Medicheck results in.

[Spotydave]

Hi all just got my medicheck in.. im still waiting for vitamin d results...

Antibodies are raised so advise on that would be great.. im currently on 50mcg levothyroxine ...than u everyone...

[Marz]

You need your dose increased to 75mcg ASAP ! Your TSH is better around 1 or below - well that is how it is for most people. Your FT4 is low in range and would be better higher in the range.

Having TPO anti-bodies does confirm a diagnosis of Hashimotos. Ferritin seems high - which may indicate an infection somewhere in the body or may be normal for you. Active B12 is low and needs to be higher ( around 70 ) - also Folate ( mid-range )

As your CRP is low in range - you will be pleased to hear you do not have a high risk of a heart attack

[Spotydave in reply to Marz]

Cheers marz... Im a bit taken back now to how much i have to get right with this..

[SeasideSusie Remembering]

Dave

Gosh, they're quite different from your NHS test results. Did you do both tests at the same time of day (early morning), fasting (water only to drink) and leave off Levo for 24 hours?

Anyway, they show you need an increase in dose of Levo as did your other results, and I gave you the link to the Dr Toft article to show your GP if s/he is reluctant to raise your dose.

Your Active B12 is very low, and this article suggests that anything below 70 suggests testing for B12 deficiency

viapath.co.uk/our-tests/act...

so as mentioned in your previous thread which showed low serum B12, check for signs of B12 deficiency and ask your GP for further testing.

Folate is low in range and should be at least half way, so a good B Complex containing methylfolate (not folic acid) will help, but don't start supplementing with that until further testing for B12 has been carried out as folic acid/folate masks signs of B12 deficiency. You may need B12 injections or other supplementation.

Ferritin is said to be best half way through range so I can't see a problem with your result.

As for your raised TPO antibodies, as Marz says this confirms autoimmune thyroid disease aka Hashimoto's which is where the thyroid is attacked and gradually destroyed. The antibodies fluctuate and cause fluctuations in symptoms and test results. Most doctors dismiss antibodies as being of no importance and know little or nothing about Hashi's and how it affects the patient, test results and symptoms. You need to read, learn, understand and help yourself where Hashi's is concerned.

You can possibly help reduce the antibodies by adopting a strict gluten free diet which has helped many members here. Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks. You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.

Gluten/thyroid connection: chriskresser.com/the-gluten...

stopthethyroidmadness.com/h...

stopthethyroidmadness.com/h...

hypothyroidmom.com/hashimot...

thyroiduk.org.uk/tuk/about_...

Supplementing with selenium l-selenomethionine 200mcg daily can also help reduce the antibodies, as can keeping TSH suppressed.

Hashi's and gut absorption problems tend to go hand in hand and can very often result in low nutrient levels or deficiencies. This could explain your low B12. SlowDragon has information and links on addressing gut/absorption problems.

[Spotydave in reply to SeasideSusie]

Wow susie.. im abit taken back now.. this will take a while

[Spotydave in reply to SeasideSusie]

Susie... Nhs one was taken about 10am by the time i got to the hospital and had blood drawn... No levo taken and 12hour fasting. Only water..

The medicheck was 6.30am to the letter .. fasting for 12hours and only water .

[Spotydave in reply to SeasideSusie]

Seasidesusie... Question... should i have a ultrasound?? I dont know. Mabe thinking and reading about hashi etc has set off my anxiety.. this morning after a good sleep my thyroid area feels like something is there.. is this me and my mind or what ??

[SeasideSusie Remembering in reply to Spotydave]

Sorry, but I don't know Dave, I don't have Hashi's, never had nodules or anything so have never had an ultrasound. I don't even know how willing GPs are to refer for that.

[Spotydave in reply to SeasideSusie]

Thats to ok susie... I might put it up.. i dont know if.my antibodies are very high or low as im not very good yet at working out deferent results . Did you work out or see sense in my different lab results? Could it be the times???

[SeasideSusie Remembering in reply to Spotydave]

Your TSH with Medichecks is higher because you did the test so much earlier than the NHS, which is what we'd expect to see.

As for FT4 being higher with Medichecks than with your NHS, if you look at the second graph at the top of this thread, it shows daily rhythm of FT4 and 6.30am it's showing a bit lower than 10am, so I don't understand why yours is higher with Medichecks (assuming you left of Levo for the Medichecks test).

Your antibodies are high but they're not the highest we've seen. But once they're over range they confirm Hashi's and as they fluctuate anyway you'd most likely see different levels any time they were retested. Retesting isn't necessary though, Hashi's is confirmed, there's no need for further testing.

[Spotydave in reply to SeasideSusie]

hi susie thanks for your quick reply as always... so they are high.. that would make sense why i seem to get a feeling from that part of my neck sometimes..a kind of uncomfortable feeling...... so i guess now is to try and get it to calm down...

[SeasideSusie Remembering in reply to SeasideSusie]

Spotydave

It would help if I put the link I was talking about

healthunlocked.com/thyroidu...

Sorry about that!

[Spotydave in reply to SeasideSusie]

lol thats ok i have just printed it off... so will have a read up on that .... susie what are you like about serum globulin ??? mine was high normal range no action needed but it was 35 g/l ranges......20-35 everything else ok i think

sorry to keep pestering you

[SeasideSusie Remembering in reply to Spotydave]

I don't know anything about serum globulin I'm afraid, when I was diagnosed back in 1975 (after 2 years of hell) they told you nothing and did no further tests, just said "You need to take these tablets". Wonderful, caring, informative doctors!

[SlowDragon Administrator]

Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels. Low vitamin levels affect Thyroid hormone working

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten.

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

Ideally ask GP for coeliac blood test first

amymyersmd.com/2017/02/3-im...

chriskresser.com/the-gluten...

thyroidpharmacist.com/artic...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

thyroidpharmacist.com/artic...

But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's gut connection is very poorly understood

There are wide variety of gluten free substitutes these days ....most pubs sell GF larger

GF Beer available in large supermarkets or online

Going strictly gluten free can take a bit of mental adjustment, but once you get use to it's easier than you might expect ....also brain fog starts to fade!

[Spotydave in reply to SlowDragon]

Wow theres a lot to take in now..

[Spotydave]

Cheers everyone... Im a little taken back to what now has to be done.. im seeing the gp on Friday as he has asked to see me.... Im going to re read all what you have all said. So i can try and take it in amd reply separately to you all..

[Marz in reply to Spotydave]

Sadly the advice we receive here is rarely appreciated by Docs - hey ho !

[Spotydave in reply to Marz]

I totally believe you marz.. i hope i have a decent gp .so far hes been fair .the bloods he took was a lot.. except t3 and antibodies ofcourse... But i will take these antibodies results to him and see what he says..he offered a trial straight away and has now made me clinical after i said i feel slightly better. So this Friday i hope he will possibly look into my b12 etc..