Hello. Just got my test results back and would really appreciate help to interpretate them please. Am I 'within range' as my GP says and are all my symptoms just in my mind? Do hope I've laid it out clearly here : - Many thanks j.
RANGES
TSH * 0.08 0.27 - 4.20
T4 total 81.5 66 - 181
FT4 13.40 12,0 - 22.0
FT3 5.55 3.1 - 6.8
antithyroidperoxidase * 87.3 < 34
antithyroglobulin Abs < 10 < 115
hs-CRP 0.65 < 5.0
Ferritin 138.0 13 - 150
Vit D (25)H) * 44 deficient < 25 : insufficient 25-50: consider reducing > 175
Your lab states that B12 less than 145 is deficient. Yours is 145 so needs further investigation for pernicious anaemia. Your TPO antibodies are elevated showing you have autoimmune thyroid disease otherwise known as Hashimotos thyroiditis.
Your TSH is low while FT4 is also low in range and FT3 is high in range. It could be that you've just had an antibodies flare up and subsequently TSH will rise after the attack settles so I would retest thyroid function in 6 week's time to find out what's going on.
Vit D is also insufficient which may relate to B12 deficiency and absorption problems related to gut dysfunction common with thyroid disease.
No I don't take any meds for my thyroid. The tests were taken at different times of day. GP one in the afternoon and Blue Horizon early morning fasting. I forgot that is relevant.
It looks like FT4 will be a bit higher early morning than afternoon, as will FT3. As you know the times of your tests, you should be able to work out how much difference, although it may not be as significant as your results actually show.
Vit D (25)H) * 44 deficient
The Vit D Council, the Vit D Society and Grassroots Health all recommend a level of 100-150nmol/L. To raise your level to the recommended range you'e looking at supplementing with an oral spray such as Better You (as you have Hashi's this gives better absorption) and as it comes in 3000iu sprays I would take 6000iu daily for 3 months then retest. When 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 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
BetterYou do a combined D3/K2 spray which you may want to consider.
Don't start all supplements together. Start with one, give it a week or two and if no reaction then add in the second one, give it another week or two and if no reaction add in the next one, etc. By doing it this way, if you do have any reaction you will know what caused it.
Definitely ask for testing for B12 deficiency/Pernicious Anaemia.
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