Medicheck Results, please advise.

[lucylocks]

Hi

just received my results from Medichecks.

I take 132mcg. levo. (125mcg. 5 days and 150mcg. 2 days)

Inflammation CRP 1.77 mg/L (Range: < 5)

Iron Status Ferritin 106 ug/L (Range: 13 - 150)

Vitamins Folate - Serum 8.45 ug/L (Range: > 3.89)

Vitamin B12 - Active 91.200 pmol/L (Range: 37.5 - 188)

Vitamin D 56.6 nmol/L (Range: 50 - 175)

Thyroid Hormones TSH 0.011 mIU/L (Range: 0.27 - 4.2)

Free T3 5.07 pmol/L (Range: 3.1 - 6.8)

Free Thyroxine 23.000 pmol/L (Range: 12 - 22)

Autoimmunity Thyroglobulin Antibodies 93.600 kU/L (Range: < 115) last year result 115

Thyroid Peroxidase Antibodies 28.5 kIU/L (Range: < 34) last year result 32.2

I have not been taking any supplements as I have been getting hives and wondered if any of the supplements were causing them. Since stopping them all my levels have gone down, except for folate which has increased.

July 2018 thyroid levels were similar to what they are now when I was taking 150mcg levo. daily. I started with panic attacks then so reduced the levo. to 132mcg. daily. On this reduction my November 2018 levels were T4 18.1 and T3 5.28.

What I do not understand why my T4 has risen again and a decrease of T3 on the same dose. The only thing was in November I only left 17 hours from last dose of levo. to blood test and this time I left the recommended 24 hours. Could this have a bearing on the result.?

Any thoughts on this please.

I am also still feeling panicky, could this be because of the over range T4.

Also sleeping more, headaches, ache all over and generally feel flu like.

Any advise is really appreciated

Thank you,

[SlowDragon Administrator]

Sorry your post was missed, this is extremely busy forum...as you are no doubt aware

Looking at your results...

Vitamin D is likely too low . Improving 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 2000iu for 2-3 months and retest.

It's trial and error what dose each person needs.

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

Magnesium can be very calming. Must be four hours away from levo

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...

Hives is often linked to Hashimoto's

thyroidpharmacist.com/artic...

Are you on strictly gluten free diet?

If not.....that's highly recommended to try

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...

As you left longer between last dose of Levothyroxine and blood test this time, you would have expected FT4 to be lower not higher

You might try dropping Levo a bit more.....but then FT3 will drop more

Like many of us with Hashimoto's you may need the addition of small dose of T3

If you test positive for DIO2 gene variation this can help persuade NHS to prescribe T3

Medically recognised DNA testing including compulsory counselling

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

Wider DNA testing but doesn't include compulsory counselling- so is only for "educational purposes "

Sometimes on offer at £99'

bluehorizonmedicals.co.uk/t...

Suggest you email Dionne at Thyroid Uk for list of recommended thyroid specialists, many will prescribe T3

please email Dionne at

[e-mail]

Roughly where in the UK are you?

[lucylocks in reply to SlowDragon]

Many thanks for your reply and all the information and links.

I will have a good read of it all.

I agree that the longer between last dose of levo. and blood test, I would have thought FT4 to be lower not higher.

I will drop down to 125mcg. levo. then look at adding some T3.

I do not think for one minute my Doctor will prescribe it.

I live East Yorkshire, do you know if there are an specialists in this area, if not I will email Dionne.

I will restart my Vit D.

I never thought I had Hashi's even when my

Autoimmunity Thyroglobulin Antibodies were 115, as Medichecks range then was 0 -115 and the report said I did not have hashi's, even though I was top of the range.

They now the state the range as < 115 so I assume they mean 114 or less is not hashi's, and 115 is.

I have been tested twice for celiac, but both times came back negative, but if going gluten free would help I will give it a try.

Many thanks again for all the information.

[SlowDragon Administrator in reply to lucylocks]

Thousands of us on here are gluten free

You don't need any gut symptoms whatsoever

Definitely worth trying for 3-6 months

Yes I was tested twice, both negative......more on my profile.....endoscopy confirmed severe gluten intolerance

A GP is no longer allowed to initiate prescribing T3 (due to outrageous cost of UK at £206 per 28 tablets)

To qualify for NHS T3 you need to be diagnosed as having clinical need by an NHS endocrinologist

You are ENTITLED to a referral on NHS ...but do your homework first, who you want to see by getting list from Dionne

The other option is to see a private endocrinologist and get private prescription this enables secure access to cheap T3 from Germany

Thybon Henning 20mcg x 100 tablets is 31 Euro

New NHS England Liothyronine guidelines November 2018

Note that it says test should be in morning BEFORE taking Levothyroxine

Also to test vitamin D, folate, B12 and ferritin

sps.nhs.uk/wp-content/uploa...

Dossier presented to Government November 2018

drive.google.com/file/d/1c2...

Helpful post

healthunlocked.com/thyroidu...

Damning report this week from Patients Association on T3 scandal and how many patients are being prevented from even getting a referral to endocrinologist for T3 trial

healthunlocked.com/thyroidu...

[lucylocks in reply to SlowDragon]

Many thanks again for all the links.

I will have a good read this evening.

I will email Dionne for the list, but I do know where to purchase T3 as I get it for my daughter, so I could just try a small amount and see how I go.

I actually do have a lot of gut symptoms, bloating, lots of gas and indigestion, so will try gluten free a try.

Best wishes.

[SlowDragon Administrator in reply to lucylocks]

You really need to try strictly gluten free diet FIRST before adding T3

If your daughter is on T3, perhaps you both have DIO2 gene variation

[lucylocks in reply to SlowDragon]

Yes I did wonder if my daughter and I both have the DI02 gene variation.

She cannot tolerate levothyroxine, she felt poisoned on it and did not feel much better on NDT. She has only found improvement with T3 only.

I will look into testing the DI02, I have looked at the Blue Horizon gene test and it says it looks at the T4 to T3 conversion, is that testing the DI02 gene?

I have thought before about 23andme. but think I read they do not now include the test for DI02.

In the mean time I will go gluten free.

I did try in a couple of years ago, but in the ten weeks I did it I had three sudden severe episodes of diarrhea, vomiting and awful stomach cramps. I thought it was a tummy bug the first time, but when it happened another twice, I wondered if it had something to do with going gluten free or if I had been accidently glutened, although I never had these symptoms when eating gluten before.

I restarted eating gluten again and did not have any more episodes until before Christmas, I suddenly had one, came on suddenly again, so obviously nothing to do with been gluten free.

Anyway I will give it another try and not add the T3 yet.

[SlowDragon Administrator in reply to lucylocks]

This one is the just DIO2 test

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

By the way ....

It's DIO - letters

not D10 - numbers

Yes once you get gluten out your system, you can get reaction when you get accidentally glutened

[lucylocks in reply to SlowDragon]

Thank you for confirming letters.

I will take a look at the test.

Many thanks for all your help.