Hi all, just another repeat for blood results.
I started feeling tired again the whole month, and all i want is sleep.
Got the bloods so t4 got a little lower. Didn’t get the t3 done, but I know that I convert them good from my previous results.very hard to get this done even is it is requested this gets ignored.
Im baffled why my ferritin is so low while iron is high? Was taking some oral b12, so got it increased a little bit, thank god. Any advice?
B12 is still too low
Folate ok but room to improve
Supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be beneficial.
chriskresser.com/folate-vs-...
B vitamins best taken in the morning after breakfast
Recommended brands on here are Igennus Super B complex. (Often only need one tablet per day, not two. Certainly only start with one tablet per day after breakfast. Retesting levels in 6-8 weeks ).
Or Jarrow B-right is popular choice, but is large capsule
If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before any blood tests, as biotin can falsely affect test results
endo.confex.com/endo/2016en...
endocrinenews.endocrine.org...
Vitamin D needs testing
Ferritin is terrible. Eating liver or liver pate once a week should help improve levels. Plus daily vitamin C and other iron rich foods like spinach, pumpkin seeds and dark chocolate
Are you on strictly gluten free diet?
You need to get vitamin D tested
FT4 and FT3 need testing together
Suggest you improve vitamins and then 6 weeks later do TSH, FT3 and FT4 test
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and fasting. Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose immediately after blood draw). This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
Yes, I’m on gluten free diet. Vit d is 83 range 30-100. So it is fine now.
Any advise regards ferritin?
Eating liver or liver pate once a week should help improve ferritin levels. Plus daily vitamin C and other iron rich foods like spinach, pumpkin seeds and dark chocolate
Vitamin D may be a bit better around 100nmol
I am vegetarian, but I do eat spinach and all other rich iron foods. What is beyond my understanding why iron in blood is high but very low feritin.
Low ferritin is common with Hashimoto's and/or vegetarian diet
ok - you're vitamin D is measured in ng/l not nmol
So what does it mean:)?
Low ferritin?
It's the storage for of iron. Ideally needs to be higher.
Obviously iron levels are more difficult if you are vegetarian because vegetarian iron is non-heme and harder to absorb
blog.insidetracker.com/pump...
Daily vitamin C may help absorb more iron from diet
As I won’t get tested for T3 now, would the current figures suggest a small increase in levo would be an idea as I started to feel more tired than before? Im on 100mg now.t4 dropped since the last test.
If you can get GP to increase dose, its worth trying, but they may think TSH is already quite low
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and fasting. Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose immediately after blood draw). This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
Is this how you did the test?
Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,
"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.
In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.
Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.
This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."
You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor
please email Dionne at
tukadmin@thyroiduk.org
Yes done test in the morning without taking medication and took it straight after. Will give a try with this hope get feeling better.
Blood results 
Hyperthyroidism blood results
Blood test results 
