Hi I have had a private blood test done for my underactive thyroid and results are showing high antibodies. I am currently on 50mg Lev. Am going to take my test results to my gp can you advice me in what needs to be done with my medication. I have also started a week ago a Guten and dairy free diet. Test results attached.
Need help with test results: Hi I have had a... - Thyroid UK
Need help with test results
Prater
Your nutrient levels are not unexpected for a Hashi's patient. Hashi's can cause low nutrient levels and you do have some problems there.
Considering you have a high Serum B12 (measuring what is in your blood), your Active B12 (measuring what is available to be taken up by the cells) is on the low side. This article suggests than any result below 70pmol/L needs investigation for B12 deficiency
viapath.co.uk/our-tests/act...
As your level is 56pmol/L you might want to discuss this with your GP. Don't supplement with B12 or B Complex containing methylfolate/folic acid until further investigation has been carried out, it will skew the results.
Your low ferritin has already been discussed in your previous thread, so you should ask for an iron panel.
Folate is fine.
Vit D is low but not low enough for your GP to prescribe D3. The Vit D Council recommends a level of 125nmol/L [50ng/ml] and the Vit D Society recommends a level between 100-150nmol/L [40-60ng/ml]. To reach the recommended level, the Vit D Council suggests with your current level to supplement with 3,700iu D3 daily (it would have to be 4,000iu). Retest after 3 months 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 an NHS lab which offers this test to the general public:
There are important cofactors needed when taking D3 as recommended by the Vit D Council -
vitamindcouncil.org/about-v...
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 if taking tablets/capsules/softgels, no necessity if using an oral spray
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 if taking tablets/capsules, no necessity if using topical forms of magnesium.
naturalnews.com/046401_magn...
Check out the other cofactors too (some of which can be obtained from food).
As you have Hashi's, an oral spray (eg BetterYou) is recommended for best absorption. You can get D3 alone or D3/K2 combination.
Optimal nutrient levels are essential for thyroid hormone to work properly.
Your current TSH is too high for a treated hypo patient (should be 1 or below, suppressed is recommended for Hashi's patients) but your FT4 and FT3 are at good levels, so it's difficult to suggest what to do about your dose of Levo. Increasing it will reduce your TSH but it will also raise your FT4 and FT3 and they will possibly go over range.