BLOOD TEST RESULTS

[Sylvia22]

Could someone have a look at these blood results please. First photo full blood count second third and fourth yearly check up all from blood taken on 12 th March this year. I have been feeling extremely tired.

[SeasideSusie Remembering]

Sylvia22

Are you diagnosed hypothyroid and on thyroid meds? If so what dose?

Do you supplement any vitamins/minerals or take any other medication?

That information can help when commenting on your results.

Nothing out of range with these results, all classed as normal.

[Sylvia22 in reply to SeasideSusie]

Hi don’t know if you got all my results as had to post in separate posts and admin has turned them off. The one I did find questionable was B12 which is 381ng/L range 130 - 1100 they say 100 - 129 are borderline low B12

[Sylvia22 in reply to Sylvia22]

Yes I am diagnosed with Hashimotos and take most of vitamins recommended on here and am Gluten free. I do not take iron folic acid or B12 though

[SeasideSusie Remembering in reply to Sylvia22]

Yes, I saw that replies were turned for the other posts, but I was waiting to know if you take thyroid meds and what dose before answering, I can only comment accurately on our thyroid results if I know that.

[Sylvia22 in reply to SeasideSusie]

My TSH is 0.01. MyT4 19 and my T3 5.0

I am on Levothyroxine 112.5 per day

[SeasideSusie Remembering in reply to Sylvia22]

TSH: 0.01.

FT4: 19 (8-21)

FT3: 5.0 (3.8-6.0)

I am on Levothyroxine 112.5 per day

FT4 is 85% through range, FT3 is 55% through range. Plenty of T4, but FT3 not that well balanced. Good conversion depends on optimal nutrient levels.

B12: 381ng/L (130-1100) ng/L is the same as pg/ml

According to 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."

Do you have any signs of B12 deficiency - check here b12deficiency.info/signs-an...

If so list them to discuss with your GP and ask for further testing.

If not then you could take a B Complex with a decent amount of B12 (400mcg in Thorne Basic B or 900mcg in Igennus Super B at their recommended doses). Or you could supplement with sublingual methylcobalamin lozenges along with a good B Comples to balance all the B vitamins.

Folate level is good.

Need to see Ferritin and Vit D levels too. Low ferritin can cause fatigue, low Vit D can also cause fatigue.

I wouldn't change current dose of Levo but I would address the B12 and ensure that all nutrients are at optimal levels:

Vit D - 100-150nmol/L according to the Vit D Council/Vit D Society

B12 - mentioned above

Folate - at least half way through range (so yours is good)

Ferritin - half way through range

Do you supplement with selenium l-selenomethionine, this apparently helps with T4:T3 conversion, as does zinc (zinc and copper should really be tested before supplementing).

Globulin: 36 (21-35)

Just slightly raised. Reasons for raised globulin level can include infection, inflammatory disease or immune disorders. Your Hashi's may be the cause, or maybe you've got, or recently had, an infection.

HbA1C: 41 - this is pre-diabetic level and you might want to consider looking into ways of reducing this.

[Sylvia22 in reply to SeasideSusie]

Thank you so much for this info. I do get some of the B12 symptoms. ie tinitus pains in legs, all over really as I have Fibromyalgia as well. Bit forgetful. I think I will start with a good B complex as you suggest.

I already take zinc and selenium.

I am also going to look into having a much better diet owing to pre-diabetic levels.

Thank you again for your help. Will let you know how I get on.

[helvella Administrator]

In order to avoid spreading replies over four separate threads, I have turned off replies on the other three threads.

[HLAB35]

To reverse pre-diabetes and to stop converting cholesterol into bad cholesterol you really should consider taking Magnesium.. it worked well for me. My doctor was surprised. Magnesium also helps with vitamin d uptake, so it's a win:win:win.

You're not absorbing b12 too well and your blood cells are on the small side considering your low b12 levels (suggesting low iron as well). I expect you probably have low stomach acid and are struggling to absorb minerals and b12. Always check iron and vit d levels before supplementing (can be done via labs online). For Magnesium there is no cheap and easy test that's offered (serum Magnesium only accounts for 1% of the total in the body and it is kept constant at this level at the expense of cellular levels, because if we had low serum magnesium we'd all have heart attacks), so just try for a good quality supplement that'll avoid laxative effects.

ncbi.nlm.nih.gov/pmc/articl...

nutritionalmagnesium.org/ma...

industrialsectors.com/magne...

[Angel_of_the_North]

Your thyroid test look fine. Some people need free T3 a little bit higher. Your HbA1c is near the top of the range, it used to be recommended that women tried to keep it below 32 (if you are not diabetic). You might want to try to find out what foods are triggering higher blood sugar or try a low carb diet. B12 is too low, which can make you tired (needs to be over 500) and I can't find any iron panel results. Iron would be an obvious culprit for tiredness.

[Sylvia22 in reply to Angel_of_the_North]

I am going to cut out a lot of sugar. I have to admit I like chocolate and butter and cheese. Don’t think GP will give me any more blood tests just yet. Would it be ok to take a low dose of iron.

[Angel_of_the_North in reply to Sylvia22]

Butter and cheese are good if you are not lactose or casein intolerant. High cocoa chocolate is a good source of magnesium. Things to worry about are table sugar, artificial sweeteners, breakfast cereal, bread, pasta and rice (those are also the things that give you high triglycerides). Some people also react to certain vegetables so it might be worth getting a cheap monitor and testing after meals to see if any particular combination is a killer for you.

I wouldn't take iron without at least knowing your ferritin level, as high iron as dangerous as low iron.

[Sylvia22 in reply to Angel_of_the_North]

Thank you. I don’t eat a it of pasta and rice. I do eat Gluten free bread and have sugar in coffee and tea. Are potatoes ok. I eat fruit but not so many veg. Eat salads.

[Angel_of_the_North in reply to Sylvia22]

I would dump the gluten-free bread as it is highly processed, and the sugar in drinks - gradually - and all pasta. Potatoes might not be a good thing for you, but will be better with plenty of butter. Vegetables are mostly better to eat than fruit (apart from berries). A lot of people are sensitive to bananas, for example, but not everyone.

[Sylvia22]

Sorry I forgot to mention I do take magnesium. Swanson Triple Magnesium Complex 400 mcg per day. Don’t think my GP will check my bloods again for iron. I take vitamin D 4000 iu

Do you think it would be ok to take a low dose of iron.

[HLAB35 in reply to Sylvia22]

That has Mag Oxide in it I believe.. I wouldn't touch Magnesium Oxide with a barge pole as it is laxative and very, very poorly absorbed... Magnesium Glycinate and Magnesium Citrate are much better. The fact that they put 400mg in one tablet is a bit of a giveaway as to how rubbish they are. Better absorbed forms are usually around 150mg per tablet.

[Sylvia22]

I take my magnesium before I go to bed. Should I take the Vit D at same time

[HLAB35 in reply to Sylvia22]

Vit D is fat soluble so is probably better taken with a meal. To increase your Magnesium levels at the same time you could use a Mag spray or body lotion.

[Sylvia22]

Thanks. I do make my own magnesium oil soguess I could use that more.

[Sylvia22]

Thank you for all the replies. Most helpful