Latest blood results please can I have some advice - Thyroid UK

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Latest blood results please can I have some advice

Mazmilly profile image
10 Replies

I wrote my first post a few weeks ago and received excellent advice from seasideSusie and slowdragon here are my latest labs.

TSH 9.2 [0.40-4.90mn/L] increased thyroid from 175 to 200mcgs.

FT4 10.9 [9.00-19.00pmol/L] no action required

CRP 9 [0.00-5.00mg/L]

Vit D 15.7 [49-90nmol/L] given 50.000 unit tabs

Ferritin 105 [15.00-204.00ng/ml] no action required

B12 322 [187.00-883.00ng/L] no action required

Folate 10.7 [3.10-20.50ug/L]

Cholesterol 19.4 [5.00mmol/L]

Triglycerides 14.5 [00.00-1.70mmol/L]

Also said I have pre diabetic HBA1c level at 42 mmol

I would really appreciate advice on if treatments reasonable at this stage

Thank you so much

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Mazmilly
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10 Replies
SeasideSusie profile image
SeasideSusieRemembering

Mazmilly

Are these results from the test done at 3.40pm or did you manage to change the time? Did you leave off Levo for 24 hours?

If the test was done at 3.40pm your TSH will be a fair bit lower than if you'd done it at 9am. If you had eaten this can also lower TSH. If you'd had coffee to drink this also affects TSH.

Have you had the increase from 175mcg to 200mcg Levo since your GP has seen these results, or was this test done when taking 200mcg?

**

CRP 9 [0.00-5.00mg/L]

This is an inflammation marker and is raised when infection or inflammation is present.

**

Vit D 15.7 [49-90nmol/L] given 50.000 unit tabs

This is Vit D Deficiency. Is this 50,000iu once a week? Are you on loading doses totalling 300,000iu over a number of weeks? If so you need retesting when the loading doses are finished so that we can work out what your dose should then be altered to.

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).

**

Ferritin 105 [15.00-204.00ng/ml] no action required

This is good. I've seen it said that for females a level of 100-130 is recommended.

B12 322 [187.00-883.00ng/L] no action required

No action required because it's within range. However, this is a serum B12 test and 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" (ng/L is the same as pg/ml).

"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."

Serum B12 tests the total amount of B12, bound and unbound (active). There is an Active B12 test which shows the amount of B12 available to be taken up by the cells. This test isn't normally done by the NHS but can be done with Medichecks.

You can check for signs of B12 deficiency here

b12deficiency.info/signs-an...

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

If you have none then it might be an idea to try and improve your level and a good B Complex containing 400mcg methylcobalamin and methylfolate will help.

Folate 10.7 [3.10-20.50ug/L]

Folate is recommended to be at least half way through range so you're almost there (11.8 with that range)

Cholesterol 19.4 [5.00mmol/L]

Triglycerides 14.5 [00.00-1.70mmol/L]

I can't help with those but they look high.

Also said I have pre diabetic HBA1c level at 42 mmol

That's correct. Was anything suggested to lower it?

Mazmilly profile image
Mazmilly in reply to SeasideSusie

Hi Seaside Susie

I managed to change my appointment so blood test was taken at 9 am I followed all your advice and stopped my thyroxine the day before and fasted before the test. Doctor increased the dosage of thyroxine after seeing the results. I have another appointment next week and will be requesting T3 test if they won't do it I will be doing a private test. The Vitamin D supplement I have been given is 50.000 units taken once a week for 6 weeks she said I will need a maintenance dose when levels are back to normal. With reference to pre diabetic state she just told me to reduce sugar intake. I have just looked on the link you have sent me B12 deficiency into and I have a few of the symptoms listed.

thank you again for the great advice I would not have known the tests to ask for without it😊

NWA6 profile image
NWA6

Oh Mazmilly 😔 These are some of the worst results I’ve seen with someone on so much medication 😔

How are you feeling? How are you coping? Can you not persuade your GP to do FT3? That number can’t be high with such a low FT4?

Do you have any symtoms of any particular infections?

If I were you I’d not only be completely gluten free but I’d be eating a very low carb diet with your pre diabetic worry.

Levothyroxine doesn’t seem to be doing much for you 😣

Mazmilly profile image
Mazmilly in reply to NWA6

Hi Paula6

I feel very ill at the moment I have widespread pain even the soles of my feet hurt. I am so exhausted constantly. I will request T3 test but will do a private test if doctor won't do it. I will certainly be adjusting my diet don't want diabetes on top of every thing else😩

Thank you for reply I really appreciate it

NWA6 profile image
NWA6 in reply to Mazmilly

Oh Marzmilly 😯 I’m not surprised to hear your reply. I hope you get some answers soon 😔

Miffie profile image
Miffie in reply to Mazmilly

Mazmilly, if you want to help your blood glucose levels cutting back on any carbs not just sugar can help. Many of those with T2 diabetes have not necessarily been eating lots of sweet food. Cakes, bread, potatoes and many others are just as bad. Sugar is a carb. Good luck I hope things get better for you in the near future. x

Mazmilly profile image
Mazmilly in reply to Miffie

Thank you so much for your advice. It has come as a shock to me because it has all been revealed so fast. I am certainly going to adjust my diet to hopefully turn these results around.

Miffie profile image
Miffie in reply to Mazmilly

Well done it helps if we can keep our spirits up. Hopefully when your Vitamin D is raised that will help. It made a massive difference to me. x

humanbean profile image
humanbean

What kind of diet do you eat?

I'm surprised that your doctor didn't try and bully you in to taking statins with such high levels of cholesterol and triglycerides. But both cholesterol and triglycerides can be reduced with dietary changes, so statins should never be necessary. Nothing would induce me to take a statin, even though my cholesterol is high too, although it isn't as high as yours.

If you want to know more about cholesterol and statins this is a great resource with lots of links and videos :

diabetes.co.uk/forum/thread...

And this link is worth reading too :

spacedoc.com/articles/50-fa...

Mazmilly profile image
Mazmilly

My doctor did prescribe statins after I had a stroke 5 years ago but they really made me feel so ill that I couldn't function. I am hoping that when my thyroid is properly medicated along with a healthy diet that the cholesterol will come down. It is all a minefield isnt it😱 but I am sooooo glad that i found this forum although I have had thyroid trouble for 10 years I must admit that I have been very naive not attributing the long list of symptoms with my thyroid and doctors have not really been on top of things either.

Thank you for the links I will def have a look😀

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