Results

[Footello]

Tsh 5.18

T 4 11.2

Vit D. 139

Calcium 2.48

Serum adjusted calcium 2.46

Serum alkaline phosphate 70

Serum total protein. 71

Serum albumin. 40

Serum globulin. 31

Any advice?

[SlowDragon Administrator]

Can you add ranges on these results

Your TSH is clearly too high so you are under medicated

Why was dose decreased?

The aim of Levothyroxine is to increase the dose slowly in 25mcg steps upwards until TSH is under 2 (many need TSH significantly under one) and most important is that FT4 in top third of range and FT3 at least half way in range

NHS guidelines on Levothyroxine including that most patients eventually need somewhere between 100mcg and 200mcg Levothyroxine.

nhs.uk/medicines/levothyrox...

Also what foods to avoid (eg recommended to avoid calcium rich foods at least four hours from taking Levo)

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also extremely important to test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially if Thyroid antibodies are raised

Have you ever had thyroid antibodies tested? If not request they are plus B12, folate and ferritin

If you increase dose back up to 100mcg you will need bloods retested 6-8 weeks later

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).

All four vitamins need to be regularly tested and frequently need supplementing to maintain optimal levels

What vitamin supplements do you currently take?

[Footello in reply to SlowDragon]

I take d3, b12, vit c and zinc. I’ll ask doc to test for b12 - D looks ok on the tests. I was lowered because of racy heart and severe aching. Did all the recommendations before test too. X

[SlowDragon Administrator in reply to Footello]

You need to get copies of test results from when previously on 100mcg

There's no point test B12 if you are supplementing B12 (it takes 4-6 months to return to base levels if you stop supplementing)

What was your actual vitamin D test results?

Ask GP to test folate, ferritin and thyroid antibodies

[Footello in reply to SlowDragon]

Vit D was 139

[SlowDragon Administrator in reply to Footello]

So that's fine.

[SlowDragon Administrator in reply to Footello]

Previous post says you also take biotin. Any supplements with biotin in MUST be stopped a week before any blood tests

Biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

[Footello in reply to SlowDragon]

I did stop biotin.

[Footello in reply to Footello]

I read your posts avidly. I’m so grateful for your help x

[Hidden in reply to Footello]

Hi footello

Just come across your post

Can you please explain more about your comment 'severe aching' in relation to your vitamin D level, which you say is 138? - range?

I am hypo, with muscle aches my main symptom

My D level is 69 (50-150) medichecks and I take 600 iu D a day

For a trial, as many on here said my D was too 'low'! I took 2000 iu D3 a day for just 3 days about 8 weeks ago, and my muscles were the achiest they have ever been!!

How much D3 did you take to get up to this high figure please?

And how is the 'severe aching' now?

And what is your latest D result and how much D do you take please?

Thanks

Alps Holiday

[Footello]

I don’t take calcium - my hair and nails grow like mad! maybe that’s why - I’ll get one of the above Thankyou x

[Footello]

What does that mean?

[Angel_of_the_North in reply to Footello]

It means that the glands that control calcium are overactive, possibly because of a tumour (not cancer) - if it is that it usually needs surgery nhs.uk/conditions/hyperpara...

[bantam12 in reply to Footello]

Your calcium is not high, the range goes up to 2.6 so your adjusted level of 2.46 is fine.

[Footello in reply to bantam12]

Thankyou so much I was so concerned- I wonder why really fed up ( her username) felt I was

[bantam12 in reply to Footello]

Who knows but it's wrong and has caused you to worry, ignore it !

[Footello in reply to bantam12]

Thankyou x

[bantam12]

Adjusted Calcium at 2.46 is not high and doesn't indicate hyperparathyroidism.

[bantam12]

Why do you think calcium is high ? Top of the range is 2.6 !