Hello , had Thyroid 6 blood test done by Blue horizon. Here are results - be grateful of advice please . At present I take ‘thyroid s ‘ 1 1/2 grains daily + 75 micrograms thyroxine - prescribed by private endo. After looking at these results he has changed dose to 1 grain Thyroid S / 100 thyroxine - suggested I was weaned off Thyroid s gradually to try a another medication plus T3 ( no dose given yet for T3.
1 1/2 grains daily
Symptoms tiredness ( have ME) b12 def -Gp injection 3 mthly, sweating , sleepy , fluid retention . I also take duloxetine 60 mgs for anxiety PTSD etc. -Lady patient 60 +
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artie
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Has your private endo mentioned your very low Vit D which will be giving you some symptoms?
Yours is 42.9nmol/L and the Vit D Council, the Vit D Society and Grassroots Health all recommend a level of 100-150nmol/L. You really should be supplementing to bring your level up, something like 5000-6000iu daily 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/
Your doctor probably wont know, because generally they are not taught nutrition, but 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 such as hardening of the arteries, kidney stones, etc.
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. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.
Magnesium 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
Your Thyroid Peroxidase antibodies confirm autoimmune thyroid disease aka Hashimoto's. Your Thyroglobulin antibodies are so high in range that another test would possiby show them over range. Antibodies fluctuate so you can get different results each time but you definitely have Hashi's. This is where antibodies attack the thyroid and gradually destroy it. The antibody attacks cause fluctuations in symptoms and test results
Most doctors dismiss antibodies as being of no importance and know little or nothing about Hashi's and how it affects the patient, test results and symptoms. You need to read, learn, understand and help yourself where Hashi's is concerned.
You can help reduce the antibodies by adopting a strict gluten free diet which has helped many members here. Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks. You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Supplementing with selenium l-selenomethionine 200mcg daily can also help reduce the antibodies, as can keeping TSH suppressed.
Hashi's and gut absorption problems tend to go hand in hand and can very often result in low nutrient levels or deficiencies. You already know your Vit D is low, and your B12, although not bad at 465, might be best raised as 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."
Your level is 465ng/L which is the same in pg/ml.
Zinc (plasma) 17.0 Implement/L (11.0 - 18.0)
Zinc should be half way through range, do you supplement? It should be balanced with copper.
Selenium (serum) 1.13 umol /L Ref (0.89 - 1.65)
If you start to supplement with selenium then I would retest your level at some point to ensure it stays within range.
Magnesium 0.80 mmol\L Mmol\L (0.70 - 1.00)
Most people are low in magnesium so supplementing as a cofactor of D3 will help raise your level.
Magnesium - my result is 0.80 - how much shall I take in tablet form ?
You take what it says on the pack.
K2-MK7 what is this?
It's a fat soluble vitamin that is a very important cofactor needed when taking D3. The reason for it is explained in my reply above
Endo hasn’t said which medicine - I ve taken Ndt 2016 then this last year ‘ Thyroid s’. Do you know ‘ pigs Thyroid’ that may be better ?
Thyroid S is from pigs thyroid.
When Gp was giving me Vd I took Fultium-D3 800u - one cap daily
That's not enough even as a maintenance dose, it wont raise a low level. I have explained above how much you currently need to take.
As you have Hashi's then an oral D3 spray is best for absorption as it bypasses the stomach. BetterYou do a combined D3/K2-MK7 oral spray
Thyroid Antibodies Endo didn’t even comment on! I m thinking now I should find a Doctor who looks at whole self nutrition etc.in London it south east .
I used to see Dr Skinner in Birmingham - so sad when he passed away , he was a miracle man - I ve never felt well since then 😪
As you have Hashimoto's is very likely strictly gluten free diet will help or be essential
Many endocrinologists are completely disinterested in vitamins or in considering the gut. Yet it's essential, especially with Hashimoto's
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
Most of us with Hashimoto's need ongoing maintenance dose once levels have improved
Aiming to improve to around 100nmol. Vitamin D mouth spray by Better You is good as avoids poor gut function. Suggest you supplement 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
if those results are post B12 loading doses then there is a high probability that you are not getting B12 frequently enough - take a look at the PASoc forum
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