Good Bloods but Still struggling. : I've had my... - Thyroid UK

Thyroid UK

137,632 members161,403 posts

Good Bloods but Still struggling.

Shane13 profile image
11 Replies

I've had my Thyroxine at the right dose now for 5 Months and my bloods are.

Serum TSH - 0.20 mU/L

Serum free T4 - 22 pmol/L

However, I'm still suffering Fatigue and having Brain Fog but not as often.

It still sometimes affects me at work when I'm answering technical issues.

I know what I'm trying to say but the words sometimes just aren't there and every now and then I just feel shattered all of a sudden.

How long does it take for this to settle down?

TIA..

Written by
Shane13 profile image
Shane13
To view profiles and participate in discussions please or .
Read more about...
11 Replies
radd profile image
radd

Shane,

It is possible to have good bloods but still feel rubbish because results are only indicative of hormone levels in the blood stream and not what is working on an intracellular level.

You also need to have FT3 tested for a better picture of thyroid function and supplying all ranges gives members the info to comment on adequacy.

Optimising iron levels, VitB12, folate and Vit D helps thyroid hormones synthesis but these levels are often impaired due to the gut absorption issues caused by low thyroid hormone. Have you had these tested ? Again post any results for members comments.

Members with uncooperative doctors use private labs.

thyroiduk.org.uk/tuk/testin...

Shane13 profile image
Shane13 in reply to radd

Serum Folate - 4.8ng/mL

B12 - 353pg/mL

Vit D - 37.6nmol//L

I am now taking 1000iU of Vit D because it was low, this was advised by the doctor but said the other results were within the normal range.

radd profile image
radd in reply to Shane13

You will need to supply ranges for members to be able to comment.

Pleased VitD deficiency is being addressed. If you post these results and the brand you are supplementing, members will comment. VitD is a big topic that doctors are usually not clued up on.

NWA6 profile image
NWA6

Get Shane13. You’re right those are good levels but unfortunately you haven’t had your FT3 done and so you’ve no idea if all that T4 you’ve got in your system is converting T3 😔

Also your VitD is way too low as you know but you’ll need to take a product with at least 3000iU, the 1000 isn’t going to be enough.

I started the Betteryou DLux spray 3000 with Vit K

bodykind.com/search/dlux/0/...

Initially my VitD result was around 25 but within 4-6wks it had risen to 56. So the spray can be fast acting.

SeasideSusie profile image
SeasideSusieRemembering

Shane13

Serum Folate - 4.8ng/mL

B12 - 353pg/mL

Vit D - 37.6nmol//L

I am now taking 1000iU of Vit D because it was low, this was advised by the doctor but said the other results were within the normal range.

B12 and Folate may be "in range" but they are low. What is the range for folate - does it have a bottom and top number, eg xx - yy, or is it >zz? Whichever it is very low. If there is a proper range with bottom and top number then it's recommended to be at least half way through range.

As for B12, according to an extract from the book, "Could it be B12?" by Sally M. Pacholok:

"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".

"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."

Check for signs of B12 deficiency here

b12deficiency.info/signs-an...

and if you have any then list them to discuss with your GP and ask for testing for B12 deficiency/pernicious anaemia.

If no symptoms then you can supplement with a good B Complex containing methylcobalamin and methylfolate, this will raise both B12 and folate levels. Good brands are Thorne Basic B and Igennus Super B, both contain the bioactive forms of ingredients. When taking a B Complex containing Biotin, it's important to leave it off for 7 days before any blood tests as it will give false results when biotin is used in the testing procedure, which may labs use.

Vit D - 37.6nmol//L = 15.04ng/ml

1000iu D3 is woefully inadequate to raise your level, regardless of what your doctor says.

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 reach the recommended level from your current level the Vit D Council suggests supplementing with 4,900iu D3 daily (nearest is 5,000iu)

vitamindcouncil.org/i-teste...

Retest after 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:

vitamindtest.org.uk/

Your GP won't know, because they're not taught much about nutrients, but 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...

thefamilythathealstogether....

drjockers.com/best-magnesiu...

Check out the other cofactors too (some of which can be obtained from food).

You can't actually tell if your results are good as there is no free t3 result and T3 is the active hormone. Also, everyone is different in where their optimal hormone levels lie. You could have good free T4 but not be converting to t3 well. Do you have results for B12, ferritin and folate? You need those to be optimal in order to convert from T4 to T3.

Shane13 profile image
Shane13 in reply to Angel_of_the_North

This my reply to an earlier comment, I believe that even though they are within normal range, they are still low so I've uped the vitamin D to 3000iU to see how I go.

And no I've never been tested for my Free T3..

Serum Folate - 4.8ng/mL

B12 - 353pg/mL

Vit D - 37.6nmol//L

I am now taking 1000iU of Vit D because it was low, this was advised by the doctor but said the other results were within the normal range.

Angel_of_the_North profile image
Angel_of_the_North in reply to Shane13

Folate needs to be in double figures and B12 at least 500.I think you'll need more than 1000iu vit D per day to get your level into the preferred range of at least high 90s. 1000iu is really a maintenance dose for someone who already has decent levels

Shane13 profile image
Shane13 in reply to Angel_of_the_North

How do I increase my folate levels ?

LAHs profile image
LAHs in reply to Shane13

Well, I just buy a supplement and take it each day. I get mine from the local supermarket but i am sure there are more high class sources.

Angel_of_the_North profile image
Angel_of_the_North in reply to Shane13

Methylfolate supplement and eat lots of broccoli, eggs and steamed green veg

You may also like...

Still struggling with sleep on Naturethroid

month ago. I switched from levo. I'm on 3/4 grain taken in two doses morning and afternoon. I know...

Anyone added in some metavive with their Levo? Still don’t feel 100% but blood results look good.

treated now with levothyroxine but still don’t feel 100%.. The gym used to energise me now I just...

Blood results - should I still switch to Erfa?

20 FREE THYROXINE 18.58 pmol/L 12.00 - 22.00 TOTAL THYROXINE(T4) 90.9 nmol/L 59.00 - 154.00 FREE T3...

Struggling With Blood Tests

Hi! I just wondered if anyone had any helpful tips for blood tests? I have them all the time, and...

TSH barely in range but still struggling

barely get through the day. TSH 4.32 (.4 - 4.5) Free T4: 1.26 (.82 - 1.77) Free T3: 2.9 (2.0 -...