Thanks for all good advice

[Blondiejayjay]

I have results from medichecks following advice on here I have supplemented with ferritin, B12 oral spray and 4000iu daily vitamins (the 800 the GP gives me is inadequate for me.

Results: range in brackets

Active Vitamin B 141 pmol/L (37.5-188)

Vitamin D 64.2 (50-175)

Ferritin 46.5ug/L (13-150)

Neutrophils below normal cholesterol above everything else within normal limits on blood kidney etc.

TSH 0.005 mIU/L (0.27-4.2)

Free T4 21.9 pmol/L (12-22)

Free T3 4.76 pmol/L (3.1-6.8)

Hormones post menopause phase (59year old)

FSH. 140 IU/L (25.8-134.8)

LH 60.6 IU/L (7.7-58.5)

Olestra diol 41.7 (<100)

Drs overview in brief

‘Your TSH is low and you have which suggests that your Levothyroxine dose may be too high’ ( this sentence doesn’t really make sense I think he’s missed a couple of words here. He goes on to say -

‘Having very low levels of TSH for Several years has been associated with the development of osteoporosis. If your TSH always tends to be substantially below normal range then it may be worth discussing with your GP whether a bone density scan is advised to monitor for this’

Your FSH and LH are raised and no cause for concern.

Saw GP who says if my d3 and calcium are ok no worries.

Not sure I agree that I’m over medicated though GP checking as my results in last few years have been erratic.

Any comments welcome.

Thank you to all for the good advice on vitamins as this I believe may have something to do with the better FT4 and FT3

[danym]

do you feel over medicated? jittery, heart palpitations, insomnia?

[Blondiejayjay in reply to danym]

No jitters. Low pulse rate 52bpm resting. Sleeping like a log. Loss of eyebrows, fluid retention. So no I don’t feel overmedicated.

[SlowDragon Administrator]

The blurb by Medichecks is just standard.....over reliance on TSH

If anything.....your FT3 may be slightly low

May improve more as vitamin D and ferritin continue to improve

Do you supplement vitamin C or selenium?

Selenium supplements may help improve conversion of FT4 to FT3

Vitamin C may help improve iron absorption

Next test suggest you do thyroid plus ultra vitamin. This includes B12 and folate, plus both TPO and TG thyroid antibodies

[Blondiejayjay in reply to SlowDragon]

Thank you

Yes I do take selenium and vitamin c dissolved tablets.

TPO was 198 (0-34)

Thyroglobulin antibody 478 (0-115)

[SlowDragon Administrator in reply to Blondiejayjay]

Your antibodies are high, so this confirms cause of hypothyroidism is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).

Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone working

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.

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)

Are you on strictly gluten free diet?

If not, Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

Ideally ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first




Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

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

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

restartmed.com/hashimotos-g...

But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's gut connection is very poorly understood