I posted my medichecks results here a few weeks ago but didn't put my ranges on until later on but didnt get an answer from anyone so must have somehow slipped through the net.
Would anyone be kind enough to take a look and translate my latest blood results for me please, I am 12 months post surgery after having thyroid cancer and a total thyroidectomy, I didn't have radioactive Iodine.
Levothyroxine dose is 112.5mg p/day
TSH ..... 0.049 range 0.27-4.2
Free thyroxine .....21.3 range 12-22
Free T3 ..... 4.88 range 3.1-6.8
Thyroglobulin antibody ...below 10
range 0.00-115
Thyroid peroxidone antibodies.....below 9.0
range 0.00-34
Active b12 .....56.8 range 37.5 - 188
FOLATE (serum) .....6.16 range 3.89 - 26.8
25 OH Vitamin D .....56.3 range 50 - 200
CRP-high sensitivity .....0.86 range 0.00 - 5.
Ferritin.....28. range 13 - 150
Many thanks Donna
Written by
Liam12
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Sorry your last post slipped through the net, the forum moves so quickly that it happens sometimes.
TSH ..... 0.049 range 0.27-4.2
Free thyroxine .....21.3 range 12-22
Free T3 ..... 4.88 range 3.1-6.8
Your FT4 is 93% through range and your FT3 is 48% through range so they're not in balance and conversion could be a lot better. Supplementing with selenium can help conversion ( l-selenomethionine being the most absorbable form, selenite/selenate being the least absorbable form).
Good conversion requires optimal nutrient levels and there are some problems with yours.
Active b12 .....56.8 range 37.5 - 188
According to this article, Active B12 below 70 should be investigated for B12 deficiency
If so list them and ask your GP to test for B12 deficiency/Pernicious Anaemia.
FOLATE (serum) .....6.16 range 3.89 - 26.8
Folate and B12 work together. Folate should be at least half way through it's range (15.5+ with that range). Eating folate rich foods will help, as will a good B Complex containing methylfolate (not folic acid). However, folic acid/folate should not be started before further testing of B12 and supplementation by injection or sublingual methylcobalamin lozenges started, as lthat would mask signs of B12 deficiency.
25 OH Vitamin D .....56.3 range 50 - 200
(22.52ng/ml)
The Vit D Council recommends a level of 125nmol/L (50ng/ml)
"On days that individuals do not sunbathe, the Vitamin D Council recommends the following daily maintenance doses:
Adults: 5,000 IU (including pregnant and breastfeeding mothers)"
Retest in 3 months.
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
Check out the other cofactors too (some of which can be obtained from food).
Best forms of D3 are either softgels containing only D3 and extra virgin olive oil (eg Doctors Best) or an oral spray (BetterYou).
As K2 is also fat soluble, then an olive oil based one is best again (eg Health Origins MK7)
CRP-high sensitivity .....0.86 range 0.00 - 5.
This is fine.
Ferritin.....28. range 13 - 150
This is very low and I would suggest asking your GP to carry out an iron panel and full blood count to see if you have iron deficiency anaemia. You may need iron tablets and You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet apjcn.nhri.org.tw/server/in...
Don't start supplements all at the same time, stagger them. Start with one, give it a week or two and if no adverse 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.
Once all nutrient levels are optimal, if T3 still remains low and shows signs of poor conversion, then maybe consider the addition of T3 to your Levo.
Low vitamins suggest you are under medicated for thyroid
Once you improve all these very low vitamins by following SeasideSusie excellent advice.......TSH should/might rise and FT4 fall so that you can increase dose of Levothyroxine
If TSH remains low and FT4 at top of range then you will need to look at addition of small dose of T3.
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
tukadmin@thyroiduk.org
Also request list of recommended thyroid specialists some are T3 friendly
Professor Toft recent article saying, T3 may be necessary for many. Note especially his comments on current inadequate treatment following thyroidectomy
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