blood tests: Hi there, Could I please have your... - Thyroid UK

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blood tests

barb62
barb62

Hi there, Could I please have your comments on somemy recent test results.

Serum vitamin D level 68 nmol/L

(

>50 nmol/L sufficient for almost the whole population) - this was 80nmol/L 6 weeks ago

Serum free T4 level 19 pmol/L [9.0 - 25.0]

Serum folate level 7.0 ug/L [2.6 - 17.3] - surely this is too low?

Serum ferritin level 156 ug/L [10.0 - 420.0]

B12 is above the half way marker and climbing since I introduced it a month ago.

I was diagnosed in March/April this year and I have Hashimotos and I thought I needed an increase from 75 - 100 levo because of symptoms but infact my TSH is now 0.52.

I was going to increase my Vitamin D3 and source a folate supplement (product advice would be appreciated)

Thanks for your valuable time.

14 Replies
oldestnewest

So, you're supplementing vit B12? With sublingual methylcobalamin? With that you should be taking a B complex. If you get one with at least 400 mcg methylfolate, that will bring your folate up nicely.

The TSH really isn't the number to be looking at. It's fine. And your FT4 is in a good place. But, you really need to see your FT3. It could be that you aren't converting your levo into T3, and that's why you still have symptoms.

Have you had your antibodies tested?

barb62
barb62
in reply to greygoose

Yes in the beginning, they were 1006 (>60) -TPO

greygoose
greygoose
in reply to barb62

OK, so you do have Hashi's. :)

barb62
barb62
in reply to greygoose

Vitamin B12 Hydroxo Sublingual is this the wrong one Greygoose. Get them from Cytoplan

greygoose
greygoose
in reply to barb62

I didn't know you could get sublingual Hydroxo. No, that's fine. Does it help at all?

barb62
barb62
in reply to greygoose

Well it does include Folate so I am a little confused why it is so low I pop two a day (1000ug). Does it help? - I take so many supplements I am not sure what helps!!!

greygoose
greygoose
in reply to barb62

It includes folate? How strange. How much folate?

I've just googled it, and it doesn't say it has folate.

Have you ever tried taking methylcobalamin plus a B complex? I think that might be a better bet.

barb62
barb62
in reply to greygoose

Sorry I mis read it re folate:-

Cytoplan sublingual hydroxo B12 is at a higher potency of 1mg (1,000µg) per tablet. It is ideal to start supplementation with if one has both a folate and vitamin B12 deficiency, in order to prevent permanent damage to the central nervous system.

•‘Sublingual’ means ‘beneath the tongue’, and these tablets will dissolve in the mouth and rapidly allow the vitamin B12 to be absorbed into the blood vessels

•Hydroxo B12 is an inactive form of vitamin B12. It is converted into the active methylcobalamin in the body. For some people this form may be indicated rather than the active methylcobalamin

•Hydroxo B12 has high affinity to plasma proteins. This property helps to retain the hydroxo-protein complex in the blood stream for a much longer period of time, compared to cyanocobalamin.

Hydroxo B12 may be indicated:

•To start supplementation of B12 if one has both a folate and a vitamin B12 deficiency, in order to prevent permanent central nervous system damage. Methylcobalamin cannot fulfil this role on its own, whereas hydroxo B12 is able to convert to multiple forms therefore has multiple purposes.

•As a scavenger of nitric oxide, an essential muscle regulator that also acts as a free radical. Too much nitric oxide can contribute to oxidative stress.

•Vitamin B12 is necessary for normal nerve cell function and is involved in protein, fat and carbohydrate metabolism. Vitamin B12 helps in the utilisation of iron in the body and aids in the production of DNA and RNA – the body’s genetic material

greygoose
greygoose
in reply to barb62

Yes, I read that. :) So, you need to find a good B complex with methylfolate.

barb62
barb62
in reply to greygoose

Thanks Greygoose, I love our little chats! I am so passionate about getting this right and being able to advise others that are suffering. I came across someone the other day that was on 350 levo and his doc had not given him any advice re supplements or even discussed his levels, he just told him that he will get fat. I obviously felt compelled to talk about it and he is signing up to this forum to explore more. People like you have changed my life so hopefully he will feel less alone at least!

barb62
barb62
in reply to barb62

P.S I found myself asking to look at his lab results!

greygoose
greygoose
in reply to barb62

Yes, I've done that, in the past. I find they usually refuse! Can't imagine why. lol

SlowDragon
SlowDragonAdministrator

Good quality vitamin B complex - Igennus Super B.

Full dose is two per day. You may only need one. Likely you could reduce B12 dose too as it has quite high B12 in it as well

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

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Vitamin D is too low. 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 supplement at higher dose than currently taking 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

betterbones.com/bone-nutrit...

articles.mercola.com/sites/...

healthy-holistic-living.com...

articles.mercola.com/sites/...

betterbones.com/bone-nutrit...

easy-immune-health.com/magn...

Are you on strictly gluten free diet as you have Hashimoto's?

barb62
barb62
in reply to SlowDragon

Hi Slow Dragon, yes gluten and soya free. I have started to replace my vitamin tablets with liquids because I am treated for a Hiatus hernia (raniditine).

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