Advice please. Got urgent blood tests due to feeling rubbish and apparent loss of vision .... total thyroidectomy 2009 on 200mcg levo
iron 29. (9.0-30.4)
TSH 0.83 (0.35-3.5)
FT3 4.4 (3.8-6.0)
FT4 18 (8.0-21.0)
Ferritin 57 (23-300)
Folate 4.1 (2.7-15)
B12 382 (130-1100)
Vit D 33 (50-120)
Any help for when I go back to GP please - only thing they have advised is to take Vit D 😞
Your FT3 looks too low. You either need increase in dose of Levothyroxine or likely would benefit from addition of small dose of T3.
Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,
"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.
In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.
Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.
This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."
You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor please email Dionne at
tukadmin@thyroiduk.org
Can also request list of recommended thyroid specialists, some are T3 friendly
Professor Toft recent article saying, T3 may be necessary for many. Note especially his comments on current inadequate treatment following thyroidectomy or RAI
rcpe.ac.uk/sites/default/fi...
Vitamin D needs improving to around 100nmol. Better You vitamin D mouth spray works well as avoids gut malabsorption
B12 and folate work together and both are too low. It's recommended B12 is at least 500, but nearer or above top of range is likely better.
Supplementing a good vitamin B complex with folate in rather than folic acid, plus may also need a sublingual B12 lozenge (eg Jarrow 1000mcg)
If you are taking vitamin B complex, or any supplements containing biotin, 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...
Ferritin could be better too. Eating liver once a week should help improve
So I had my GP appt today. She clearly had no clue. Wouldn't entertain any of what I said. I have her a long list of symptoms and information around vitamins etc all she could focus on was self help for anxiety! Obv anti depressants were offered were she was kindly told where she could put them!! She stated she will write to the endo for advise! Yea ok love you do that!
Looks like it's down to me to get myself well starting on getting my levels up with D3 protocol and b12/folate. Then I'll see how to address thyroid!
Feeling very fed up by it all!
Sorry you got such typical useless results
Absolutely no point seeing a standard endo, they are all mainly diabetes specialists
Very often completely disinterested in vitamin levels. Also currently pressurised not to prescribe T3
If you want an endo - choose one off the Thyroid UK list who is T3 friendly
I have got that list came through other day.
I think I'm gonna concentrate to get my vitamin levels improved and then see how I feel and then look to improve my thyroid levels.
Thank you for your advise.
