Can anyone interpret these results please
Free triodothtyronine 4.53(3.1-6.8)
Free T4 16.6(11.0-23.0)
TSH 1.4(0.27-4.5)
Vit D 75nmo/L
Vit B12 689(197-771)
Folate 11.7(2.0-18.7)
Ferritin 62.6(20-260)
I requested tests as I was suffering from palpitations at random times, after eating/whilst sitting/standing. Also hair loss, fatigue, bone and muscle pain. Have an appointment with doctors later today to discuss results. TY.
Millie
Are you diagnosed hypothyroid and on Levo, or are you looking for a diagnosis? Comments on your thyroid results depend on the answer 
Vit D 75nmo/L (equal to 30ng/ml)
On the low side but not low enough for a GP to prescribe anything, they will probably say it is perfect. However, 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]. The Vit D Council suggests, to raise your current level to the recommended level, to take 3,700iu D3 daily.
vitamindcouncil.org/i-teste...
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 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).
Vit B12 689 (197-771)
At top of range which is good for serum B12. However, that is total B12 - bound and unbound (free/active). It's Active B12 test that tells us what is available to be taken up by the cells.
Folate 11.7(2.0-18.7)
This is fine, folate should be at least half way through range which would be 10.35+ with your range.
Ferritin 62.6(20-260)
For thyroid hormone to work (that's our own as well as replacement hormone) it's said that ferritin needs to be at least 70, preferably half way through range. Your GP will say yours is good.
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...
Hi thanks for your very helpful reply and all the links you provided . Yes, I am hypothyroid (autoimmune) and take 125 Levo. I had a gp appointment this evening and you were right everything is ‘in range”, although low end for Vit D. Advised to keep supplementing (am following Vit D protocol) and has arranged for a 72 hour heart monitoring test to check nothing is going on ref. palpitations. Thanks again
Free triodothtyronine 4.53(3.1-6.8)
Free T4 16.6(11.0-23.0)
TSH 1.4(0.27-4.5)
FT4 is 47% through range, FT3 is 39% through range. You could do with an increase in dose of Levo to try and raise your FT4/FT3 to nearer the top third/quarter of the range, and try to get TSH down to around 1 or below.
As you have autoimmune thyroid disease, aka Hashi's, are you gluten free and supplementing with selenium l-selenomethionine 200mcg daily to try and help reduce antibodies? Many members here have benefitted from being gluten free.
Hashi's information:
Gluten/thyroid connection: chriskresser.com/the-gluten...
stopthethyroidmadness.com/h...
stopthethyroidmadness.com/h...
You need both TPO and TG thyroid antibodies tested to see if cause of hypothyroidism is due to autoimmune thyroid disease diagnosed by high thyroid antibodies
Ask GP to test these and for coeliac blood test too if not already on strictly gluten free diet
Your results suggest you are slightly under treated. Perhaps ask for increase in dose from 125mcg to 125mcg one day and 150mcg the next day - averaging out at 137.5mcg per day
Thanks, saw GP and everything “in range”, I asked about increasing meds and he said best not to because of palpitations and has arranged a 72 hour heart monitoring test. Apparently everything else “in range” although Vit D was at low end. Am following Vit D protocol so hope to see some improvements within 3 months.
Improving vitamin D first step
Test thyroid antibodies
Consider trying strictly gluten free diet. Many of us find it helps or is essential
Retesting Full Thyroid in 2-3 months after these changes
Email Dionne at Thyroid Uk for list of recommended thyroid specialists, many will prescribe 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
Professor Toft recent article saying, T3 may be necessary for many otherwise we need high FT4 and suppressed TSH in order to have high enough FT3
rcpe.ac.uk/sites/default/fi...
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...
Help with results...please!
Help with results please
Help with results please
Help with test results please
Help with test results please
