Hello, after 8 months I've got so far as having fna on my nodules, seeing specialist to get results in 2 weeks. Unfortunately I have one of the health practises that don't test further if tsh falls in range, so on the recommendation of this site I have had my blood accessed for the complete thyroid through medichecks, can anyone translate these for me please.
CRP HD 0.19mg/L < 5
Ferritin 51.3ug/L (13-150)
Folate Serum 2.72ugL > 3.89
Vit B Active 76.6pmol/L. (37.5-188)
Vit D 69.3nmol/L (50-175)
TSH 2.72mlu/L (0.27-4.2)
Free T3 6.18 pmol/L (3.1-6.8)
Free Thyroxine 13.9pmol/L (12-22)
Thyroglobulin 23.3ku/L < 115
Thyroid Peroxidase Antibodies
29.4 kIu/L < 34
Lab ranges are in brackets.
Many thanks in advance.
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Runbuddy
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This is low. It's said that for thyroid hormone to work properly (that's our own as well as replacement hormone) ferritin needs to be at least 70, preferably half way through range.
You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet
This is below range and indicates folate deficiency. You should show this to your GP, you may be prescribed folic acid.
Vit B Active 76.6pmol/L. (37.5-188)
This is above the level where testing for B12 deficiency is suggested (that would be less than 70). However, I would want mine higher, in double figures. You can always check for signs of B12 deficiency here
This is low according to the Vit D Council which recommends a level of 125nmol/L (50ng/ml) and the Vit D Society which recommends a level of 100-150nmol/L (40-60ng/ml).
To reach the recommended level from your current level, the Vit D Council suggests supplementing with 3,700iu D3 daily (nearest is 4,000iu).
Retest after 3 months.
When you have 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:
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.
Check out the other cofactors too (some of which can be obtained from food).
TSH 2.72mlu/L (0.27-4.2)
This is higher than one would expect to see in a normal healthy person (that would be probably no higher than 2), but not high enough to give a diagnosis of hypothyroidism.
Free Thyroxine 13.9pmol/L (12-22)
This is only 19% through it's range.
Free T3 6.18 pmol/L (3.1-6.8)
This is 83% through range. Unusual to see such a high FT3 with such a low FT4.
Thyroid Peroxidase Antibodies 29.4 kIu/L < 34
Close enough to the limit to consider autoimmune thyroid disease (Hashimoto's). Levels fluctuate when Hashi's is present so sometimes it will be within range, some times over range.
Thyroglobulin 23.3ku/L < 115
Low in range.
Because of your high in range TPO antibodies, I wouldn't be at all suprised if you have Hashi's, but at the moment your thyroid results don't suggest that a GP would initiate treatment. If your TSH goes over range with raised antibodies then treatment should be considered.
In the meantime, I'd work on your nutrient levels, definitely see your GP about your folate deficiency.
Thank you, this is the first confirmation of what I suspected. I knew I wasn't myself at least two years ago, I wasn't until the lump on my neck appeared that I had any clue as to why, doctors only seemed to want to write scripts for migraine /ibs/acid reflux meds but not actually address the cause. The ferritin surprised me as I only finished a 12 week course of ferrous fumarate 4 weeks ago, the second course in 15 months. Many thanks for your time.
The ferritin surprised me as I only finished a 12 week course of ferrous fumarate 4 weeks ago, the second course in 15 months.
Doctors seem to only worry about getting level into range, then that's it. We need to keep an eye on this and continue maintenance ourselves. As you've now needed prescribed iron tablets twice, it would seem that you should either eat liver, etc, regularly to maintain a decent level, or take a maintenance dose of iron tablets. It's possible to buy iron tablets online (check ebay and Amazon) and at pharmacies.
Not usually (pre the last couple of years) I mistook ibs for runners bum during the onset but the fact I had been a runner for years without a problem made me reconsider, the acid reflux and incredibly painful heartburn is sporadic but more recent. I don't consider myself gluten intolerant but find it wise to moderate it.
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