Please can someone interpret my latest private blood results. These were taken early morning having not taken levo for 24 hr previously. I am currently on 75mg levo and awaiting an NHS Endo referral. Gluten and dairy free. Supplementing all B vitamins, folate, zinc, magnesium, Vitamin C. Despite this i am still feeling very unwell and am about to start AIP diet to see if this helps.
TSH 3.05 range 0.27-4.20
Free T4 15.6 range 12.0 -22.0
Reverse T3 17 range 10 - 24
Reverse T3 Ratio 15.89 range 15.01-75.00
Thyroglobulin 349.000 range 0.00 - 115.00
Thyroid Peroxidase Antibodies 9.0 range 0.00 - 34.00
I have also tested positive with the DIO2 gene for one parent.
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sarah7o
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Have your bloods not been tested for FT3. - the most important value as this is the active thyroid hormone you cells/ receptors need, and would tell along with FT4 tell you if you are converting ok? You have Hashimoto's with high TgAb so you might suffer from fluctuating thyroid hormones with peaks or 'flares' , and comparative troughs. TSH still too high needs to be 1 or under, so need raise of levothyroxin of 25 mcg and then retest in 6-8 weeks etc. Reverse T3 tests are not worth having, as rather meaningless for thyroid health- high results indicates something off but could be a result of many things from for eg low calorie diet to low iron, chronic disease to acute illness, Lyme disease to certain medications, chronic inflammation or increased cortisol ...etc. You say you are taking lots of supplements but when did you last have VitD, B12, folate, ferritin tested for optimum support of thyroid health and T4 conversion?
Retesting full Thyroid levels and vitamin levels 6-8 weeks after dose increase
Always take Levo on empty stomach and then nothing apart from water for at least an hour after. Many take early morning on waking, but it may be more convenient and possibly more effective taken at bedtime
Many people find Levothyroxine brands are not interchangeable. Once you find a brand that suits you, best to make sure to only get that one at each prescription. Watch out for brand change when dose is increased or at repeat prescription
I had also had my blood taken at the doctors recently with very different results as i had taken levo so i'm not sure what the doctor will say if i return with these results. either way my THS is on the rise.
Thank you. It was your response to my previous post that made me decide to get the DIO2 test and full thyroid blood. So not converting? I have had dio2 tested and have inherited the faulty gene from one parent. So my levo needs upping? And i need T3? I have started AIP diet to see if i can get my antibodies down but for a limited period only as i choose a vegan diet. I will do it for a month and then start reintroducing. I will also consider the possibility of reintroducing eggs to my diet if needed for the protein missing from nuts and legumes. All advice welcome.
B12 sublingual lozenges (eg Jarrow) or B12 mouth spray (Better You) are easily absorbed
Also a daily good quality vitamin B complex
If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results
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