I am re-posting these results in the hope that I could have more help from you lovely people on this web forum to help me interpret these results please.
Biochemistry hs-CRP 2.19 Normal range <5.0 mg
L Ferritin 91.1 Normal range 13 - 150 ug/L
Thyroid Function TSH L 0.07 Normal range 0.27 - 4.20 mIUL
T4 Total L 59.2 Normal range 66 - 181 nmol/L
Free T4 L 10.10 Normal range 12.0 - 22.0 pmol/L
Free T3 5.76 Normal range 3.1 - 6.8 pmol/L
Immunology Anti-Thyroidperoxidase abs 13.0 Normal range <34 kIU/L
Anti-Thyroglobulin Abs 12 Normal range <115 kU/L
Vitamins Vitamin D (25 OH) 72
Deficient <30 nmol/L
Insufficient 30 - 50
Consider reducing dose >175
Vitamin B12 333 Deficient < 145 pmol/L
Insufficient 145 - 250
Consider reducing dose >569
Serum Folate 26.20 Normal range 8.83 - 60.8 nmol/L
I was taking Nature Throid 2g per day, I'm now taking Thiroid 1.5g per day. My last test results in November where;
T4 - result 94 ranges 59-154 nmol/L
TSH - result <0.01 ranges 0.27 - 4.2 miu/L
Free thyroxine - result 17.5 ranges 12 - 22 pmol/l
Free T3 - result 9.8 ranges 3.1- 6.8 pmol/L
Thyroglobulin Antibodies result <10 ranges 0-115 iu/ml
Thyroid peroxidase antibodies result 9.9 ranges 0-34 iu/ml
I had lowered my dose due to the T3 being high but I am feeling very ill recently, I'm dead tired around 11am and feel like I could sleep for an hour at least. I'm putting on weight and feel out of sorts in general. I'm thinking of upping my dose to see how it goes although my TSH is still quite low. I would love it if any of you had a view, I don't use my GP for a number of reasons.
Thanks
Written by
Harv69
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Blood tests were introduced along with levothyroxine. Therefore if we add or take another type of thyroid hormone replacement blood tests don't correlate.
Before that we were prescribed NDT and it was all based on the relief of clinical symptoms. NDT contains T4, T3, T2, T1 and calcitonin This may be helpful:-
This is a bit low. 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]. Are you supplementing? If not the Vit D council recommends, to increase your current level to the recommended level, to supplement with 3,700iu D3 daily along with it's important cofactors. 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:
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.
Check out the other cofactors too (some of which can be obtained from food).
Recommended forms of D3 are softgels based in olive oil, e.g. Doctors Best, or an oral spray, e.g. BetterYou.
BetterYou do a combined D3/K2 spray, or you could buy a oil based softgel K2-MK7 or liquid (I have recommendations if you are interested).
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Vitamin B12 333pmol/L (451pg/ml)
This is a bit low. According to an an extract from the book, "Could it be B12?" by Sally M. Pacholok:
"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".
"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."
Or you could test Active B12 which tells you how much B12 is available for the cells to use. If you wish to supplement then a good B Complex containing methylcobalamin may contain enough to raise your B12 level and will balance all the B vitamins. Good brands are Thorne Basic B and Igennus Super B. At the recommended dose (2 x tablets), Igennus Super B contains more B12 than Thorne.
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Folate 26.20 Normal range 8.83 - 60.8 nmol/L
A little bit low, recommended is at least half way through range (35+ with that range). The B Complex will help there. Both Thorne Basic B and Igennus Super B contain the correct for - methylfolate (rather than folic acid).
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In your position I would increase NDT by 1/4 of a grain. Reducing from 2 to 1.5 grains was probably too much, I'd put it up to 1.75grains and retest in 6-8 weeks to see how your FT3 is then and how you feel.
Thanks Seaside Susie, I didn't for some reason either keep the tests from last time or didn't have them for Vit D and B12 which is a pain. I supplement for both as I find they get very low without. I take vit D 3 5,000 IU and B12 1000ug about 3-4 days per week which I can increase. I use a magnesium spray instead of pills again about 3-4 days per week.
I think I'm a bit heavy handed with my thyroid pills taking half off or half on, to make life easier but of course I can't think of my body as a sort of machine able to deal with that change. I have felt really ill recently my tongue became very painful swelled up. It could be thyroid but of course it could have been anything I guess and I just feel so tired all the time and low. I will cut up the pills and see how I get on with it.
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Blood test results - help please x
My blood results from Blue Horizon .. 
Thoughts on thyroid results?
Test results help please 🙏 
