I just got my full bloods done at Blue Horizon after a longish episode of thyroid inflammation ( coupled with blocked ears that just wont resolve!) I also saw clinic a week or so ago for a thyroid ultrasound scan, which thankfully showed up nothing sinister.He confirmed Hashimotos ( which I have had for 20 years) and said that there was no function in my thyroid at all, (which wasnt much of a surprise.)
I am on 112.50 mcg levo daily ..
Here are lab results
Ferritin H 151.0 Normal range 13 - 150
TSH .31 Normal range 0.27 - 4.20
T4 total 121.0 Normal range 66 - 181
Free T4 19.10 Normal range 12.0 22.0
Free T3 3.50 Normal range 3.1 - 6.8
Immunology
Anti Thyroidperoxidase abs H 484. Normal range < 34
Anti Thyroglobuin Abs H 121 Normal range < 115
Vitamins
Vitamin D 57 Normal range : 25 50 considered in sufficient
B12 235 Normal range Insufficient considered 145 - 250 ( so need to supplement)
Serum folate 21.00 Normal range 8.83 - 60.8
Any interpretation of the results would be very welcome and I want to say thankyou for all the great advice I have received in the past.
Alexa
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Alexa5000
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These are good except for the fact that your FT3 is low and not in balance with FT4. 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. It looks like you aren't converting T4 to T3 well enough, hence the low FT3.
For good conversion to take place and for thyroid hormone to work properly, optimal levels of vitamins and minerals are needed. Hashi's can cause gut/absorption problems and that often results in poor nutrient levels.
Vitamin D 57 Normal range : 25 50 considered in sufficient
The Vit D Council, the Vit D Society and Grassroots Health all recommend a level of 100-150nmol/L. Your level is too low and it would be a good idea to supplement with D3. As you have Hashi's then it's recommended to use an oral spray, eg Better You.
They do a 3000iu dose so I would suggest you use that dose for 3 months then retest. Once 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 -
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
BetterYou do a combined D3/K2-mk7 spray which you may want to consider to save buying a separate K2- mk7 supplement.
B12 235 Normal range Insufficient considered 145 - 250 ( so need to supplement)
This will be a serum B12 test (rather than an Active B12 test which has a very different range). Your level is very low and you should check to see if you have any signs of B12 deficiency b12deficiency.info/signs-an... and get your GP to test for B12 deficiency/pernicious anaemia. You may need B12 injections. List any signs from that list so that you can emphasise the need for testing.
Serum folate 21.00 Normal range 8.83 - 60.8
This is slightly on the low side, should be at least half way through it's range. Eating leafy greens can help, also supplementing with a good B Complex, but don't do that unil further testing of B12 has been done because the folate in a B complex will mask signs of B12 deficiency.
Ferritin H 151.0 Normal range 13 - 150
Ferritin is recommended to be half way through range. Yours is a little high but could be caused by infection or inflammation. Was there a CRP result and was that raised?
For the Hashi's, are you strictly gluten free and supplementing with selenium l-selenomethionine 200mcg daily? The selenium can help with T4 to T3 conversion.
Once your nutrient levels are all optimal, if your FT3 is still low you could consider the addition of T3 to your Levo.
Thankyou very much for your response to my post, I am very grateful and find it very helpful.
With regard to B12 deficiency - yes, I have a ton of symptoms there, including tinnitus, which is particularly annoying.Would you recommend I go back to GP and suggest B12 injections or is this better done privately?
I had my bloods done via my GP in May and I am trying to get my results, which I should have this week. They told me there was nothing abnormal, but I want to check and definitely see what the B12 test ( if it was done) comes back with. I have started taking B12 orally,5000 micrograins daily.I also have a D3 spray that i have been using, so am surprised that my levels are low.
Ferritin levels I am not sure, I have had a couple f nasty throat infections this year, but nothing recently.GP said there were no markers for infection from their blood test, so I dont know what might cause a raise
I have not gone gluten free as yet - I must brace myself!! and I will take your advice re selenium.
From what I have read on this forum obtaining T3 is tricky so I would rather supplement and see if I can improve things that way - so thankyou again for taking teh time to be so helpful, it is very much appreciated.
Alexa
PS I have always read your posts with great interest!
PPS I also meant to add that I find it impossible to lose weight.I am at least a stone overweight and would love to lose it - perhaps this new regime will help!
As you have a lot of B12 symptoms I would list them all and go and see your GP, ask for testing for B12 deficiency/pernicious anaemia, not quite sure but intrinsic factor antibodies, homocysteine and MMA (methylmalonic acid) come to mind. No reason to go private, I believe if you have symptoms then your GP should do the tests. You can always pop over to the Pernicious Anaemia Society forum here on Health Unlocked, post your results and symptoms and see what they advise.
You'll need to click FOLLOW to be able to post on that forum.
In the meantime, I would stop the B12 supplement as it will probably interfere with further testing, and certainly don't take a B Complex containing folate/folic acid or a separate supplement until after testing and injections started.
As you're taking D3, what dose? And are you also taking magnesium as that enables the body to use the D3.
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