New blood test results after taking vitamins. For 7 weeks.

[Haze1975]

Hi all

After last blood test. The doctor put me on a 8 weeks course of 40000 units vitamins D (for one a week for 8 days) 150mg cyanocobalamin B12 (every day) and a 5mg folic acid tablet (every day). A long with dropping my Levo down to a 125 (every day)

These are the results on the second blood test. Any help would be good.

Test resultFULL BLOOD COUNT;IRON STUDIES Report, Normal, No Further Action

Coded entryEosinophil count - observation (42K..) 0.4 10^9/L [0.04 - 0.5]

Coded entryMonocyte count - observation (42N..) 0.8 10^9/L [0.2 - 1]

Coded entryBasophil count (42L..) 0.1 10^9/L [0 - 0.1]

Coded entryHaematocrit (X76tb) 0.402 [0.36 - 0.44] Information about this test

Coded entryRed blood cell count (426..) 4.21 10^12/L [4 - 5.5] Information about this test

Coded entryTotal white blood count (XaIdY) 9 10^9/L [3.7 - 11]

Coded entryHaemoglobin concentration (Xa96v) 123 g/L [115 - 165] Information about this test

Coded entryPlatelet count - observation (42P..) 383 10^9/L [150 - 450] Information about this test

Coded entryLymphocyte count (42M..) 2.1 10^9/L [1 - 4]

Coded entryNeutrophil count (42J..) 5.7 10^9/L [1.7 - 7.5]

Coded entryMean cell volume (42A..) 95.5 fL [80 - 100]

Coded entryTransferrin saturation index (XaERN) 10 % Information about this test

Coded entryMean cell haemoglobin concentration (429..) 30.6 g/dL [32 - 36]

Coded entryMean cell haemoglobin level (XE2pb) 29.2 pg [27 - 32]

Coded entryNucleated red blood cell count (4266.) 0 10^9/L [0 - 0.01]

Coded entrySerum transferrin level (XE2dx) 3 g/L [2 - 3.2] Information about this test

Coded entrySerum iron level (X76tH) 7.5 umol/l [4.4 - 27.9] Information about this test

Test resultVITAMIN B12;Serum folate level;Serum ferritin level;THYROID STIMULATING HORM.

Coded entrySerum vitamin B12 level (XE2pf) 281 ng/L [187 - 883] Information about this test

Coded entrySerum folate level (42U5.) 13.6 ng/ml [3.1 - 20.5] Information about this test

Coded entrySerum TSH level (XaELV) 0.49 miu/L [0.35 - 4.94] Information about this test

Coded entrySerum ferritin level (XE24r) 29 ng/ml [20 - 204] Information about this test

Thanks

[SlowDragon Administrator]

Previous post with truly terrible vitamin levels

Very likely due to inappropriate lowering of Levothyroxine

healthunlocked.com/thyroidu....

Absolutely essential to test FT3, FT4 and TsH together

Suggest you get tested privately via Medichecks

Folate 13 (range 3.0-20.5) - Now good level

Might want to look at supplementing folate in B complex instructions - see below

B12 281 (range 187-883)

Still too low.

Daily sublingual B12 lozenges can be more beneficial. Jarrow B12 sublingual. Usually recommended to start with one bottle of 5000mcg - take one per day. Then reduce to 1000mcg dose, one per day

Supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be good too

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...

Ferritin - 29 (range 20- 204)

This is extremely low.

Far too low for thyroid hormones to work well. GP should be prescribing iron 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 hypothyroid

healthunlocked.com/thyroidu...

drhedberg.com/ferritin-hypo...

restartmed.com/hypothyroidi...

Post about iron supplements

healthunlocked.com/thyroidu...

No vitamin D test

Needs retesting

vitamindtest.org.uk

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.

Next step is to get ferritin improved

Continue improving B12 and folate

Retest vitamin D

Getting TSH FT3 and FT4 tested privately via Medichecks or Blue Horizon

Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and fasting.

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose immediately after blood draw).

Highly likely to have low FT3, if so you will need addition of small dose of T3

Email Dionne at Thyroid Uk for list of recommended thyroid specialists


 please email Dionne at

[e-mail]

[Haze1975 in reply to SlowDragon]

I’d don’t have a thyroid left. I’m independent on Levo. Because they removed the whole lot in 2014 due to cancer.

[SlowDragon Administrator in reply to Haze1975]

Exactly.....most people need the addition of small dose of T3 alongside their Levothyroxine

Just testing TSH and FT4 is completely inadequate

Essential to test TSH, FT3 and FT4

Research confirms 20% Patients with no thyroid after thyroidectomy can not regain full health on just Levothyroxine

ncbi.nlm.nih.gov/pmc/articl...

Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and fasting. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose immediately after blood draw).

is this how you do your tests?

[Haze1975]

Always. I read some of the other people comments. And pick up a few things up a few things or been told by doctors and specialist. Levo is taken as early as possible each day, I’m up around 5am. When I wake up. With water, no food after taken an hour after Levo, (can’t eat that early any way). But if I get a text message saying they need to run a blood test, (I’ve got a month anyway to reply to doctors) but don’t go the day of the text message but the next day. ( because I’ve already taken Levo) because it’s 24 hours you don’t take medication before a blood test. Doors opened at 8am for walk in blood test at the doctors I go to. I’d try and get there as soon as the door opens.