Medicheck results-not sure if this is optimal? - Thyroid UK

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Medicheck results-not sure if this is optimal?

artemesia3 profile image
11 Replies

Would someone be kind enough to comment in my results please? I’m on 2.5 grains Thyroid-s currently and prior to that took NP thyroid (I’m trying to beat the crippling cost ).

Despite the Ferritin and B12 results, I’m not on supplements so I’m wondering if I should be concerned they are high?

My vit D was done by the doc and came out as 56 nmol (no range given)- and the reason I was testing was because of painful joints.

Any advice/comments gratefully received!

Sharon

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SlowDragon profile image
SlowDragonAdministrator

Presumably you know you have Hashimoto's

Are you on strictly gluten free diet?

Vitamin D is too low.

Are you supplementing any vitamin D?

Dose needs increasing. 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 of Hashimoto's

Suggest you supplement 2000iu-3000iu for 2-3 months and retest.

It's trial and error what dose each person needs. So important to test regularly when first start supplementing

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-...

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...

sciencedaily.com/releases/2...

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...

Have you taken any B vitamins or multivitamins in last 6 months? This can explain high B12

Ferritin is often slightly high with Hashimoto's. GP might do full iron panel to check if iron is also too high. You can have high ferritin and low iron

artemesia3 profile image
artemesia3 in reply to SlowDragon

Huge thanks for the wealth of info, Slowdragon. There is so much to learn about thyroid issues so thank heavens for the forum!

I have taken multi vits previously-but not for a good few months. Didn’t realise they stayed with you so long.... I had been supplementing with better you oral spray vit D and K but had stopped for a week before the test.

I have been gluten free for many years.

Thanks again. Sharon

SeasideSusie profile image
SeasideSusieRemembering

artemesia3

Your TSH, FT4 and FT3 are what one would expect to see when someone takes NDT. If you feel well on that dose there is no need to change it. Your FT3 is 76% through it's range, that's the only important result when on NDT.

You know you have Hashi's, so I imagine you are addressing that, maybe with a gluten free diet and supplementing with selenium, and you will know that antibodies fluctuate and with Hashi's you can swing from hypo to hyper and back to hypo.

Is your high ferritin historical? As your CRP is nice and low, then ferritin is probably not high due to inflammation. Maybe your GP should be looking into the reason why your ferritin is high. Same for B12.

As for your Vit D, 56nmol/L is 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]. They suggest that for your current level -which is 22.4ng/ml - then you should take 3,700iu D3 daily along with the important cofactors magnesium and Vit K2-MK7.

vitamindcouncil.org/i-teste...

Nearest equivalent dose is 4,000iu and because you have Hashi's then for best absorption an oral spray is recommended - BetterYou. They do a D3 alone or a D3/K2 combined. Check how many sprays are needed to give the required dose.

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.

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:

vitamindtest.org.uk/

artemesia3 profile image
artemesia3 in reply to SeasideSusie

Again, such useful information. Thanks seasidesusie.

I don’t think I’ve been taking the vit d correctly as I certainly haven’t taken them with a fatty meal-and I haven’t taken selenium either.

My doc has called me in to discuss my vit d result so I may be able to discuss the ferritin and b12 then.

Thanks very much.

Sharon

SlowDragon profile image
SlowDragonAdministrator in reply to artemesia3

Try the vitamin D mouth spray

Many of us with Hashimoto's find absorption is much better as it avoids poor gut function

Hashi-Monster profile image
Hashi-Monster

I had painful finger joints when my ferritin was as high as yours. To alleviate this I adjusted my diet (removing high iron foods) and supplemented 3mg of Boron per day. My ferritin is now back in range and my joints are pain free.

artemesia3 profile image
artemesia3 in reply to Hashi-Monster

That is so interesting! Never thought my so-called “clean diet “ would work against me!

Thanks Missimal-time to rethink it ....

m7-cola profile image
m7-cola in reply to artemesia3

My over-range ferritin lowered when I eliminated all red meat/products.

artemesia3 profile image
artemesia3 in reply to m7-cola

I’ll certainly try that, although to be honest I don’t eat that much. I do eat chicken, fish and loads of pulses. Are they likely to be an issue?

Hashi-Monster profile image
Hashi-Monster in reply to artemesia3

Shellfish seemed to be the culprit in my case

m7-cola profile image
m7-cola in reply to artemesia3

I don’t think so. You might find it helpful to check out on the dietary implications on google. That’s what I did.

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