Latest Vitamin and Thyroid results after increased dose Tirosint

[MIckeyrow]

Hello everyone,

Thanks again for your amazing support. As advised I requested Vitamins & Thyroid tests as well as Coeliac test. The Doctor said Coeliac test not necessary if I don’t have tummy problems. She said these results are all good except the Vitamin D3 and said I need to double my dose. Please let me know your thoughts have a lovely day.

[SlowDragon Administrator]

So your vitamin D is very low

13ng/ml is equal to 32nmol

endmemo.com/medical/unitcon...

Needs to be around 40ng/ml (or 100nmol in UK units)

How much vitamin D are you currently taking?

Vitamin D mouth spray by Better You is good as avoids poor gut function.

It's trial and error what dose each person needs. Once you Improve level, very likely you will need on going maintenance dose to keep it there. Retesting twice yearly via vitamindtest.org.uk

Local CCG guidelines

clinox.info/clinical-suppor...

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

B12 and folate on the low side. Supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be beneficial.

B vitamins best taken in the morning after breakfast

Recommended brands on here are Igennus Super B complex. (Often only need one tablet per day, not two). Or Jarrow B-right

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Ferritin is ok

Coeliac test has been done - result is negative

coeliac.org.uk/coeliac-dise...

So you can now try strictly gluten free diet. Majority with Hashimoto's are not coeliac, but gluten intolerant

How long since dose of Levothyroxine was increased?

TSH is slightly high, FT3 and FT4 on low side

Suggests you need further dose increase

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

chriskresser.com/the-gluten...

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

thyroidpharmacist.com/artic...

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

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

[MIckeyrow in reply to SlowDragon]

Thank you Slow Dragon. I take the sachets Current dose 1000mg and now doubling it. I will look online for the vitamin D mouth spray and b vitamins , is there a nose spray for B12 ? and really try to go gluten free .The Tirosint dose was increased in November 2018 100mcg every alternative day she hasn’t said she will increase it.

[SlowDragon Administrator in reply to MIckeyrow]

There is a spray for B12, but just a good quality daily vitamin B complex may be enough. They often have fairly high B12 in them

So you are on 100mcg one day and 75mcg the next day?

Getting thyroid retested again in 6-8 weeks, if dose isn't increased to 100mcg daily

Likely to see levels dropping if dose still isn't high enough

[MIckeyrow in reply to SlowDragon]

Hi Slow Dragon the other dose is 88mcg. Ok I will report how I get on thanks again.