Here are my latest thyroid results
I took 100mcgs t4 at 7am plus 10mcgs t3
I took 5mcgs t3 at 4pm
The bloods were done the following day at 7am
I have been having severe muscle pain in the upper 1/3rd of my back for about 4 years.
They also say my ferritin is high at 198.
I had a cold at the time of test
The Drs comments were I need to reduce my thyroid meds
Your vitamin D is rather low
Do you currently take any vitamin D supplements?
GP will only prescribe to bring vitamin D up to 50nmol.
Aiming to improve by self supplementing to at least 80nmol and between 100-150nmol 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.
Folate is also low
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...
Your FT3 and FT4 are both a bit low
Personally I need higher levels than that. But we are all individual. You might try a 12.5 or 25mcg increase in Levothyroxine
Or adding another 5mcg dose of T3 at bedtime.
But only add one or the other, night both.
You may have to experiment to see which suits you better
Perhaps increase vitamin levels first. Then retest thyroid in 2 months
Or improve vitamins and add 12.5mcg Levothyroxine and retest in 6-8 weeks
Thank you for your reply SlowDragon.
I was prescribed folic acid but my B12 shot up to over 2,000 so I stopped it.
I can supplement vitD as I have done in the past and usually use DLux 3,000 per spray .
I could try and increase of t4 as you suggested but I always take my meds first thing in the morning.
If I increase t4 should it bring up the Ft3?
I worry about getting RT3!!
Could the low vitD be causing my muscle pain in the upper part of my back?
So you would suggest taking the vitamin supplements first along with Vit D before increasing my t4?
Thank you so much for your reply
Rose
Generally it's best to only make one change at a time
Personally I would supplement vitamin D first
Then 2-4 weeks later look at adding a good quality daily vitamin B complex
Then after few weeks either retest thyroid or just consider small increase in Levothyroxine.
Your FT4 is very low, so reverse T3 is not likely (unless you have had RT3 issues before?)
Increase in Levothyroxine should also improve low FT3 slightly
Retesting thyroid levels 6-8 weeks after any dose change (personally I try to wait 10-12 weeks before retesting)
Hi again
I did have rt3 tested last year and it was good I think z
It was 31(24-54)
So I don’t think it was high.?
I’m told no higher than mid range so it was ok?
Yes RT3 seems fine
Hi SlowDragon
I didn’t put my ferritin result here as couldn’t post another photo.
However, it has come back at 198.
It’s usually about 90.
I’ve just read that high ferritin i indicates hyper!!!
Also it says people with high ferritin have tanned skin ( people keep saying to me lately that I look brown!!!)
Your thoughts please
What's range in ferritin?
Common to be slightly over range due to inflammation of Hashimoto's
Top of range is 150.
I don’t have Hashimoto though.
Antibodies are negative
Ask GP to test iron levels
You can have high ferritin and low iron
Are you post menopause?
Yes I’m almost 20 years post menopause
Please tell me where do you buy your 5mcg of T3 ? Thanks & All the best; I buy my NP from <removed by admin> and am looking for a less expensive source...Thanks ! 
if you look at the link here grassrootshealth.net/docume... you'll see those with the highest vitamin D levels experience the least pain.
Pain Level vs Vitamin D3 25(OH)D Serum Level
Using data provided by participants in the D*action study, GrassrootsHealth was able to compare 25(OH)D serum levels with location and severity of pain as reported by participants. The average pain rating went down from a rating of 3.7 to 3.1 (16 % decrease) as serum levels rose from less than 15 ng/ml to greater than or equal to 75 ng/ml. Please note, we are still recommending a serum level range of 40-60 ng/ml (100-150 nmol/L).
Those with levels 75ng/ml = 187.6 nmol/l suffer less pain.
To more than double your current vitamin d level to over 150nmol/l will probably take a further 149 iu daily vitamin d3 for each kilogram you weigh or 67 iu daily for each pound of bodyweight.
grassrootshealth.net/wp-con...
Vitamin d requires magnesium to work optimally and people with higher magnesium intakes find it easier to attain and maintain optimal 25(OH)D levels
grassrootshealth.net/wp-con...
To reach the higher levels it will help to take at least 100mg magnesium with each meal and before bed.
typically magnesium bisglycinate tablets/capsules supply only 100mg of elemental magnesium the rest is the glycinate. You need to check the label where it says how much elemental magnesium is provided in each serving. but at least one tablet/capsule with each meal and one before bed will be needed to add 400mg elemental magnesium to your daily intake.
The vitamin d level needs to be over 125nmol/l to ensure cholecalciferol remains freely bio-available in serum. Because the half-life of the cholecalciferol form in serum is just 24 hours and it's this cholecalciferol from that enables the signalling that reduces the production of pro-inflammatory cytokines only daily dosing provides an optimal response.
The excess pro-inflammatory cytokines are generated from fat cells so reducing the size and number of fat cells by weight reduction may help if your body is carrying excess fat.
Improving omega 3 status also helps resolve inflammation and so reduce pain levels.
Omega-3 fatty acids (fish oil) as an anti-inflammatory: an alternative to nonsteroidal anti-inflammatory drugs for discogenic pain.
ncbi.nlm.nih.gov/pubmed/165...
Thank you again for your reply.
I weigh 9st8lbs
I’ll look at the label of my biglycinate and see what it says
Hi TedHutch
I’ve checked my magnesium label and all it says is 150mg bisglycinate per tablet.
At a level of 71nmol/L it seems mine is low IF 125nmol/L is the proper level?
Am I reading that correctly?
And if so, could be the cause of my muscle pain?
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 increase your current level of 71nmol/L (28.4ng/ml) to the recommended level, the Vit D Council suggests supplementing with 3,700iu D3 daily (nearest is 4,000iu)
vitamindcouncil.org/i-teste...
Retest in 3 months.
When you've 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:
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).
Does K2 thin blood?
Not as far as I am aware.
There is conflicting information about Vit K out there. There is K1 and K2. K1 is the blood clotting form and if you take a blood thinning medication it's best to discuss with your GP. Some people say K2 is also a blood clotting form but it's actual role is to direct calcium to where it is needed, i.e. bones and teeth.
Many articles just refer to Vit K without differentiating between K1 and K2 and the different roles they play.
So it's up to people to research and form their own opinion.
I wrote a post a while ago with links to some articles, here is a link to that post
healthunlocked.com/thyroidu...
Hi SeasideSusie
I had high platelets so take hydroxycarbamide daily to bring platelets down.
I’ll check with my haemo about the K’s but I don’t see him for a while
What was your CRP result? In the UK the range is up to 5, but in the US and other countries, is actually up to 1. Meaning anything over 1 is already high, and a sign of inflammation/infection, which in turn would artificially raise ferritin. So if your CRP was elevated (which is possible as you said you had a cold), don't worry too much about the ferritin, as it would in real terms only be about 50% of the reading.
Heavy article about MPV and thyroid
Might, or might not be relevant
ncbi.nlm.nih.gov/pmc/articl...
Hi again
I’ve read that article but I just don’t understand what it is saying.
Are you able to put it in terms that I could understand please
No I don't understand it either.....
I’m not sure if it’s saying low tsh increases platelets or visa versa.
Or if it’s saying that t4 levels increase platelets!!!
Search for more links - google hypothyroidism and MPV
I have searched but I don’t understand any of it
Further to my recent results, I contacted Medichecks to ask why the dr said I should reduce my meds
This is the response today
“
Rich (Medichecks)
25 Jun, 14:14 BST
Hello
Thank you for your message.
I have just heard back from our medical team who have highlighted that in the original comments that were left, the Dr advised: "Your thyroid stimulating hormone is low which suggests that your T3 and levothyroxine doses are too high. You should discuss this further with your doctor who can advise you whether you need to reduce your dose."
Unfortunately we are unable to offer any further management advice and he has recommended that you discuss your results with your GP.
I hope this is helpful.
Kindest regards,
Richard Watson
Customer Care Representative
Know yourself. Inside out.
16 Jun, 09:33 BST”
What would you all think?
I never take their advice they are just basic Doctors not thyroid experts .... the people on this site probably know a lot more than they do. You should delete your name because I have just been told I have been fingerprinted by my security and I am being followed online to see what sites I visit. Probably because they want to send me more emails about handbags and stuff because I am a shopaholic. lol
I would delete both your name and the other - identity theft ?? The Docs working for these companies have to fall in line with Guidelines - sigh !
Click on more and then edit it.
Thank you x
Your name is still showing on your post. If you cannot edit it ask admin to do it for you.
Has it worked now ? I hope I’ve done it right this time.
Thank you for telling me x
Thyroid normal but very low vit D (attached medichecks report) 
Hi I'm new. Help with Medichecks Thyroid results.
Medichecks Results, not thyroid! Any pointers please
medichecks thyroid results
Medichecks thyroid results 
