Results: TSH 0.22 (... - Thyroid UK

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Kittylitter2 profile image
10 Replies

TSH 0.22 (0.27-4.20)

T4 Total 90.9 (66-181)

Free T3 4.40 (3.1-6.8)

Anti thyroidperox 20.5 (<34)

Anti thyroglobin <10 (<115)

Ferratin 70.0 (13-150)

Vit D 36 Insuficiant 25-50

B12 261 Insuficiant 145-250

Folate 12.60 (8.83-60.8)

It looks like I don't have antibodies attacking my thyroid, would anyone like to comment regarding the above results please.

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Kittylitter2
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SeasideSusie profile image
SeasideSusieRemembering

Kittylitter2

What is your FT4 result?

What dose of meds are you on?

TPO antibodies may be under the limit but a bit on the high side. I'm not Hashi's and have had quite a few antibody tests over the years, always come back low, never more than 12 for either TPO or TG. With yours being 20, I would retest at some point as one negative doesn't rule out Hashi's.

Vit D is way too low, needs to be 100-150nmol according to the Vit D Council.

B12 is too low if serum B12, it should be at least 500, preferably top of range so around the 900 mark.

Folate should be at least half way through range.

Ferritin is OK, half way through range is recommended.

Kittylitter2 profile image
Kittylitter2 in reply to SeasideSusie

Thank you the FT4 is 13.30 (12-22)

Kittylitter2 profile image
Kittylitter2 in reply to SeasideSusie

I am on 75mcg Levo.

SeasideSusie profile image
SeasideSusieRemembering in reply to Kittylitter2

Kittylitter2

Even though your TSH is below range at 0.22, your FT4 and FT3 are very low in range, and your total T4 is low. Those results would normally mean that you are undermedicated and need more Levo.

I see that you take fluoxetine. Do you take it as far away from your Levo as possible? It could be affecting the absorption of your Levo. There is an interesting old thread about that here healthunlocked.com/thyroidu...

Also, your vitamins and minerals are not optimal so thyroid hormone can't work properly until they are.

Kittylitter2 profile image
Kittylitter2 in reply to SeasideSusie

Many thanks for helping with my results, I shall do some investigating re the vitamins, and change the fluoxetine timing.

SlowDragon profile image
SlowDragonAdministrator

See your GP for testing for further testing on low B12. Pernicious anemia needs to be ruled out before starting B12 injections or sublingual B12 lozenge supplements if GP won't agree to injections

Vitamin D is too low. Are you already on vitamin D supplements, if so the dose needs increasing.

Aiming to improve to around 100nmol. Vitamin D mouth spray by Better You is good as avoids poor gut function. Suggest you try 3000iu for 2-3 months and retest. It's trial and error what dose each person needs. Once you Improve level, very likely you will need on going maintenance dose to keep it there. Retesting twice yearly via

vitamindtest.org.uk

Also read up on importance of magnesium and vitamin K2 Mk7 supplements when taking vitamin D

articles.mercola.com/sites/...

articles.mercola.com/sites/...

Your under medicated for your Levothyroxine. FT4 and Total T4 should be much nearer top,of range and FT3 at least above 5.

Ask GP for 25mcg dose increase in Levothyroxine, as a trial if necessary, if they are reluctant

Being under medicated and still hypothyroid is possible cause of depression. Low FT3 contributes towards depression. Low vitamin D can also cause low mood

Kittylitter2 profile image
Kittylitter2 in reply to SlowDragon

Many thanks for your very helpful reply, I shall ask gp about further testing, I assume it is hard to get them to test.

SlowDragon profile image
SlowDragonAdministrator in reply to Kittylitter2

Depends on the GP

You’re unlikely to have Pernicious Anaemia, so if they won’t test you will need to just self supplement vitamin B12

Similarly the low vitamin D they should prescribe, but very unlikely to subscribe more than 800iu - even though guidelines say 1600iu minimum.

oxfordshireccg.nhs.uk/profe...

And with thyroid issues the mouth spray is better absorbed

Kittylitter2 profile image
Kittylitter2 in reply to SlowDragon

Thank you - I much prefer to deal with it myself rather than get GP involved.

SlowDragon profile image
SlowDragonAdministrator in reply to Kittylitter2

I can understand that!

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