My blood result and I did not fast before the blood work and also took my medicine 125mcg levothyroxine before the blood work.

[Monasingh]

TSH 1.570 Ranges 0.450-4.500 ulu/ml

T4 FREE 1.68 Range 0.82-1.77 ng/do

T3FREE 2.5 Range 2.0-4.4 pg/ml

Thyrogloblin antibody 2.7 Range 0.0-0.9 iu/ml

Thyroid peroxidase TPO 154 Range 0-34 iu/ml

Vitamin D 27.3 Range 30.0-100.0ng/ml

Glucose 87 Range 65-99

Hemoglobin ALC 4.7 Range 4.8-5.6%

[SeasideSusie Remembering]

Monasingh

Because you took your Levo before the test, your results aren't showing normal circulating hormone. Your FT4 is higher than it would normally be.

Because you did not fast, your TSH may be lower than it would normally be.Timing of the test affects TSH, it's highest early morning and lowers throughout the day.

When booking thyroid tests we always advise:

* always book the very first appointment of the morning

* fast overnight (water allowed), this means have your evening meal/supper the night before then delay breakfast until after the blood draw, drink only water, no coffee, tea, etc, before the test.

This gives the highest possible TSH which is needed when looking for a diagnosis, an increase in dose or to avoid a reduction. TSH is highest early morning and lowers throughout the day. It can also lower after eating and coffee also affects TSH.

* take your Levo after the blood draw because if you take it before then your FT4 will reflect this and show higher than what is normally circulating. We usually advise 24 hours between last dose of Levo and blood draw so if you take your Levo in the morning then delay until after the test, or if you take it at night then delay that dose until after the test.

These are patient to patient tips which we don't discuss with doctors or phlebotomists.

To give an accurate picture of your normal circulating hormone, it is wise to repeat the test following the advice above.

Your raised antibodies mean that you are positive for 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.

Vitamin D 27.3 Range 30.0-100.0ng/ml

The Vit D Council recommends a level of 50ng/ml and the Vit D Society recommends a level between 40-60ng/ml. To raise your current level to the recommended level, the Vit D Council recommends supplementing with 3,700iu D3 daily (you will need 4,000iu). Retest after 3 months and 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.

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, for best absorption consider an oral spray (Better You do D3 and combined D3/K2) or sublingual drops.

Glucose is within range.

Haemoglobin is slightly below range. Was this done on it's own or part of a full blood count?

B12, folate and ferritin are needed to complete the picture of vitamins and minerals.

[Monasingh in reply to SeasideSusie]

Thank you so much...I will be getting new blood test soon with everything you just mentioned.