the result of the cortisol? If it was done at 9am or there abouts the cortisol is just within range, however if it was done later in the day then the result is high. Do you have any symptoms like weight gain round your tummy, insomnia, muscle weakness, round red face?

[Harthill42 in reply to Hidden]

Hi it was taken @ 830am. Yes to tummy; a jelly belly. Roundness has shifted from the face since I started the Levo.thyroxine. No insomnia recently but did have some at the start of my diagnosis. Thanks for your reply it is much appreciated.