Medichecks and the way forward

[Eastyone]

Hello So I've had a Medichecks ultra vit and these are my results

ENDOCRINOLOGY

Thyroid Function

THYROID STIMULATING HORMONE

*

6.63 mIU/L (0.27 -4.20)

FREE THYROXINE 12.7 pmol/L (12.00 -22.00)

FREE T3 5.21 pmol/L (3.10 -6.80)

THYROGLOBULIN ANTIBODY <10 IU/mL (0.00 -115.00)

THYROID PEROXIDASE ANTIBODIES 13.9 IU/mL (0.00-34.00)

HAEMATOLOGY

Vitamins

ACTIVE B12 131.000 pmol/L (25.10 -65.00)

FOLATE (SERUM) 5.46 ug/L (2.91 -50.00)

25 OH VITAMIN D

*

21.3 nmol/L

(50.00 -200.00)

Interpretation of results:

Deficient <25

BIOCHEMISTRY

Inflammation Marker

CRP

-

HIGH SENSITIVITY

*

5.28 mg/l (0.00-5.00)

Iron Status

FERRITIN

*

218 ug/L ( 13.00 -150.00)

So in summary I am not on any medication age 58 and still perimenopausal. I can see that I am hypothyroid but don't have any antibodies. I need to supplement with Vit D / K2 (would like to try the spray at high dose?) My GP has refused any medication until TSH reaches >10. A little ray of hope is that I have to see a cardiologist soon who within the NHS is monitoring my heart (aortic stenosis but very mild) I will mention these and other results (high chol, trigly).

Has anyone gained a referral to another consultant within the NHS?

The CRP and ferritin elevation might be my liver as previous ALT was high - I guess I need a diet ( BMI is about 36) as this might be the cause of inflammation and high ferritin? If all else fails I guess I can see a private endo Thanks for reading

[Eastyone]

I can't really do any more about my situation apart to ask for help. The TPO antibodies seem well within range. I don't know from what you are saying the implications are if I don't get thyroid supplementation and I am trying.

[blogsy2]

Your thyroid does look to be struggling, which would not be helping with your weight. It would be great to get on some thyroid meds, but how?

Try asking the cardiologist about it. Take your results with you and a bullet list of your symptoms. Sometimes one consultant will refer you to another one, rather than going through your GP (where it sounds like you'll have to wait until you're in a poor state with a TSH of 10 before they treat you.)

I would cut out all sugar, alcohol and most processed carbs and eat veg of every colour, nuts and good fats (coconut oil, avocado, fish oil, olive oil), garlic, onions and protein, to help heal your liver. But this is a debated area...

[SlowDragon Administrator]

Your Total T4 is at rock bottom and TSH above range

Folate is low and vitamin D is terrible

Improving vitamin D, aim to bring level up to around 100nmol or at least 80nmol ensuring you also take magnesium and vitamin K2 Mk7(to keep calcium going to bones) important too

articles.mercola.com/sites/...

A good vitamin B complex with folate in might also help

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Only start one supplement at a time and wait at least 10-14 days to asses, before adding another

Ferritin may be high due to being hypothyroid

I would get vitamin D and folate improved and then retest in 8-10 weeks. If thyroid still like this, see a recommended thyroid specialist from Thyroid UK list

[Eastyone]

OK a good start with Vit D and K2 so would I start on about 5,000 iu Vit D and what dose of K2 with this ? Thanks

[SlowDragon Administrator in reply to Eastyone]

You can buy vitamin D mouth spray with vitamin K2 Mk7 or buy separate. Personally I buy separate. Just changed to try new brand of vitamin K2 Mk7 - Healthy origins.

You should not take vitamin K if taking blood thinners- eg warfarin

Lots on here find the Vitamin D mouth spray good as it avoids poor gut function of being hypo.

Most popular option is to try 3000iu daily and retest in 2-3 months. You might want to check with cardiologist about all three; magnesium, vitamin D and vitamin K2 Mk7

[SlowDragon Administrator in reply to Eastyone]

Also see this post

healthunlocked.com/thyroidu...

[adelew]

Her TPO is in range at 13.9, not over range. Am I missing something?