I just got these results from my latest blood test. In the appointment a consultant sat in on he told the GP to order T3 T4 and TSH. I'm not sure if the T3 has actually been done and was wondering if any of you more knowledgeable people understand this?
I've only just started to record my results for my own reference.
Written by
justjade90
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Your previous posts say you have a diagnosis of hypothyroidism. Are you prescribed levothyroxine? If so then you need an immediate increase with a TSH of 16.4, never mind "repeat in 2-3 months".
You also seem to have a diagnosis of Hashimoto's going back to 2008. 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.
Hashi's and gut absorption problems tend to go hand in hand and can very often result in low nutrient levels or deficiencies. You really need to have the following tests
Vit D
B12
Folate
Ferritin
Post results, with reference ranges, on the forum for comment and suggestions for supplementing if low levels or deficiencies are found.
I'm currently on 150mcg of levo. Yes I have hashimoto but have only recently been told I have it so I'm trying learn about it, I have type 2 diabetes as well. I did read about the gluten free diet but everything is so expensive I just don't think I could afford to do it. My GP and the consultant are trying to figure out why I feel so exhausted and ache all over. I try my best to read and understand what all the numbers mean but different websites tell me different things it's so confusing. I just want to be able to lose weight and not feel so achey and exhausted.
You don't have to buy special gluten free foods, just use fresh foods, prepared yourself, and anything that comes in any kind of packaging (including tins and bottles of anything) read the label.
Serum total 25-hydroxy vitamin D level 31.9 nmol/L
Outside reference range
Total 25OH VitD in the range 30.0 - 49.9 suggests
Vitamin D depletion and may be insufficient to
maintain optimal skeletal health.
April 2018 Revised VitaminD assay in use.
I'm not taking anything yet as I'm waiting for the Dr to ring me to discuss the results. I have an appointment with the diabetic nurse next week to discuss things like my diet so hopefully she can help a bit. All veg I use is fresh and I only eat bananas fruit wise. Majority of the meals I cook are made from scratch as I do a lot of slimming world recipes. But I have been told to cut out carbs because of the diabetes so finding a way of being able to eat gluten and carb free may be tricky but is will look into it.
"Treat for Vitamin D deficiency if serum 25-hydroxyvitamin D (25[OH]D) levels are less than 30 nmol/L.
For the treatment of vitamin D deficiency, the recommended treatment is based on fixed loading doses of vitamin D (up to a total of about 300,000 international units [IU] given either as weekly or daily split doses, followed by lifelong maintenace treatment of about 800 IU a day. Higher doses of up to 2000IU a day, occasionally up to 4000 IU a day, may be used for certain groups of people, for example those with malabsorption disorders. Several treatment regims are available, including 50,000 IU once a week for 6 weeks (300,000 IU in total), 20,000 IU twice a week for 7 weeks (280,000 IU in total), or 4000 IU daily for 10 weeks (280,000 IU in total)."
Each Health Authority has their own guidelines but they will be very similar. Go and see your GP and ask that even though you are slightly above that level, will s/he treat you according to the local guidelines or this summary and prescribes the loading doses. Once these have been completed you will need a reduced amount to bring your level up to what's recommended by the Vit D Council - which is 100-150nmol/L - and then you'll need a maintenance dose which may be 2000iu daily, maybe more or less, maybe less in summer than winter, 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/
If you r GP wont prescribe the loading doses you can do it yourself, come back and I will work out how much you should take and advise on a good supplement. I got my Vit D level up from 15 to 200 in two and a half months by buying my own softgels, taking a loading dose then a maintenance dose. I now maintain at around 150nmol/L.
Your doctor wont know, because they are not taught nutrition, but there are important cofactors needed when taking D3 as recommended by the Vit D Council -
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
The results screen says that it's abnormal and a request has been automatically put through for a discussion. He did tell me to look into buying the vit D supplements. Thank you for the info.
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