Can anyone please help with these blood results? - Thyroid UK

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Can anyone please help with these blood results?

Smitho1972 profile image
8 Replies

Hello, here are my latest results;

Does anyone have any comments on these results? It was a blood test done in the morning. My GP has not said anything other than they are fine. My experience with endocrinologists has been limited (not seen one since I was pregnant in 2006) and he only cared about what my TSH was and medicalising my birth because of my thyroid.

Any help with these would be more beneficial than my googling I am sure!

Many thanks,

Rachel

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Smitho1972
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Smitho1972 profile image
Smitho1972

I should also add that I take 100mcg levothyroxine a day.

SeasideSusie profile image
SeasideSusieRemembering

Smitho172

Are you taking any thyroid replacement hormone?

If so, what?

When was your last dose before the test?

Did you know that you have autoimmune thyroid disease aka Hashimoto's (raised TPO antibodies confirm this)?

As for your vitamins, you are Folate deficient and your Active B12 is below 70 which suggests testing for B12 deficiency according to Viapath at St Thomas' Hospital

viapath.co.uk/our-tests/act...

Check for signs of B12 deficiency here :

b12deficiency.info/signs-an...

List any that you may be experiencing and ask your GP to test for B12 deficiency/pernicious anaemia. Once that has been done he should prescribe folic acid for your Folate deficiency - don't take it before further testing as it will mask symptoms.

Your Ferritin is low, low Ferritin can suggest iron deficiency anaemia so ask for an iron panel and full blood count to.he k for this.

Considering your GP has said these results are fine, see a different GP.

Vit D is OK although the Vit D Council and the Vit D Society recommend a level between 100-150nmol.

Smitho1972 profile image
Smitho1972 in reply toSeasideSusie

Thank you so much for your clear response. It is very helpful and yes, you are very right..I should get a new GP.

Smitho1972 profile image
Smitho1972 in reply toSeasideSusie

SeasideSusie - I take 100mcg daily in the morning but I didn't take it that morning. No one has told me I have Hashimotos but I have been reading bits and pieces and did suspect that. I really appreciate your comments - it is very helpful for me and the overriding message is get a new GP!

SeasideSusie profile image
SeasideSusieRemembering in reply toSmitho1972

Here is some general information about Hashi's, but doctors tend to dismiss antibodies as being of no importance:

You can possibly help reduce the antibodies by adopting a strict gluten free diet which has helped many members here, although there is no guarantee.

Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks.

You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.

Gluten/thyroid connection: chriskresser.com/the-gluten...

stopthethyroidmadness.com/h...

stopthethyroidmadness.com/h...

hypothyroidmom.com/hashimot...

thyroiduk.org.uk/tuk/about_...

Supplementing with selenium l-selenomethionine 200mcg daily can also help reduce the antibodies, as can keeping TSH suppressed.

Smitho1972 profile image
Smitho1972 in reply toSeasideSusie

SeasideSusie I gave up gluten nearly 3 years ago to see if it would reduce the joint pain and inflammation I had been experiencing for years and it helped hugely. I occasionally get the joint pain now but it seems to be with my menstrual cycle and/or with possible contamination from say, a breadcrumb (I am not sure). I certainly get no bloating or digestive gurgling since giving it up. Thank you for the links and the Selenium recommendation.

SlowDragon profile image
SlowDragonAdministrator

Improving vitamins is first step

What supplements do you currently take?

FT3 is on low side. Improving vitamins can help improve conversion of FT4 to FT3

As you have Hashimoto's Look at trying strictly gluten free diet for 3-6 months

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)

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

Assuming test is negative you can immediately go on strictly gluten free diet

(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)

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...

Retesting thyroid and vitamins again in 2-3 months to see if you have improved conversion

Smitho1972 profile image
Smitho1972

@SlowDragon I had terrible joint pain for years and read of a connection with gluten so stopped that nearly 3 years ago. It is miles better but I really suffer with candida constantly which I think is all connected. I daren't be checked for coeliac as I think I would need to eat gluten again before the test and I can't face that. Thank you for your help.

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