Recently went to docs as was feeling very fatigued (particularly after exercise), anxious, irritable ,losing weight (I'm already slim), really cold hands and feet and poor sleep. All tests came back "fine " according to GP. So I went down the medichecks route and here's what I got.
Any thoughts on these?
image.ibb.co/jXBGfJ/Cortiso...
Mozart
I am not diagnosing, I am not qualified to do so, but my reading and research gives me the following information.
Cortisol Test:
You can see that the first two samples are way over range. Sample 3 is a bit higher than it should be and sample 4 is too high.
Thes are the optimal results according to rt3-adrenals.org/cortisol_t...
Optimal levels
• Morning at the top of the range
• Noon approximately 75% of the range
• Evening close to 50% of the range
• Nighttime at the bottom of the range
So you are looking at high cortisol all round. Check out Example 6 in the link above.
DHEA is normal .
See Dr Myhill's interpretation of adrenal test here and it would seem that number 2 may be appropriate for you drmyhill.co.uk/wiki/Adrenal...
Sex Hormones - sorry I have no knowledge.
Thyroid UltraVit Test:
Active B12 - 47.7 (25.10-165.00)
Do you have any signs of B12 deficiency - check here b12deficiency.info/signs-an...
According to this article
viapath.co.uk/our-tests/act...
with a result below 70 there should be investigation for B12 deficiency - MMA ( Methylmalonic Acid ) and Homocysteine. Maybe ask your GP for testing for B12 deficiency/Pernicious Anaemia and give him a list of any signs of B12 deficiency you may be experiencing.
Folate - 12.41 (2.91-50)
This should be at least half way through range. Folate and B12 work together. Don't supplement anything for your low folate until the B12 has been investigated as taking folic acid/folate will mask signs of B12 deficiency.
Vit D - 59.1nmol/L
According to the Vit D Council the recommended level is 100-150nmol/L. Your GP wont give you anything for your level because it's in the "normal" range, but it needs to be increased. You should buy some D3, maybe 5000iu daily for 8 weeks, then reduce to 5000iu alternate days for 4 weeks, then retest. When you've reached the recommended level 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/
There are important cofactors needed when taking D3 as recommended by the Vit D Council -
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.
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.
naturalnews.com/046401_magn...
Check out the other cofactors too.
Ferritin - 86.8 (30-400)
This should be half way through range.
You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, and including lots of iron rich foods in your diet apjcn.nhri.org.tw/server/in...
Thyroid results
Your TSH is pretty good. Your FT4 is is roughly 1/3rd of the way through it's range which may be a bit low. Your FT3 is almost half way through range which isn't too bad. The trouble is none of us know where our thyroid results are when we are fit and healthy so you don't know if your results are normal for you. But they certainly wont give you a diagnosis of hypothyroidism.
The best thing at the moment is to optimise your vitamins and minerals, but make sure that your B12 is investigated. Once everything is at optimal levels then I would retest thyroid.
Thanks so so much for such a detailed response. I'm going to read through all this in detail today but just wanted to send a post with thanks first, rather than waiting 
Hi, I’m not qualified in any way to diagnose but I can tell you that your results looked very similar to mine a few months back. I was within range for everything (although on examining them myself, many things were low range) and gp said I was fine. My thyroid levels were up and down with no med changes and I had a severe crash where I had no energy, major fatigue and became bedridden.
Through a lot of personal research, lots of help from this site and a programme of supplements and rehab, I have now self diagnosed adrenal fatigue.
I would do a bit of reading around it if I were you and see if you can make any adjustments that can help you rebalance things. Hypothyroidism puts stress on the adrenals and together they cause a whole host of symptoms.
As I say, please don’t take this as a diagnosis but use my experience and see if it fits with yours 😉
Low vitamin D, which is incredibly common, can also upset vitamin B12 and other B vitamins including folate
Thanks everyone for such useful responses!
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