Hashimoto?

[Coops2019]

Hi all I’ve got my most recent bloods , would appreciate any feedback.

Thanks

[MaisieGray]

Well, it is a fact that an only slightly elevated TG Ab level in isolation of an elevated TPO level can be indicative of a number of different conditions such as diabetesT1, pernicious anemia, a drop in red blood cells caused by a vitamin B-12 deficiency, collagen vascular diseases such as rheumatoid arthritis and scleroderma, thyroid cancer and so on. It is generally the presence of a high level of the antibody that is more likely to indicate Graves’ disease or Hashimoto's.

In these results, the TPO Abs are low in range and not remotely elevated.

[MaisieGray]

Coops2019 Can you provide a little more detail - have you been diagnosed with thyroid dysfunction and/or an autoimmune thyroid condition, and are you taking any thyroid meds?

[Coops2019 in reply to MaisieGray]

Hi

I have not had a diagnosis of anything, I feel awful. My ferritin, b12 and Vit d were all low before Christmas

[MaisieGray in reply to Coops2019]

"My ferritin, b12 and Vit d were all low before Christmas"

In the intervening 6 months, depending on the actual levels, have you been supplementing and/or sought further investigation particularly of the low ferritin and Vit B12? If you've been supplementing, have you recently retested?

Your FT4 is only 8% in range, whilst your FT3 is relatively better at 42.16% in range. However your TSH is not as high as you might expect it to be, given that dire FT4 result. That might be due to the saving grace of a relatively better FT3 but it might also be indicative of central hypothyroidism, ie a problem lying with the pituitary or hypothalamus rather than the thyroid. Test results with central hypothyroidism generally show a low free T4 , and a TSH that may be low, normal, or minimally elevated. You can read a little more here bestpractice.bmj.com/topics...

[SlowDragon Administrator in reply to Coops2019]

Can you add actual results and ranges on vitamin tests

B12 and folate should always be tested together

What action was taken by GP on low levels?

Or what self supplements are you taking

[Coops2019 in reply to SlowDragon]

My b12 was 287

Vit d was 19

Ferritin 30(11-307)

Can’t remember my folate but it was in range but low

Dr investigated stomach for bleeding

I supplemented vit d3

Patches b12

Folate

[SlowDragon Administrator in reply to Coops2019]

B12 is very low and if folate was low too, GP should test for Pernicious Anaemia before starting on B12 injections ....especially if you have any symptoms of B12 deficiency

b12deficiency.info/signs-an...

If you have B12 symptoms then sublingual B12 lozenges or B12 mouth spray are likely necessary

If GP refuses B12 injections. 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...

Vitamin D - is this Nmol or ng/ml

How much vitamin D are you taking?

If it's nmol GP should have prescribed LOADING dose of vitamin D - that's 300,000iu over 6-8 weeks. 5000iu per day for 8 weeks or 7000iu per day over 6 weeks

Local CCG guidelines

clinox.info/clinical-suppor...

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. Frequently with Hashimoto's we need higher dose than average

Ferritin is very low. GP should have done full iron panel to test for Anaemia. Likely to be prescribing iron supplements. Are you taking ferrous fumerate?

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

healthunlocked.com/thyroidu...

drhedberg.com/ferritin-hypo...

restartmed.com/hypothyroidi...

Post about iron supplements

healthunlocked.com/thyroidu...

[Coops2019]

Hi 👋

I haven’t had an ultrasound and no diagnosis x

[SlowDragon Administrator]

If GP won't prescribe Levothyroxine yet....firststep is to get all four vitamins optimal

You may then find TSH rises so that you can get treatment

[Coops2019 in reply to SlowDragon]

Thanks x