Help with results would be great, please ....

[Zebra5]

I was diagnosed with hypothyroidism on 19 March 2019 (which was identified as Hashimoto’s by my doing a Medichecks test in April 2019).

I would be grateful for your help with analysing my tsh/t4/t3 results and my b12/ferritin/folate/Vit D results and giving me any recommendations. Thank you.

19-Mar-19Medichecks

tsh: 45.5mlU/L0.27-4.2

t4: 7.9pmol/L12-22

t3: 2.93pmol/L3.1-6.8

17-Apr-19 Medichecks (had been taking 100mcg Levo since last test)

tsh: 0.205mlU/L0.27-4.2

t4: 28.9pmol/L12-22

t3: 5.06pmol/L3.1-6.8

10-May-19Surgery (100mcg since last test; dropped to 75mcg because of the results below)

tsh: 0.060mU/L0.1-5

t4: 24.0pmol/l12-23

t3: not done

11-Jul-19Medichecks

tsh: 0.019mU/L0.27-4.2

t4: 24.4pmol/L12-22

t3: 4.78pmol/L3.1-6.8

My 100mcg starting dose was reduced to 75mcg following the surgery tsh result on 10 May. As I became unwell within a week I went to 75/100 on alternate days but still wasn't right to then went back to 100 with the doctor’s agreement. He said come back after 12 weeks on whatever I decide works best (100 I think, at the moment) – that will be beginning of September 2019.

Here are the other results which I have only had tested once:

14 June 2019:

B12 : 387 pg/mL (200-900)

Ferritin : 127 ng/mL (10-120)

Folate : 7.4ng/mL (3-12)

Vit D (D2+D3): 94.4nmol/L (50-150)

The surgery did a serum B12 test. Should I have asked for active B12?

Due to the ferritin result, the doctor told me to stop taking iron supplements. I wasn’t taking any though, so she recommended re-testing in 12 weeks.

I am now supplementing Vit D with 25ug D3 per day.

Thank you very much for your help.

[TSH110]

Looks like you may not convert T4 to T3 very efficiently so may need some T3 added to T4 but I am not as knowledgeable as some here who will probably comment more fully. My results on T4 (levothyroxine) were somewhat similar and I found out I have a DIO2 gene combination causing poor conversion of thyroid hormones. Some say selenium helps with conversion and other vitamins minerals should be optimal. Getting T3 on NHS is very difficult. I take NDT which has T3 and T4 in it.