I have recently been feeling extremely tired and fuzzy feel like I am not functioning properly, feels like someone has pressed slow motion button in all aspects of my life. I am normally very active, I can’t train I have no energy no strength and feel like I am constantly cloudy jet lagged. I recently had bloods at the doctors but they have only put me on folic acid supplements. My results are
Serum folate 3.46ng/ml (3.9-26.8)
Serum B12 370.6pg/ml (197.0-771.0)
Serum ferritin 56.3ng/ml (14.0-186.0)
Serum TSH. 4.41mU/L. (0.27-4.2)
Free T4 level. 14.6pmo/L. (12.0-22.0)
Thanks
Written by
Morlich
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For full Thyroid evaluation you need TSH, FT4, FT3 plus TPO and TG thyroid antibodies and also very important to test vitamin D, folate, ferritin and B12
Your TSH is pretty high and FT4 quite low
Folate is low, below range. Vitamin B12 is also on low side. You may benefit from a good quality daily vitamin B complex, one with folate in
Ferritin possibly a bit low, eating liver or liver pate once a week (not more that that as is very high in vitamin A)
Ask GP to test both TPO And TG thyroid antibodies and vitamin D
Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or vitamins
Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.
All thyroid tests should ideally be done as early as possible in morning and fasting. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, GP will be unaware)
If antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
About 90% of all hypothyroidism in Uk is due to Hashimoto's. Low vitamins are especially common with Hashimoto's. Food intolerances are very common too, especially gluten. So it's important to get TPO and TG thyroid antibodies tested at least once .
FT4 and FT3 are both on the low side, but not right at bottom of range
Your antibodies are negative. That doesn't definitely exclude autoimmune thyroid disease. Apparently about 10-20% with Hashimoto's never have raised antibodies
Are you diagnosed hypothyroid and on Levothyroxine? If so you are undermedicated.
If not then your TSH is over range so technically you are hypothyroid but in the UK doctors like to leave us to suffer until it reaches 10, you would be diagnosed in another country when it reaches 3.
It's good that your folate deficiency has been recognised, but was B12 deficiency discussed? Check for signs here b12deficiency.info/signs-an... and if you have any then list them and ask your GP for further testing for B12 deficiency/Pernicious Anaemia. If you do have any, then be aware that taking folic acid masks signs of B12 deficiency so you should stop taking that until further testing has taken place and B12 injections/supplementation started if necessary.
Your ferritin is low, it should be at least 70 for thyroid hormone to work (our own as well as replacement) and recommended is half way through range (although doctors don't know this). It's not low enough for iron supplements from your GP but you can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, or liver pate or black pudding and including lots of iron rich foods in your diet apjcn.nhri.org.tw/server/in...
As stated above all blood tests for thyroid hormones has to be at the earliest possible (fasting) you can drink water) and allow a 24 hour gap between last dose and test and take afterwards. This is from TUK:
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