Help with blood results

[Dennnyp]

Underactive thyroid could any of the blood tests be a bit low? 9am cortisol 153 range 140 - 600 have appointment to see endo in September. Serum vit d 59 range 30 - 300 Tsh <0.01 range 0.27 - 4.2. T4 15 range 12 - 22. Ft3 5.85 range 3.1 - 6.8. Take 150 levo 20mg t3 in two doses. I am feeling terrible

[AnnaSo]

Have you had saliva cortisol test with 4 readings throughout the day?

[Dennnyp in reply to AnnaSo]

Hi Anna no I have not had that doc just sent me for 9am cortisol

[AnnaSo in reply to Dennnyp]

From blood right? That’s not very representative. Cortisol should measured from saliva and at 4 different times of the day (8am/12pm/4pm/8pm). You can order these privately. If you’re suffering from low or high cortisol that can make you feel terrible despite good thyroid levels.

[Dennnyp in reply to AnnaSo]

Many thanks I will look into it

[eeng]

Your B12 result isn't stellar. Have a look at some posts by SeasideSusie for suggestions about supplementing and which type to take. I use 1000iu a day of Methylcobalamin. It definitely made me feel a bit better. You can't overdose on B12.

[SeasideSusie Remembering]

Dennyp

As eeng says your B12 is on the low side. According to an extract from the book, "Could it be B12?" by Sally M. Pacholok:

"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".

"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."

Sublingual methylcobalamin lozenges 1000mcg will help raise your level.

Also, folate is on the lowish side, it should be at least half way through the range - 12+ with your range. We should take a good B Complex when taking B12 to balance all the B vitamins. Look at Thorne Basic B - all bioavailable active ingredients and contains 400mcg methylfolate which will help raise your level.

Plus Vit D - if measured in nmol/L is low and the Vit D Council, the Vit D Society and Grassroots Health all recommend a level of 100-150nmol/L so again that needs improving. If you can confirm the unit of measurement then I can make a suggestion as to what to take.

[Dennnyp in reply to SeasideSusie]

Hello thank you responding bit d is nmol/L

[SeasideSusie Remembering in reply to Dennnyp]

Dennyp

vit d 59nmol/L

OK, so this needs improving and you need to take some D3 and it's cofactors.

If you have autoimmune thyroid disease, aka Hashi's, which is confirmed by raised antibodies, then you'd need an oral spray such as BetterYou.

I will suggest what you need as someone who doesn't have Hashi's and that is a D3 softgel and a very good one, at a very reasonable price, is Doctor's Best.

With your level I would take 4000iu daily and retest in 3 months.

2000iu softgels dolphinfitness.co.uk/en/doc... - I suggest you take 2 daily for 3 months which would finish that bottle.

When you've reached the recommended level (100-150nmol/L) 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, 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

naturalnews.com/046401_magn...

Check out the other cofactors too.

A good quality K2-MK7 with only 2 ingredients, like the Doctor's Best D3, is bigvits.co.uk/product.php?p...

Don't start supplements all at the same time, stagger them. Start with one, give it 2 weeks, if no adverse reaction then add in the next one, give it 2 weeks, if no reaction, add in the next one, etc. That way if you do have a reaction you'll know what caused it.

[Dennnyp in reply to SeasideSusie]

Very many thanks 😊

[eeng]

Another thought - are you taking any other medication at all?

[Dennnyp in reply to eeng]

Yes I have diabetes which is not doing so well at moment taking 1000 metformin in two doses and increase to 2000 in two doses.

[eeng]

"Levothyroxine may interfere with blood glucose control and reduce the effectiveness of metFORMIN and other diabetic medications". Quote from Google.

Could it be the diabetes that is making you feel terrible? I know practically nothing about diabetes, but someone here may be able to point you in the right direction.