The ranges are different to the ones I wrote yesterday, please could you advise ?
The results I wrote on yesterday post are slightly wrong , ill write them here
TSH 0.53
FT3 5.2 range is 3.1 - 6
FT4 18.9 range is 12 - 22
I was wondering if this changes the advice kindly given to us yesterday
Absolutely essential to have good levels of vitamin D, folate, ferritin and B12
Ferritin and vitamin D were terrible in previous post
healthunlocked.com/thyroidu...
What has been done to improve these?
Is she on ferrous fumerate supplements?
Eating liver or liver pate once a week, plus other iron rich foods like black pudding, prawns, spinach, pumpkin seeds and dark chocolate, plus daily vitamin C can help improve iron absorption
FERRITIN and being hypothyroid
healthunlocked.com/thyroidu...
Post about iron supplements
healthunlocked.com/thyroidu...
Vitamin D was 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.
Retesting twice yearly via vitamindtest.org.uk
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
Local CCG guidelines
clinox.info/clinical-suppor...
Government recommends everyone supplement October to April
gov.uk/government/news/phe-...
Low vitamin D and low B vitamins can be linked
She needs all FOUR retested privately if necessary
Her antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
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...
Other gut issues due to being hypothyroid
healthunlocked.com/thyroidu...
Thank you !
She’s not coeliac she’s had the test done . But does still eat gluten so from tomorrow onward it’s gone.
Also will address the other issues with vitamin d and iron
Aside from those , are these levels of thyroid hormone good ?
Well, that does make the results a lot better than the ranges yesterday! But, I stand by one thing I said "But, unless she feels good, they're not optimal."
Trying a slight increase might help - say 50/50/75 - but you don't want to increase the FT4 by too much, or you will decrease conversion. So, be cautious. 
Thank you greygoose , yes it’s quite a difference isn’t it !
So, either slight increase or trying a slight decrease experiment.
Plus optimal nutrients
Getting nutrients optimal often then allows TSH to slowly rise, conversion of FT4 to FT3 to improve and then can increase dose
Selenium supplements can help improve conversion of FT4 to FT3 as well
Getting all vitamin levels optimal and then redoing thyroid and vitamin tests two to three months later
You're welcome.
b12 ranges
Lab reference ranges
serum thyroid normal ranges
T3 and T4 ranges - VERY PUZZLED PATIENT
