Hi all I would appreciate some help in working out these results, I’ve been very unwell for a while I have hashimotos but not on any medication & anyway the only thing my doctor said was try getting some Vit D over the counter... if I have iron deficiency is there anything I can get rather than begging doctors etc...
Large unstained cells 0.18 (<0.6)
Eosinophil count 0.13 (0.04-0.4)
Monocyte count 0.43 ( 0.2 - 0.8)
Haematocrit 0.45 ( 0.37 - 0.47)
Red Blood Count 4.8 ( 3.8 - 5.8)
Platelet count 302 ( 150 - 400)
Mean Cell Volume 93 (78-100)
Lymphocyte 2.35 (1-4.5)
Mean cell heamaglobin 31 (27-32)
Total white blood count 7.19 (4-11)
Serum folate 6.6 ng/ml (5.4 - 24)
Serum ferritin 70 ng/ml (10-322)
Serum B12 495 ng/L (211 - 911)
Vit D 59 nmoL (75-250)
Serum T4 14.1 ( 10-20)
Serum TSH 3.4 (0.2 - 4)
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Folate is on the low side as is b12. Siuggest you. Look at getting som b vits with methyl folate in them rather that folic acid. The igennus one on amazon isgood. amazon.co.uk/Super-B-Comple...
Iron deficiency can be suggested by low ferritin, low haemoglobin, low MCV, I can't see anything in those particular results that suggest iron deficiency.
It's said that for thyroid hormone to work properly (that's our own as well as replacement hormone) ferritin needs to be at least 70, preferably half way through range, I've also seen it said that a ferritin level of 100-130 is good for females.
You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet
Serum B12 495 ng/L (211 - 911) ng/L is the same as pg/ml
According to an extract from the book, "Could it be B12?" by Sally M. Pacholok:
"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".
"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."
Serum folate 6.6 ng/ml (5.4 - 24)
This is low. Coupled with your B12 result, which could do with nudging up, I would consider a good B Complex containing 400mcg methylfolate plus a good amount of B12. Consider:
Thorne Basic B - 400mcg each of methylfolate and methylcobalamin in the suggested dose of 1 capsule
Igennus Super B - 400mcg of methylfolate and 900mcg methylcobalamin in the suggested dose of 2 tablets
Vit D 59 nmoL (75-250) = 23.6ng/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 your current level, the Vit D Council recommends supplementing with 3,700iu D3 daily (nearest is 4,000iu)
As you have Hashi's then for best absorption an oral spray (eg BetterYou) or sublingual liquid (eg Vitabay Organics or Natures Answer) are recommended.
Retest in 3 months.
When you have 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:
Your GP won't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3 as recommended by the Vit D Council -
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.
Check out the other cofactors too (some of which can be obtained from food).
Serum T4 14.1 ( 10-20)
Serum TSH 3.4 (0.2 - 4)
Are you taking anything? One of your earlier posts on the forum said you were going to self treat with Nutri Adrenal and Armour Thyroid?
If you have Hashi's then if your TSH goes over range then an enlightened doctor should prescribe Levo when TSH is over range with raised antibodies.
For future tests, follow the advice given here
* Book the first appointment of the morning. This is because TSH is highest early morning and lowers throughout the day. If we are looking for a diagnosis of hypothyroidism, or looking for an increase in dose or to avoid a reduction then we need TSH to be as high as possible.
* Fast overnight - have your evening meal/supper as normal the night before but delay breakfast on the day of the test and drink water only until after the blood draw. Eating may lower TSH, caffeine containing drinks affect TSH.
* If taking thyroid hormone replacement, leave off Levo for 24 hours before blood draw, if taking NDT or T3 then leave that off for 8-12 hours. Take your thyroid meds after the blood draw. Taking your dose too close to the blood draw will give false high results, leaving any longer gap will give false low results.
* If you take Biotin or a B Complex containing Biotin (B7), leave this off for 7 days before any blood test. This is because if Biotin is used in the testing procedure it will give false results (Medichecks definitely use Biotin, they have confirmed this and the amount of time to leave the supplement off).
These are patient to patient tips which we don't discuss with doctors or phlebotomists.
Wow thanks so much for this info, I will deffo start adding B vitamin... I’m not on anything for my thyroid they just won’t give me anything, yes my previous posts a few years back re thyroid I didn’t know I had hashi’s then but I didn’t take the supplements long cuz I was nervous lol... I feel I really would benefit right now tho, do you know where I can order the NDT ? Xx
But to be honest, it will be easier - and free for thyroid hormone replacement - if you can get a diagnosis on the NHS and get Levo prescribed. You need your TSH to go over range and antibodies tested at the same time to show raised and that should give you a diagnosis, we have an article that you can show your GP if you can achieve those results.
Improving vitamin D to at least 80nmol and around 100nmol may be better
And supplementing to improve low folate and B12 are first steps
Then TSH may rise. We see this frequently. Getting vitamins optimal is first step
Vitamin D is far too low. GP will only prescribe to bring vitamin D up to 50nmol. Aiming to improve by self supplementing to at least 80nmol and around 100nmol may be better .
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
Vitamin D mouth spray by Better You is good as avoids poor gut function.
It's trial and error what dose each person needs. Frequently with Hashimoto's we need higher dose than average. Suggest you get 1000iu spray. Start with 1 or 2 sprays per day, if no ill effects increase to 2 or 3 sprays per day.
Government recommends everyone supplement October to April
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
Oh wow this is very interesting so I’ve been sabotaging my own results lol... either way in 8 weeks i’ll Feel a lot better off the supplements or will get treatment for my thyroid lol, really appreciate your time & help thank you xxx
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