Can I have some help please. I’m quite confused with these results now... I’ve just received the medicheck ones.
For reference about two weeks ago I got these results from NHS:
TSH level was 4.3 mu/L (ref range 0.27-4.2), free T4 was 12.7pmol/L (ref 12.0 - 22.0).
red blood cell count was just outside the reference range and so was my
ESR was 31mm/h (ref range 1.0 - 12.0). vitamin D at 32.1nmol/L.
I won’t lie. I was expecting to see antibodies but as they aren’t there are all these aches and pains in my head? The tiredness is awful. My periods are still very irregular and it’s now been 10 weeks since my last one! My memory is shot. Very emotional all the time and cranky.
I don’t know what to do now to be honest
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Not sure what's going on with your crp, regarding thyroid levels, tsh is clearly too high though so I would definitely say you're under medicated, ..someone will help you with that but your ferritin could be higher and your vitamin d seems low, although you've not put the range for that. Both of those can cause many symptoms including aches, pains and fatigue.
It's perfectly possible to be hypo without antibodies - it's not the antibodies that make you hypo, it's low T3.
Your FT3 isn't too bad, but your FT4 is low, and conversion is being driven by the high TSH. You are hypo as soon as your TSH hits 3, but UK doctors don't know that, I'm afraid.
Can any of you recommend a book or some studies that you found helpful in understanding the thyroid?
I’m going to drop these test results off at my doctors but I don’t expect that they will bat an eyelid to be honest but it will show them that the TSH level is rising.
Too late to get an appointment for today now too.
I think I will pay for another test next month... then the GP said they want one doing in three months time from the last one they did so that will be early November.
I think they’ll then have four tests results to compare and maybe that will help.
You never know. Looks like I’ll have to do what they said and wait and see though.
That level will be causing you problems. It is just 2.1 points off where you would be prescribed loading doses. You could point this out to your GP and ask if he is willing to give you the loading doses, you may only be prescribed 800iu D3 daily in which case don't bother, just buy your own.
The Vit D Council, the Vit D Society and Grassroots Health all recommend a level of 100-150nmol/L. For your current level of 32nmol/L they recommend to reach those levels then take
To reach 100nmol/L take 3200 IU D3 daily
To reach 125nmol/L take 4900 IU D3 daily
To reach 150nmol/L take 7000 IU D3 daily
Once the recommended level is reached 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 wont know, because 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
Sorry, had to go and see to something before finishing.
Ferritin is low at 42.3. For thyroid hormone to work (that's our own as well as replacement hormone) ferritin needs to be at least 70, preferably half way through range.
Eating liver (maximum 200g per week due to it's high Vit A content) or liver pate once a week will help raise it, also include other iron rich foods in your diet apjcn.nhri.org.tw/server/in...
Folate is below range, therefore you have folate deficiency. GP should prescribe folic acid.
Active B12 is just over the level where testing for B12 deficiency is suggested (anything below 70 can suggest deficiency and testing MMA and Homocysteine is recommended). Check for signs of B12 deficiency here b12deficiency.info/signs-an... and if you do have any then list them and speak to your GP and you should have further testing. If this is the case then don't start folic acid until after further testing of B12 as it can mask signs of B12 deficiency. If you don't have any signs from that list then I would supplement with sublingual methylcobalamin lozenges to raise your B12 level.
Optimising your vitamins and minerals should help as these low levels will be causing some problems.
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