Endocrinologist

[rosserk]

Hi all, does anyone know under what circumstances someone with Hashimotos thyroid diease should request to see an Endocrinologist?

I also have sjogrens and a recent liver function test showed what the Doctor termed as extremely high levels. The lab termed the results ‘deranged’ and stated I required a liver scan, which was done immediate and was normal.

My last liver function test was normal. The gap between the two tests was approximately 6 weeks. My doctors have no explanation for the abnormal test and are not following it up.

Under these circumstances should I request an appointment with an Endocrinologist?

[SlowDragon Administrator]

What are your most recent Thyroid and vitamin results and ranges?

How much Levothyroxine are you currently taking?

[rosserk in reply to SlowDragon]

My TSH was 0.011 (0.2- 4.2) my T4 was 23 (12-23) and my T3 was 6.3 (3.1-6.8).

My B12 was 190 (25.10- 165.0)

Folate 7.79 (2.9 - 50.0)

Vitamin D 68.4 (50.00-200.00)

Ferritin 216 (13.0- 150.00)

I am currently taking 200mcg of Levo at the time of the test I was taking 150 mcg.

[SlowDragon Administrator in reply to rosserk]

Your vitamin D is on low side

Most on here find supplementing to bring up to around 100nmol is an improvement

Do you supplement vitamin D ? Or magnesium?

Folate also on low side. Do you supplement a good quality vitamin B complex? One with folate in, not folic acid.

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...

Presumably you supplement B12?

Ferritin is too high. Hopefully you have not been supplementing?

Your test results seem optimal

Assuming you did test as early as possible in morning and last Levothyroxine dose 24 hours before test

Increased dose by so much may make you over medicated.

But improving vitamins will help

Are you on strictly gluten free diet or tried it?

[rosserk in reply to SlowDragon]

Slow dragon I was supplementing with everything in the list after I was advised to on the forum. When my liver function test came back high, one of the question I was asked is “was I supplementing with any vitamins?”. I stopped taking all the vitamins and tested one month later and my results started to come down. After 8 weeks I was tested again and they were all normal. I am afraid to take them again. I have recently started taking selenium and vit d with K2 but I’ve steered clear of the rest.

I feel that because they don’t have a concrete reason for the high results they should refer me to a consultant.

[rosserk in reply to rosserk]

Yes I’m gluten free, I have been for about 3 months.

[anonymous45 in reply to rosserk]

I know it's an old post but just want to add some potentially helpful information.

Abnormally high levels of the following can adversely affect liver function: Ferritin, Vitamin A, B3 (Niacin). Statins are also known to affect liver enzymes.

If supplementing any of these, keep to no more than 200% RDA where possible. In your case, you should not supplement anything containing iron, and consider reducing red meat intake if you eat it, as heme iron is very well absorbed.