Results , can we have your advice please .

[Homeswoman]

Hello Everyone , we finally have both sets of results for you to see NHS and Private , we really would like your thoughts because my husbands depression isn't getting any better. The NHS blood test was just the TSH level and that was 0.38 mIU/L ( normal ) .

Medichecks Results are:-

CRP HS 0.39mg/L

Ferritin 188ug/L

Folate serum 4.84ug/L

Vitamin B12 Active 130000 pmol/L

Vitamin D 52.2nmol/L

TSH 0.582mIU/L

Free T3 4.96pmol/L

Free Thyroxine 18600 pmol/L

Thyroglobulin Antibodies 360000kU/L

Thyroid Peroxidase Antobodies 14.7 kIU/L

Well all your thoughts please , and we would like to know if you think seeing an endocrinologist would be worth while . Thanks everyone .

[MaisieGray]

Can you add the respective reference ranges to each result, as they vary from lab to lab; and also check those three very large numbers for missing commas or decimal points.

[Homeswoman in reply to MaisieGray]

OK , in the same order the ranges are :- CRP HS Range <5 .

Ferritin Range 30-400

Folate Serum Range >3.89

Vit B12 Range 37.5 -188

Vit D Range 50-175

TSH Range 0.27 - 4.2

Free T3 Range 3.1-6.8

Free Thyroxine Range 12-22

Thyroglobulin Antibodies Range <115

Thyroid Peroxidase Antibodies Range < 34

[Hidden in reply to Homeswoman]

Hey, as MaisieGray mentioned, there are no decimals here:

Free Thyroxine 18600 pmol/L

Thyroglobulin Antibodies 360000kU/L

Is it really that high of is there a coma somewhere ?

[SeasideSusie Remembering in reply to Homeswoman]

Please clarify the following results

Vitamin B12 Active 130000 pmol/L

Free Thyroxine 18600 pmol/L

Thyroglobulin Antibodies 360000kU/L

Surely there should be decimal points somewhere.

Folate serum 4.84ug/L (>3.89)

This is low, it would be better in double figures. Further suggestion can be made when we see a correct B12 result.

Vitamin D 52.2nmol/L (20.88ng/ml)

This is low. The Vit D Council recommends a level of 125nmol/L (50ng/ml) and the Vit D Society recommends a level of 100-150nmol/L (40-60ng/ml). To reach the recommended level from current level, the Vit D Council suggests taking 3,700iu D3 daily

vitamindcouncil.org/i-teste...

Personally, as it's so close to the lower limit of that category I would go for 5,000iu daily.

Retest in 3 months.

When you've reached the recommended level then you'll need a maintenance dose to keep it there, 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/

There are important cofactors needed when taking D3 as recommended by the Vit D Council -

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

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.

naturalnews.com/046401_magn...

Check out the other cofactors too (some of which can be obtained from food).

Ferritin is fine for a male. Half way through range is recommended but I've seen it said that 150 is good for males.

[Homeswoman in reply to SeasideSusie]

Sorry , yes it should be 18.600pmol/L Free Thyroxine and 360.000kU/L thyroglobulin antibodies . Thanks everyone .

[Homeswoman in reply to SeasideSusie]

And the vitamin B12 was 130.000 pmol/L - oops!

Thanks again everyone.

[SeasideSusie Remembering in reply to Homeswoman]

Vitamin B12 Active 130 pmol/L

(37.5 -188)

That result is excellent.

Folate serum 4.84ug/L (>3.89)

Now that we know there is no problem with B12, supplementing to raise folate level could be considered. Eating lots of folate rich foods may help, but if not then taking a good B Complex containing methylfolate will help, but choose one without too much methylcobalamin (B12) as that doesn't really need raising. If you can find one with 400mcg melthylfolate that should be enough. The idea of taking a B Complex is that it keeps all the B vitamins in balance.

TSH 0.582mIU/L (0.27 - 4.2)

Free Thyroxine 18.6 pmol/L (12-22)

Free T3 4.96pmol/L (3.1-6.8)

These are euthyroid (normal), all within range, they don't suggest either hypothroidism or hyperthyroidism.

Thyroglobulin Antibodies 360kU/L

(<115)

These are high, there are a few reasons for raised Thyroglobulin antibodies. They can sometimes indicate autoimmune thyroid disease (Hashimoto's) even when Thyroid Peroxidase antibidoes are negative. However, because there are other reasons for raised thyroglobulin antibodies (and I don't know them) it may be worth discussing with the GP.

I made a suggestion for Vit D in my previous reply.

[SlowDragon Administrator]

Improving vitamin D can have noticeable positive effect on mood

Government recommends everyone supplement from Oct to April every year

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

Getting his vitamin D up to at least 80nmol and around 100nmol may be better

He may need ongoing maintenance dose all year

Retesting twice yearly via vitamindtest.org.uk




Vitamin D mouth spray by Better You is good as avoids poor gut function.