Your thoughts on my test results please

[Newbi]

Getting ready to go my GP for first appointment since some blood test results. I had a sub-total thyroidectmy in the early 1990's due to a goitre. have not felt well since. I have been taking 50 mg levo thyroxine for about 11 years. I was diagnosed as having fibromialga a few years ago.Only got some of the tests I requested (no surprise there) but got some I didn't ask for. Could you please give me your thoughts on these results?

Tsh 1.11 mu/l (0.30-4.20)

Serum ferritin 129 ug/L (28-200)

Serum 25-HO vit D3 level 46.0 mol/L (<50.0) Low

Serum vitamin B12 372 ng/L (180-640)

Serum folate 7.0 ug/L (3.0 -20)

Red blood cell (RBC) count 4.03 10*12/L (4.20 - 5.40) Low

Serum zinc level 10.0umol/L (11.0 - 24.0) Low

Erythrocyte sedimentation rate 18mm/h (0 - 15) High

Serum gamma GT level 125 u/L (0.45) High

Thyroid peroxidase antibody level 15 iu/mL (0. - 34)

My daughter has been diagnosed in the last few months with Hashimoto's and suggested I go back to GP as in her words "Mom all this is you" I have done so much reading on your great site I am now determined to get this sorted once and for all. Yesterday I returned a Medichecks Thyroid plus testing kit and am trying to wait patiently for results.

Many thanks in advance.

[SlowDragon Administrator]

Yes, your daughter is probably correct

Just testing TSH is completely inadequate

So you need to wait to see your FT3 and FT4 results

TPO antibodies are negative.

Medichecks will test TG antibodies

Vitamin D is too low. Are you currently supplementing anything?

GP would probably only prescribe 800iu or tell you to get your own supplements. Government recommends everyone supplement vitamin D October to April anyway

gov.uk/government/news/phe-...

Aiming to improve to around 100nmol. Vitamin D mouth spray by Better You is good as avoids poor gut function.

Suggest you supplement 1000-3000iu 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...

Vitamin B12 and folate are on low side, but not low enough for GP to prescribe anything

You might benefit from a good quality daily 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...

Only add one supplement at a time and wait at least a fortnight to assess any benefits or not

Is your daughter on gluten free diet? It helps many reduce symptoms with Hashimoto's

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.

Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor

 please email Dionne at

[e-mail]

[Newbi in reply to SlowDragon]

Thanks for coming back so quickly. No she hasn’t yet, but she does get a reaction to soy. I will keep on to her to try gluten free though. I started to cut out gluten a couple of months ago as I have has trouble with my stomach and digestion for years so thought worth a try. I have started taking healthspan Effervescent Magnesium again for a couple of months as get a lot of cramp.I don’t take any other supplements at the moment I wanted your opinion and I will do as you suggest with other vitamins. Will also do the reading up.

Thanks again the support you give is brilliant. Will post other results when I get them.

[SlowDragon Administrator in reply to Newbi]

Yes avoiding soya, including soya lecithin helps many