Hi, I have just received my Medicheck thyroid ultra vit - results. Apparently nothing of any great note re thyroid. - higher levels B12 so to stop supplementing and Vit D low normal.(details below)
Full history in my profile.(female 54)
I still feel symptomatic fatigue, brain fog, tingly limbs, breathless (on exertion like rushing up stairs) but not continuous - what else might cause the symptoms? I really would like to be equipped for my next GP appointment.
Test Results - ranges in brackets
TSH 0.632 (0.27-4.02) Free Thyroxine 14.7 (12-22)
Total Thyroxine T4 80.3 (59.00 - 154.00) Free T3 4.71 (3.10 - 6.80)
It would appear you are on 75/100mcg Levo alternate days.
You are undermedicated to have such low FT4 and FT3. The aim of a treated hypo patient generally is for TSH to be 1 or below or wherever it needs to be for FT4 and FT3 to be in the upper part of their respective reference ranges when on Levo.
You need an increase in your dose and because of your low in range TSH your GP will probably freak at the thought. Use the following information in support of your request, from thyroiduk.org/tuk/about_the... > Treatment Options
According to the BMA's booklet, "Understanding Thyroid Disorders", many people do not feel well unless their levels are at the bottom of the TSH range or below and at the top of the FT4 range or a little above.
The booklet is written by Dr Anthony Toft, past president of the British Thyroid Association and leading endocrinologist. It's published by the British Medical Association for patients. Available on Amazon and from pharmacies for £4.95 and might be worth buying to highlight the appropriate part and show your doctor. However, I don't know if this is in the current edition as it has been reprinted a few times.
Also -
Dr Toft 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 article by emailing Dionne at tukadmin@thyroiduk.org print it and highlight question 6 to show your doctor.
**
Active B12 171 (25.10 -165) - this was flagged to stop supplementation
What I have done now my B12 has gone over the top of the range, is to reduce my supplement to 2 days a week.
Fotate, (serum) 5.68 (2.91 - 50)
This is far too low. Folate should be at least half way through it's range. Are you taking a B Complex, which is necessary when taking B12 to balance all the B vitamins. If not I suggest a good brand which contains 400mcg methylfolate, eg Thorne Basic B.
25 OH Vitaminm D 68.4 (50 - 200) - flagged as low normal and advised supplementation
I would suggest some D3 softgels, eg Doctors Best or Now Foods, and I would take 4000iu daily for a couple of months, then reduce to 2000iu daily and retest 3 months after starting. The Vit D Council recommends a level of 100-150nmol/L and once you've reached this level then you'll need a maintenance dose which may be 2000iu daily, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with City Assays vitamindtest.org.uk/
There are important cofactors needed when taking D3
D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds.
Magnesium helps D3 to work and comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds
I've seen it mentioned that for females we should aim for 100-130. If you wanted to stop iron tablets you could eat liver regularly and that will maintain your level. I raised mine by eating 120-140g liver per week, and once I reached a good level I maintained it by eating liver every 10-14 days. Other iron rich foods here apjcn.nhri.org.tw/server/in...
Thank you so very much SeasideSusie I don't have to change my 'name' to LostHope' 😃 You have kept hope alive and replied so amazingly fast 😇 You are a star ⭐️
Now to look at all the links you have provided and order the BMA booklet also think I should get on and join Thyriod UK too. Next task to reclaim computer from husband!!
I will let you know how I get on with GP next month.
GP not only listened but agreed to up my levothyroxine 😃, only an extra 25mcg alternative days, so now 100mcg daily.
I burst into tears & said I was willing to run/stagger round the village naked if it would make me well, 😱 and then presented her with some of your advice & the private blood test which I think convinced her rather than my dramatics.
Is happy with me doing the Vits D & K plus magnesium & folate supplements, but advised against B complex due to the B12 being raised.. still trying to decide whether to do B complex anyway.
She thinks I may have Chronic Fatigue too (I have had post viral fatigue in the past) so am to have another batch of blood tests and in 6 weeks will include T4 and T3 with TSH
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