Help with thyroid results

[Smelly12]

Can someone help me with thyroid results cas doctor only talking about vit d thanks

[Smelly12]

So what does that mean then

[SeasideSusie Remembering in reply to Smelly12]

Vit D level below 25 is Vit D deficiency and your GP should be prescribing loading doses according to guidance from NICE Clinical Knowledge Summary:

cks.nice.org.uk/vitamin-d-d...

Any chance you can turn your picture the right way, or type your results into your post, even on my large PC monitor it's not easy to try and read them and the picture is a bit blurry. Also, say what thyroid meds you were taking at the time of this test and did you do the test under the conditions we always advise, i.e. early morning blood draw, no later than 9am, fast overnight drinking water only, and last dose of Levo 24 hours before the blood draw.

How to edit a post: support.healthunlocked.com/...

[Smelly12 in reply to SeasideSusie]

Only thing did do was take thyroxine

[SeasideSusie Remembering in reply to Smelly12]

If you took your Levo before your blood draw then you have a false high FT4. However, as I said, I can't read your results properly, are you going to edit your post?

[Smelly12 in reply to SeasideSusie]

I'm trying to

[Marz]

Results are there for TSH and FT4. TSH over range and FT4 looks fine. You need the other tests done suggested by ReallyFedUp ..

[Smelly12]

Flushing bit dizzy weakness feet and legs. Jst weak extrem intolerance to heat and cold

[SeasideSusie Remembering]

Smelly12

So from the new picture in your other post:

HbA1c: 42

This would appear to be pre-diabetic. Hopefully your GP has discussed this with you.

TSH: 9.93 - I think, picture still blurry (0.27-4.2)

This is way over range.

FT4: 20.8 (12-22)

This is high because you took your Levo before the test. However, even allowing for this, it seems at odds with your TSH. When TSH is as high as yours, one would expect to see FT4 low in range, so to know for sure you need to repeat the test.

Vit D: 21nmol/L

Already mentioned. Has your GP prescribed loading doses of D3?

ALT: 41 (0.00-33.00)

Raised ALT can be a sign of fatty liver disease, need to discuss this with your GP.

Creatinine - can't read result but it is flagged

Presumably high. Ask your GP about this.

Cholesterol

May well sort itself out when optimally medicated for thyroid.

Folate: 7.3 (3.9-26.8??)

On the low side, ideally should be at least half way through range.

Serum B12: 395ng/L (197-771) ng/L is the same as pg/ml

On the low side. 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."

A good B Complex containing methylcobalamin (not cyanocobalamin) and methylfolate (not folic acid) should help raise both B12 and folate levels. Consider Thorne Basic B or Igennus Super B.

Results not commented on are all in range.

[SeasideSusie Remembering]

Smelly12

Your new question from your other thread:

Can someone help me and also any advice on how to get vid d up

Your Vit D level of 21nmol/L is deficient, as already pointed out. This is not really a DIY fix, your GP should be prescribing loading doses according to the NICE Clinical Knowledge Summary as mentioned.

Please go and discuss this with your GP, pointing out the NICE treatment summary for Vit D deficiency: cks.nice.org.uk/vitamin-d-d...

"Treat for vitamin D deficiency if serum 25-hydroxyvitamin D (25[OH]D) levels are less than 25 nmol/L

For the treatment of vitamin D deficiency, the recommended treatment is based on fixed loading doses of vitamin D (up to a total of about 300,000 international units [IU]) given either as weekly or daily split doses, followed by lifelong maintenance treatment of about 800 IU a day. Higher doses of up to 2000 IU a day, occasionally up to 4000 IU a day, may be used for certain groups of people, for example those with malabsorption disorders.

Several treatment regimens are available, including 50,000 IU once a week for 6 weeks (300,000 IU in total), 20,000 IU twice a week for 7 weeks (280,000 IU in total), or 4000 IU daily for 10 weeks (280,000 IU in total)."

Once these have been completed you will need a reduced amount so you should make sure that you are retested after you have finished the loading doses so that you know how much you should then take going forward. Most doctors, if they continue prescribing, only give 800iu daily which isn't enough. If GP wont retest then do this privately (link below) and post your new result at the time for members to suggest a new dose to bring your level up to what's recommended by the Vit D Council/the Vit D Society - which is 100-150nmol/L - and 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/

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 -

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).

As you have Vit D deficiency, lowish B12 and folate, it's possible these low levels could be caused by autoimmune thyroid disease (known to patients as Hashimoto's) as this causes low nutrient levels/deficiencies. Autoimmune thyroid disease is the most common cause of Hypothyroidism. Ask for Thyroid antibodies to be tested. Also ask for Ferritin to be tested.

[Angel_of_the_North]

Terrible vitamin D and poor folate and B12 - folate needs to be in double figures and B12 over 500. Odd thyroid results. Free t4 is good but TSH is way too high. Shame they didn't do a free t3 test as that is the active hormone. Were you taking a vitamin B or hair and nails supplement, or nutritional yeast in the week before the test? I would suspect a test problem and get it redone (privately if GP won't do everything that's needed). You need ferritin, TSH, Free t4, free T3 and TP and TG antibodies. You already have folate, B12 and vit D results

[Smelly12]

Oh thankyou so you think a lot more f my problems s diet I'm taking liquid d3 what else shouled I do thanks and how much to at least get that 5 up

[SeasideSusie Remembering in reply to Smelly12]

Smelly12

As already said, Vit D level of 21nmol/L is deficient and requires loading doses from your GP. Scroll back up the thread to the link I have given to the NICE Clinical Knowledge Summary and ask your GP to follow this guidance. Then follow the suggestions I have given for when the loading doses have finished.

If you don't want to ask your doctor then do your own loading doses following the guidance above.

[Smelly12 in reply to SeasideSusie]

Thanks

[Smelly12]

I have been eating loads rubbish and not eating properly

[Smelly12]

Thankyou for your help how much d3 shld I take an Iv got magnesium. Oil thankyou

[Hidden]

Hi Smellie - are you perchance a smoker? High haemoglobin levels may mean you don't have enough oxygen in you system so your lungs and heart function might be affected.

If you live at a higher altitude this can affect your haemoglobin levels too. Advice is this is so is to move to a lower altitude. Information on what the causes of high haemoglobin can be found at the Mayo Clinic website. Vitamin supplements are very low so taking d3 at the right levels might need much higher levels than you expect. Sunshine is the best form of getting d3 but exposing your self to daylight even in your home should be enough to keep your vitamin d3 topped up if you expose just our arms for at least 15 minutes a day. Cod liver oil supplements might help as well as d3. Seasidesusie's recommendations are probably correct so seeing your doctor for some supplements on prescription may be sought.

[Smelly12]

Thankyou

[Smelly12 in reply to Smelly12]

No I dnt smoke not drink

[Smelly12]

Yes I will I'm eating now foods with vit d. And taking vit d spray thanks then I will get a nline reading looks like have to do yourself as doctor wld js give me low tablet thankyou any other advice wld be great I'm agrophobic so I dnt think that helps

[Hidden]

I meant in combination with topping up with supplements as the vitamin d levels were described as far too low by Seaside Susie and the recommendations were for prescription vitamin D at high doses from his doctor. Apologies for lack of clarity.

[Hidden]

Then may be you should ask about the blood level of red cells being too high to see if your chest or lungs are healthy. Sometimes it an mean you don't have enough oxygen in your blood, and drinking water throughout the day, will top up your oxygen supplies. As I could not see your ferritin levels on the page may be these have been recorded separately?

[Smelly12 in reply to Hidden]

Thankyou yes I will start having lots water

[helvella Administrator Thyroid UK in reply to Smelly12]

Don't overdo it either. Too much water is bad and can cause, for example, too low sodium levels.

[helvella Administrator Thyroid UK in reply to Hidden]

drinking water throughout the day, will top up your oxygen supplies

Afraid I really do not understand that. Can you explain, please?

(I know that inadequate fluid intake can cause at east some blood tests to appear odd.)

[Smelly12 in reply to helvella]

It wasn't me who suggested it was someone on site

[Hidden in reply to helvella]

waterbenefitshealth.com/oxy...

The article written by Nancy Hearn, titled "Oxygenate Your Body By Drinking More Clean water," is a better explanation, than I can give, as to why not drinking enough water can lead to cellular imbalances in the body.

Drinking more clean water can provide more oxygen to improve brain function, increase your energy, and your health.

[helvella Administrator Thyroid UK in reply to Hidden]

Thanks for replying.

Afraid the link as you posted it doesn't work, but just adding ".html" at the end is sufficient to make it work:

waterbenefitshealth.com/oxy...

When I went there I really did not follow what is being said about "micro-clustered" water. And if I follow links onward, I end up basically being sold products.

Yes, adequate fluid intake is important. Yes to some of what she says. But I was not at a convinced by everything and specifically not by the oxygenation bits.

[Hidden]

H2o is 2 parts hydrogen and one part water. Oxygen is o2. It would seem logical that oxygen is in water. As Smellie was complaining of dizziness and flushes, and had not been eating well, these symptoms can be present when people do not drink enough, especially in the elderly, If his doctor has not tested his oxygen levels, then all suggestions as to how to help someone who has not provided the full test results, are based on how they describe their symptoms. You don't have to be dehydrated to need more water. Sometimes if there a long gaps from breakfast until lunch, people need to have more water especially during hot weather. I can only mention personal experience of looking after my dad, - he had to be reminded to drink some water, as if he had no drunk enough he would feel light headed.

[Smelly12]

Thankyou

[Hidden]

The World Health Organisation (41) quote....".But 5 to 15 minutes of casual sun exposure of hands face and arms two to three times a week during the summer months is sufficient to keep your vitamin D levels high."

UV light helps the body to make vitamin D (specifically, UVB).

As UVB is present on cloudy days with sunshine the your window will let the light into your room without opening it - so the UVB light may help even when it is not full sunshine.

(Source Health -Related effects of vitamin D Wikipaedia)

[Smelly12]

Thankyou help appreciated