Hi, I posted on the forum just over a week ago, seeking advice as I seem to have hit a brick wall as far as my treatment goes with my GP and Endo.
I recieved lots of helpful advice and have been reading up lots. I also sent off for a full vitamin and thyroid test with medichecks, I recieved the results back today and would be really grateful for anyones thoughts....
The ranges for the results are within ( )
CRP HS (<5) 0.24
Ferritin (13-150) 24.1ug/L
Folate - Serum (>3.89) 2.28ug/L
Vit B12 - Active (37.5 - 188) 40.1pmol/L
Vit D (50 - 175) 69.1nmol/L (I'm currently taking 3000 daily)
TSH (0.27 - 4.2) 0.09ml u/l
Free T3 (3.1 - 6.8) 4.4 pmol/L
Free T4 (12 - 22) 14.9 pmol/L
Thyroglobulin antibodies (<115) 1,388 ku/L
Thyroid Peroxidase antibodies (<34) 79.5 klu/L
My last thyroid blood test was at the beginning of June and showed TSH 0.09, TS3 4.4 & TS4 15.8
I am currently taking 100mcg levothyroxine and 2x 5mcg t3
Thank you in advance,
H
Written by
HBC76
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If you have any then list them to discuss with GP and ask for further testing.
If your GP wants to prescribe folic acid, don't start taking this until further testing of B12 has been done and B12 injections/supplements started.
Vit D (50 - 175) 69.1nmol/L [27.64ng/ml] (I'm currently taking 3000 daily)
The Vit D Council suggests 3,700iu D3 daily for your current level, to reach their recommended level of 125nmol/L (50ng/ml). You could increase your dose to 4,000iu.
Are you taking D3's important cofactors - magnesium and Vit K2-MK7?
TSH (0.27 - 4.2) 0.09ml u/l
Free T3 (3.1 - 6.8) 4.4 pmol/L
Free T4 (12 - 22) 14.9 pmol/L
I am currently taking 100mcg levothyroxine and 2x 5mcg t3
There is room to increase T3. Also, some of us need FT4 higher in range when on combination Levo/T3.
However, from your previous thread
I was only on 2 x 5mcg daily, so I have restarted this morning and will add a further 5mcg (3x5mcg daily at 8hr intervals) as suggested and monitor symptoms closely. This was the original plan with my endo until he decided to end the trial after 6 weeks due to no improvement in fatigue etc.
Had you been off T3 for a while and restarted before this test? That will have an effect on your FT3 result if you did.
Thyroglobulin antibodies (<115) 1,388 ku/L
Thyroid Peroxidase antibodies (<34) 79.5 klu/L
You already know that you have Hashi's and are gluten free. Supplementing with selenium l-selenomethionine 200mcg daily can apparently help reduce the antibodies, as can keeping TSH suppressed.
It's probably best to get these levels sorted before increasing any dosage of current meds.
I definitely function better when t4 is in the higher end of the range but unfortunately it has been decreasing over the last cpl of months.
I was going to increase t3 to 3x 5mcg daily, but in the end decided to get this bloodtest done first so that results wouldn't be compromised.
I only missed 1 day of t3 after endo stopped it before I continued taking, so results shouldn't have been effected.
I've been recommended a new endo from someone who has also struggled to get the right treatment, he has more experience with these issues and should be more understanding, I will hopefully be seeing him next week. Would you advise an appointment with my GP or bringing these results to the endo to start addressing the vit/iron issues?
I would make an urgent appointment with your GP to discuss your results for ferritin, folate and B12. Don't be fobbed off with "ferritin is in range so it's fine" - it is very low in range and testing for iron deficiency anaemia is important, nor "folate is only just below range so that's fine" - that is folate deficiency. He may say that Active B12 is in range but emphasise what St Thomas' Hospital says about results below 70. The NHS generally don't do Active B12, only Serum B12, but regardless doctors should take notice of any symptoms.
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.
@HBC76 - First thing to do is to sort out your vitamins and iron, as the following are either near the bottom of ranges or below the bottom (for folate):
Ferritin (13-150) 24.1ug/L
Folate - Serum (>3.89) 2.28ug/L
Vit B12 - Active (37.5 - 188) 40.1pmol/L
Vit D (50 - 175) 69.1nmol/L (I'm currently taking 3000 daily)
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