Blood results for hyperthyroidism/graves

[Kirstylstocks]

Hello everyone I have now received my results I still feel not great and dont think I'm ready to go back to work yet this is making me anxious as I'm worried about the back lash if my sick notes when I do return in the letter it states I'm still thyrotoxic although my levels have certainly improved. My tsh is fully supressed my t4 is now normal at 16, my free t3 is still slightly elevated at 7.1 my thyroid stimulating anti body is possative for graves 9.95. Also I had a hba1c they said slightly elevated at 48 mmol/mol and is requesting a fasting blood test to test glucose level my vitamin d is slightly low at 37 nmol/l I also had done b12 normal at 337ng/l my folate is 5.2 ug/l my kidneys ate working well with sodium of 138 potassium at 4.7 urea of 3.8 and creatinine of 62 with a egfr greater than 90. But I still feel poorly what is the normal range for free t3. And what is the normal range for hba1c? Does this mean I am diabetic?

[SlowDragon Administrator]

Your vitamin levels are all low

Very common with Graves (and Hashimoto's)

GP will only prescribe to bring vitamin D up to 50nmol. Aiming to improve vitamin D 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 Graves/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-...

Suggest you start with vitamin D

After few weeks consider adding a vitamin B complex

B12 and folate on the low side. 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...

You need ferritin tested

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower 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...

[Kirstylstocks in reply to SlowDragon]

Thankyou oh so all my vitamin levels are low they never told me that they said they were fine

[SlowDragon Administrator in reply to Kirstylstocks]

Vitamin D is BELOW range. GP only required to prescribe to bring level up to 50nmol.

Recommended minimum level for vitamin D is 75nmol. But this must be done by self supplementing. NHS will not fund testing or supplements if levels above 50nmol.

Improving vitamin D can increase need for good B vitamin levels too as explained here

drgominak.com/sleep/vitamin...

B12 and folate are low, but within range, so GP would ignore this, but vast numbers of Thyroid patients find it important to have optimal vitamin levels. At least B12 above 500 and folate at least towards top of range

Ask GP to test iron and ferritin levels

Strictly gluten free diet helps many many patients.

[Kirstylstocks in reply to SlowDragon]

Thankyou so much I see my doc on 3rd June so will ask him about iron and ferritin levels

[Marz in reply to Kirstylstocks]

Any luck ?