So after having a number of symptoms suggesting possible hypothyroid, my results came back from Medicheck. I suspected an issue on the T3 end, likely with conversion. What is everyones opinions of these results? Does anything look out of line?
From what I'm calculating, my T3 is almost bang on mid-range, and if I recall people say T3 should be top 3/4? Could this be responsible for all my symptoms?! Symptoms are:
- Fatigue - Brain Fog / Lack of Mental Clarity - 0 Libido/Sex Drive - Feeling flat/apathetic, total lack of interest in anything - Dry scaly skin, mainly on shins and ankles - Water Retention (stomach + legs mainly) - Cold fingers and toes - I just generally feel pretty lifeless. Not depressed in a sad way, just flat, no drive, no real enjoyment, everything just feels like a damn slog.
These results show that you are converting your T4 to T3 well enough. The suggestion that FT3 should be in the top quarter of the range is for Hypo patients on replacement hormone. No-one knows where our levels should be when we are "fit and well" because they're never tested, so we all have our own individual levels, there's no general rule.
Generally, one would expect a fit and well person to have a TSH no more than 2, with free Ts possibly around mid-range. Your FT4 is 54% through range, your FT3 is 52.9% so they are nicely balanced, and your conversion ratio is 3.43 : 1 which is good. Using T3 is not indicated with these results.
Your TSH is higher than in your previous post (1.1), I realise the range is slightly different but not that much, were the tests done at the same time and fasting?
Your reverse T3 is nice and low, one wouldn't really expect much else.
Antibodies are nice and low, no sign of autoimmune thyroid disease with those results.
B12 is good.
FOLATE (SERUM) 5.98 ug/L 2.91 - 50.00
This is low and should be half way through range. A good B Complex will help, eg Thorne Basic B or Igennus Super B.
25 OH VITAMIN D 75.4 nmol/L 50.00 - 200.00
This could do with nudging up to between 100-150nmol/L and you could supplement with 3000-4000iu daily for 3 months then retest. Take D3's important cofactors too - magnesium and Vit K2-MK7
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.
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.
The first test with 1.1 was done at 1PM after eating which I understand renders it a bit useless.
This test was fasted at 8AM.. So does the fact that TSH is 2.2 now not raise concern?
I will order some methyl-folate, I ordered d3 + k2 earlier. Why my folate is low bemuses me, as I have a diet high in folate foods. One possibility i've heard is MTHFR gene mutation?
Could folate be the cause of my issues? I'm really miffed.
I don't know if low folate is the cause of your problems, wait for the adrenal rest.
I would get the B Complex rather than just methylfolate.
I would also get magnesium as that helps your body use D3.
I don't know about MTHFR gene mutation so can't comment.
So does the fact that TSH is 2.2 now not raise concern
If you've had a fasting early morning test before and it's rising then yes, that could be a cause of concern, but if not 2.2 could be your "normal". Over 3 can indicate hypothyroidism.
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Thyroid Test Results 
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Thoughts on bloods please
Being gas-lit: NOT Hypothyroidism, it’s Silent Reflux says Consultant Thyroid/ENT – Advice requested.
