I seem to have a conversion problem and adrenal fatigue. Should I give up wheat/gluten?
Is gluten ok for non hashis underactive thyroid? - Thyroid UK
Is gluten ok for non hashis underactive thyroid?
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Greenmug
You could try it and see if it makes any difference.
I'm non-Hashi's hypo, I'm not gluten free and I have no signs or symptoms that gluten causes me any problems.
What are you latest results that show you have a conversion problem?
What are you doing about the adrenal fatigue? Have you done a 24 hour adrenal saliva test?
Thank you Seaside Susie. Here are my lab results from last summer:
TSH - 1.48 ref 0.27 - 4.20
T4 Total - 73.1 ref 64.5 - 142.0
Free T4 - 14.16 ref 12 -22
Free T3 - 4.66 ref 3.1 -6.8
Antiperoxidase abs - 15.3 ref <34
Antithyroglobulin Abs 15 ref <115
B12 - 406 ref 140 - 725
Serum Folate - 45.40 ref 0.83 - 60.8 (It had a < in front but I checked with the lab and they said it is well within the normal range despite that.
My last adrenal function saliva test results were:
Morning
12.3 / ref 13.0 - 24.0nmol/LCortisol -
Noon
1.4 / ref 5.0 - 8.0nmol/LCortisol -
Afternoon
1.5 / ref 4.0 - 7.0nmol/LCortisol -
Nighttime
1.2 / ref 1.0 - 3.0nmol/LCortisol -
Insomnia
2.1 / ref 1.0 - 3.0nmol/LCortisol -
Sum 18.5 / ref 23.0 - 42.0nmol/L
DHEA-S Average 3.5 / ref 2.0 - 10.0ng/m
Cortisol:DHEA-S Ratio 5.3 : 1 / ref 5.0 - 6.0 Ratio
greenmug
TSH - 1.48 ref 0.27 - 4.20
T4 Total - 73.1 ref 64.5 - 142.0
Free T4 - 14.16 ref 12 -22
Free T3 - 4.66 ref 3.1 -6.8
Those don't show a conversion problem. Good conversion takes place when FT4:FT3 ratio is between 3:1 an 4:1 and yours is 3.13 : 1
What those results do show is that you are undermedicated. 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 if that is where you feel well. Your TSH could do with coming down and your free Ts increasing. An increase in Levo should sort that out. But, up to date results would a better indicator rather than those which are about 12 months old.
Adrenal test interpretation:
drmyhill.co.uk/wiki/Adrenal...
![SlowDragon profile image](https://images.hu-production.be/avatars/27fbbead1f291333f83bad1f31359fe3_small@2x_100x100.jpg)
I would always say, try it. I am Hashimoto's, but had absolutely no symptoms from gluten, but turned out to have severe gluten intolerance (confirmed by endoscopy)
Both Izabella Wentz and Amy Myers both suggest all patients might benefit.
It has to be 100% to be effective. Trying it for 2-3 months ideally
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Getting vitamins tested and optimal is extremely important for good conversion
Thank you Slow Dragon. According to my most recent lab work my Intrinsic factor antibodies are abnormal, Vitamin D 50 (75- 200), so deficient.
I am having my B12 and folate levels tested. Iron all came back in range.
So if you have abnormal intrinsic factor is GP starting loading B12 injections?
Vitamin D, aim for around 100nmol. Testing twice yearly via vitamindtest.org.uk. Better You vitamin D mouth spray is good as avoids poor gut function we tend to have when hypothyroid
Important to consider supplementing magnesium and vitamin K2 Mk7 as well
Thank you SlowDragon. GP sent me for another round of blood work and said that blood cells came back fine? so I should be checked again in 4 - 6 months. Also said not to bother supplementing vitamin B in any form because there was no point. I'm too tired not to, so have been taking sublingual B12 which is somewhat helpful. I'm also taking a B complex.
Have also started to supplement D3 and I'm having other vitamins worked up on my next round of blood work.
Remember to stop B complex 3-5 days before ALL blood tests. Biotin (in B Complex) can falsely affect test results
Link saying Oral B12 may be as good as injections anyway
aafp.org/afp/2003/0301/p979...
B12 generally