HI I just had my results from my thyroid check ultavit which I was advised to post here. I'm gutted as seems my levels are fine and now I dont know what to do. I was sure I needed T3 or desiccated Thyroid but all these tells me are im low in Vitamin D. (Not surprising living in Scotland!)
I dont really understand a lot of it to be honest so hoping you lovely people can have a look and help me out. Should I Not be pursuing this anymore?
Thanks in advance
Jill.
But I'm seeing bright red asterisks beside your out of range antibodies, anything but fine jillybits! Not confident enough to say more than it looks like Hashi's, can see SeasideSusie commented on your last post so I'm sure she'll be along with advice later.
Yes, I was half way through and had a visitor so got delayed 
jillybits
TSH is good, FT4 is 41% through range, FT3 is 17% through range.
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.
So your FT4 and FT3 fall way below where they should be, and your conversion ratio is 4.28 : 1 whereas good conversion takes place when the ratio is 3:1 - 4:1 and all this shows you are a poor convertor and would benefit from adding some T3 to your Levo. Or you could consider NDT but I can't help with that.
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Also both thyroid antibodies are raised so you are positive for autoimmune thyroid disease aka Hashimoto's which is where antibodies attack and gradually destroy the thyroid. The antibody attacks cause fluctuations in symptoms and test results.
Most doctors dismiss antibodies as being of no importance and know little or nothing about Hashi's and how it affects the patient, test results and symptoms. You need to read, learn, understand and help yourself where Hashi's is concerned.
You can help reduce the antibodies by adopting a strict gluten free diet which has helped many members here. Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks. You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Supplementing with selenium l-selenomethionine 200mcg daily can also help reduce the antibodies, as can keeping TSH suppressed.
Gluten/thyroid connection: chriskresser.com/the-gluten...
stopthethyroidmadness.com/h...
stopthethyroidmadness.com/h...
hypothyroidmom.com/hashimot...
thyroiduk.org.uk/tuk/about_...
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Hashi's and gut absorption problems tend to go hand in hand and can very often result in low nutrient levels or deficiencies and you do have problems here.
Active B12 is a bit low. If it was <70 it is suggested that testing for B12 deficiency is carried out. If you don't have any signs of B12 deficiency - check that here b12deficiency.info/signs-an... - then you could supplement with sublingual methylcobalamin lozenges 1000mcg daily.
When taking B12 we need a B Complex to balance all the B vitamins.
Your folate level is low and should be at least half way through it's range. A good B Complex containing 400mcg methylfolate can address that, eg Thorne Basic B, or Igennus Super B.
Vit D needs to be 100-150nmol according to the Vit D council so you need some D3 and because of the Hashi's an oral spray would be best - Better You do one in 3000iu strength and that should be fine.
There are important cofactors needed when taking D3
vitamindcouncil.org/about-v...
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
naturalnews.com/046401_magn...
Check out the other cofactors too.
BetterYou do a combined D3/K2 spray which would suit.
Where's your ferritin result?
Wow thanks so much for such a detailed answer. This is a lot to take in. My ferritin is 91.5 (with the range 13.00 - 150.00
Nice ferritin level Jilly. If not supplementing, I'm envious as I have to work at mine
Improving vitamins to be optimal, adding selenium supplements to help improve conversion will all help
Highly likely to need to be strictly gluten free
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)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
Ideally ask GP for coeliac blood test first
amymyersmd.com/2017/02/3-im...
chriskresser.com/the-gluten...
thyroidpharmacist.com/artic...
scdlifestyle.com/2014/08/th...
drknews.com/changing-your-d...
thyroidpharmacist.com/artic...
You probably have room for dose increase in Levothyroxine. Especially once you improve vitamin levels and have gone strictly gluten free
TT4 is not even halfway in range, FT4 could be higher and FT3 needs to be at least half way in range
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
Also request list of recommended thyroid specialists incase GP won't increase your Levo
Professor Toft recent article saying, T3 may be necessary for many otherwise we need high FT4 and suppressed TSH in order to have high enough FT3
rcpe.ac.uk/sites/default/fi...
Official NHS guidelines saying TSH should be between 0.2 and 2.0 when on Levothyroxine
(Many of us need TSH nearer 0.2 than 2.0 to feel well)
See box
Thyroxine replacement in primary hypothyroidism
pathology.leedsth.nhs.uk/pa...
Thanks everybody. I have switched to gluten free so hopefully that will help. I’m going to try T3 or DTH but I don’t suppose my G.P will prescribe so will have to go private or order online. How much will I take? Does anyone know if going to see a herbalist would help? Would they prescribe desiccated thyroid or would that be online too?
Thyroid Uk has list of recommended thyroid specialists, some are T3 or NDT friendly
T3 is available (with difficulty) in some CCG areas if NHS endo says you have clinical need
british-thyroid-association...
theyworkforyou.com/wrans/?i...
Thank you. Do you have any ideas on amounts I should be taking?
You absolutely can't rush, vitamin levels must be optimal and strictly gluten free likely essential
Getting retested 6-8 weeks later to reevaluate first
Levo may have room for slight increase
If after all these FT3 remains low then a small dose T3 may feel necessary. Initially usually at 5mcg.
Thank you. It’s just so much to take in, you almost need to be a Philadelphia Lawyer to work it all out! 😬 well thank
You for all your very helpful comments
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