I have just had my Medicheck thyroid ultra results back and all looks good except Thyroglobulin antibodies which are over 4000 (should be between 0.00 and 115) and Thyroid peroxidase antibodies which are 139 (should be between 0.00 and 34) but i have no idea what that means lol
I see from your previous post you are already on Levothyroxine (175mcg)
All thyroid tests should ideally 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. (Patient to patient tip, GP will be unaware)
Is this how you did test? Assuming so.....
You actually have room for small dose increase
Your FT4 at 16 is a little off the max of 22
TT4 at 94 is definitely below max of 154
FT3 is only mid range at 4.72. Many need it slightly higher in range
Obviously the most obvious thing is your high thyroid antibodies. This is Hashimoto's also called autoimmune thyroid disease
Hashimoto's affects the gut and often leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's is very poorly understood
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
hi, thank you for the though reply, my vit D was tested on the NHS and was low, i am taking vit D once a week as per perscription at the moment. The gut thing could be causing all my muscle pains?
That's actually only 2800iu per day. Ask that they retest you at end of prescribed dose
Or alternatively test via vitamindtest.org.uk
£28 postal kit
We see many patients left still with too low level, NHS will only test once every year or two years
Need to aim to increase to around 100nmol. Retesting twice yearly. Likely to need an ongoing maintenance dose. Trial and error what each person needs to stay level
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