Medicheck Result - disappointed: Results back... - Thyroid UK

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Medicheck Result - disappointed

lozzie84 profile image
14 Replies

Results back from medicheck, and everything is still borderline. I keep to a gluten free diet. I'm really at a lost, I'm always tired and I easily pick up infections or viruses.

I'm now 35, in the past 15yrs I've had shingles, Henoch-Schönlein purpura, stomach ulcer and had a triple ankle break not counting various flu's and colds. Diagnosed with Anxiety and depression

Past results from gp that I could get: everytime I've asked about thyroid testing but they've not always done it

Nov 2002 4.3

Oct 2003 5.24

2007 blood test couldn't be checked??

Dec 2015 it wasn't checked

Oct 2017 3.2

Jan 2018 wasn't checked

Dec 2018 3.0

Medicheck results:

Inflammation

CRP - High sensitivity X 10.78 mg/L (Range: < 5)

Iron Status

FERRITIN 65.8 ug/L (Range: 13 - 150)

Vitamins

Serum Folate X 3.87 ug/L (Range: > 3.89)

Active B12 48.300 pmol/L (Range: 37.5 - 188)

25 OH Vitamin D 60.9 nmol/L (Range: 50 - 175)

Thyroid Hormones

THYROID STIMULATING HORMONE 2.72 mIU/L (Range: 0.27 - 4.2)

FREE T3 4.26 pmol/L (Range: 3.1 - 6.8)

FREE THYROXINE 12.500 pmol/L (Range: 12 - 22)

Autoimmunity

Thyroglobulin Antibody <10 kU/L (Range: < 115)

Thyroid Peroxidase Antibodies <9.0 kIU/L (Range: < 34)

Don't really know what else I can do 😪

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lozzie84
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14 Replies
SlowDragon profile image
SlowDragonAdministrator

Do you take any vitamin supplements?

Your vitamins are low. B12 and folate especially.

Do you have any B12 deficiency symptoms?

b12deficiency.info/signs-an...

An active B12 test is considered suspicious if under 70. Folate is below range

Ideally you would get GP to do full test for Pernicious Anaemia before starting on B12 injections

If that's not an option, then self supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be beneficial.

your B12 is low enough to also need a daily sublingual B12 lozenge - eg Jarrow B12

chriskresser.com/folate-vs-...

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...

Vitamin D is on low side.

Aiming to improve to at least 80nmol and around 100nmol may be better .

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

Suggest you supplement 1000iu for 2-3 months and retest. It's trial and error what dose each person needs.

Once you Improve level, you may 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-...

Also read up on importance of magnesium and vitamin K2 Mk7 supplements when taking vitamin D

betterbones.com/bone-nutrit...

articles.mercola.com/sites/...

healthy-holistic-living.com...

articles.mercola.com/sites/...

betterbones.com/bone-nutrit...

Do NOT supplement any vitamin K if you take any blood thinning medication

drsinatra.com/vitamin-k2-su...

Vitamin C and bones

healthimpactnews.com/2018/d...

The importance of sunshine

outsideonline.com/2380751/s...

Ferritin is slightly low, recommended to be over 70. Increasing iron rich foods plus vitamin vitamin C in your diet should help. Liver or liver pate once a week

Your Thyroid levels are low. But GP almost certainly won't think they are low enough to treat

Improving vitamins can improve Thyroid levels and almost certainly will improve/reduce symptoms

Only start one supplement at a time. Wait at least ten days to assess before adding another. Suggest you start with vitamin D.

See GP for futher B12 testing. Show them your below range folate result too

Suggest you retest thyroid and vitamins in 2-3 months, making sure to do test as early as possible in morning and fasting

Come back with new results then

lozzie84 profile image
lozzie84 in reply toSlowDragon

I take vitamins D and calcium supplements but I'll have a look at some others.

The CRP was very high, is that something I should investigate further?

SlowDragon profile image
SlowDragonAdministrator in reply tolozzie84

It could be high due to a recent cold or flu?

but ask GP to retest and investigate, if still high in say a month's time

SlowDragon profile image
SlowDragonAdministrator in reply toSlowDragon

How much vitamin D were you taking?

Unless calcium is actually low on previous tests, not sure why you would take calcium

Calcium levels naturally rise as vitamin D improves

See links about that on reply above

lozzie84 profile image
lozzie84 in reply toSlowDragon

I always feel like I have a cold tbh

I take calcium because it's previously been low, and I've broken so many bones.

Also I'm dairy free because it triggers my ibs. I do eat well tho, no processed food, plenty of vegetables and meat.

SlowDragon profile image
SlowDragonAdministrator in reply tolozzie84

Might be good idea to test calcium once vitamin D is improved to around 80-100nmol

SlowDragon profile image
SlowDragonAdministrator in reply tolozzie84

So like many with Hashimoto's you are dairy and gluten intolerant

Would suspect you may well have Hashimoto's, despite negative Thyroid antibodies

Some Hashimoto's patients never have raised antibodies

thyroid.org/patient-thyroid...

drknews.com/unraveling-thyr...

thyroidpharmacist.com/artic...

An ultrasound scan of thyroid can help diagnose Hashimoto's.

Ask GP for one

shaws profile image
shawsAdministrator

This is from TUK:-

thyroiduk.org.uk/tuk/testin...

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

Your 'frees' are could be higher.

Before blood tests were introduced as the 'perfect' way to diagnose, doctors used to diagnose us on our clinical symptoms and we were given a trial of NDT - natural dessicated thyroid hormones - used since 1892 and removed from being prescribed a couple of years ago, through False Statements made about it (not by the patients) by the Association.

bmj.com/rapid-response/2011...

It seems to me that the Organisations that are supposed to be knowledgeable aren't. So conclude they've never read any scientific evidence especially when withdrawing NDT and now T3 (although now I realise it was the cost of T3 but that was a 'perfect' reason) which left patients with levo alone and so many on this forum cannot and do not recover and may, in fact, feel worse.

I think we could have symptoms for sometime before the TSH rises enough for us to be diagnosed, i.e. in the UK it has to reach 10, whilst in other countries it would be 3+. Very inhumane.

When you have blood tests for thyroid hormones, do you get the very earliest one, fasting (you can drink water) and allow a gap of 24 hours between dose (if prescribed) and test and take afterwards. If not results may be skewed as TSH is highest early a.m. and reduces throughout the day.

Vitamins/minerals also have to be optimal.

lozzie84 profile image
lozzie84 in reply toshaws

This is the lowest my TSH has ever come back and I don't think I've always had morning tests.

I'm going to ask the go to test again

shaws profile image
shawsAdministrator in reply tolozzie84

Doctor may not do another test but when you are able, ask GP for Free T4 and Free T3 or have a private one through one of the labs who do home finger pin-prick tests although you could wait another six weeks and ask GP if he'd do them. It is very important to have the earliest test - even making appointment weeks ahead - fasting (you can drink water) and a 24 hour gap between dose and test.

lozzie84 profile image
lozzie84 in reply toshaws

Yeah I did a private one to get all the thyroid tests, I just can't afford to keep paying for it.

I've struggled to maintain employment in the past year

shaws profile image
shawsAdministrator in reply tolozzie84

I understand - we shouldn't really need to get repeat tests. You need to recover your health as struggling with your job is difficult to do and many bosses haven't a clue as we may look fine to them. They cannot see what's going on in our bodies. Sometimes adding a1/4 tablet every couple of weeks might work but again you'd have to supply your own if GP wont.

Ask GP for TSH and I think they've been told that only TSH and T4 are sufficient when they're not.

Before these blood tests were introduced we were given NDT and it was all about our symptoms and dose gradually increased by 1/4 until we felt better.

We are aiming for a TSH of 1 or lower and the TSH is from the pituitary gland - not thyroid gland and I think doctors aren't too knowledgeable.

It is like us reading a recipe for a sponge cake: i.e. we get all the ingredients out and mix together yet the sponge has come out like a biscuit but we may have missed out the most important - baking powder. For us hypo it is the T3 which may be lower than it should be.

If you've not had a Free T3 and Free T4 test -

lozzie84 profile image
lozzie84 in reply toshaws

I've spoken to my GP and he thinks the inflammation is due to my IBS. And the low vitamin. But I feel tired all the time. If I have a busy day the next day I'm wiped out.

Medicheck results:

Inflammation

CRP - High sensitivity X 10.78 mg/L (Range: < 5)

Iron Status

FERRITIN 65.8 ug/L

(Range: 13 - 150)

Vitamins

Serum Folate X 3.87 ug/L

(Range: > 3.89)

Active B12 48.300 pmol/L

(Range: 37.5 - 188)

25 OH Vitamin D 60.9 nmol/L (Range: 50 - 175)

Thyroid Hormones

TSH 2.72 mIU/L

(Range: 0.27 - 4.2)

FREE T3 4.26 pmol/L

(Range: 3.1 - 6.8)

FREE THYROXINE 12.500 pmol/L (Range: 12 - 22)

Autoimmunity

Thyroglobulin Antibody <10 kU/L (Range: < 115)

Thyroid Peroxidase Antibodies <9.0 kIU/L (Range: < 34)

shaws profile image
shawsAdministrator in reply tolozzie84

Maybe this link will be helpful re inflammation - maybe try one at a time:-

reversemycondition.com/hypo...

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