Query about my bloods by another dr in same practice.

[Goldengirl01]

I had blood results back a while ago and put them on here but never know how to get my old questions back. I did put something up yesterday but maybe wasn’t seen so putting previous bloods up again. My Dr raised my Levo up from 75mcg to 100 mcg as I requested because I felt dreadful. I’m now feeling a lot better but could maybe feel even better. Yesterday another Dr rang me to say she had seen my bloods and wants me to be within range so once a week she wants me to take 75mcg one day and 100mcg the rest of the week. and then have bloods done in 6 weeks. Will the one tablet a week make a difference as I don’t want to feel less than I do now.

[Goldengirl01]

My Dr thought TSH was ok

[Lora7]

Were you getting over an infection when you had the blood test?

[Lora7 in reply to Lora7]

Ignore that I misread your results. I have suffered with kidney infections and stones in the past and one of your results was similar to one of mine. That's why I just posted that.

[SeasideSusie Remembering]

Dustpan

If you click on your user name or your avatar it takes you to your profile page where you can see all your previous posts and replies.

healthunlocked.com/user/dus...

The reason you didn't get any replies to this post yesterday

healthunlocked.com/thyroidu...

is because you replied to yourself. If you are replying to someone in particular you have to click on REPLY directly under their message, your post then says "Dustpan in reply to xxxxx" If that shows you've replied to another member they get notification by email.

By lowering your Levo by 25mcg per week, that means your average dose is 96.4mcg rather than 100mcg daily. I'm not sure what your GP is hoping to achieve by that small decrease.

What I see from those results

TSH: 0.18 (0.27-4.2)

FT4: 24.2 (10.80 - 25.50)

FT3: 4.5 (3.10-6.80)

is that your conversion of T4 to T3 is poor - you have FT4 at 91% through range and FT3 at 38% through range. They should be in balance in the upper part of the range. A better approach would be to reduce your Levo by 25mcg and add some T3, starting with 5mcg (prescription T3) or 6.25mcg (self sourced T3). However, your GP can't initiate a prescription of T3, this has to be done by an endo and it's now very difficult to get T3 prescribed. First of all your GP has to understand about conversion and T3 (not all do), they have to refer you to an endo, the endo may or may not be on board with T3 and an endo may refuse a referral if results are within range.

As far as your vitamins are concerned:

Folate at 5.2, even though above the low limit is still very low, I'd want mine in double figures.

B12 at 312ng/L is low. Some people with B12 in the 300s have needed to be started on B12 injections. 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."

You can check for signs of B12 deficiency here:

b12deficiency.info/signs-an...

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

If you have no signs then you could supplement with sublingual methylcobalamin and maybe use 1 bottle of 1000mcg along with a good B Complex, then when the bottle of methylcobalamin is finished just take the B Complex. If you do have any signs of B12 deficiency then don't supplement either of these until further testing has been carried out.

Vit D is low at 53nmol/L and according to the Vit D Council, who recommend a level of 125nmol/L, you should be supplementing with 3000-4000iu D3 daily along with it's important cofactors, particularly Vit K2 and magnesium.

vitamindcouncil.org/i-teste...

vitamindcouncil.org/about-v...

Ferritin is good at 105.

[Goldengirl01 in reply to SeasideSusie]

Does better you do an oral magnesium spray or can you recommend a magnesium supplement that’s good, thank

[SeasideSusie Remembering in reply to Goldengirl01]

No, only topical magnesium spray.

For oral magnesium supplements you'll need to see which one suits your needs best:

naturalnews.com/046401_magn...

thefamilythathealstogether....

drjockers.com/best-magnesiu...

[Goldengirl01 in reply to SeasideSusie]

Ok thanks very much

[greygoose]

To find your old questions, just click on your pseudonym, or your avatar. But, for quick reference, they're here:

healthunlocked.com/user/dus...

The problem was not so much that you needed an increase in levo, but that you weren't converting the levo you had very well. And, increasing your FT4 level will make your conversion worse, not better. But, it's very doubtful that reducing your levo by 25 mcg a week will have any effect whatsoever.

[SlowDragon Administrator]

Would recommend you keep Levothyroxine dose as is and work on improving low vitamin levels to improve conversion of FT4 to FT3

This should lower FT4 and raise FT3 and TSH may increase slowly

Vitamin D is too low. GP will only prescribe to bring vitamin D up to 50nmol. Aiming to improve by self supplementing to at least 80nmol and around 100nmol may be better .


Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Retesting twice yearly via vitamindtest.org.uk

Vitamin D mouth spray by Better You is good as avoids poor gut function.

It's trial and error what dose each person needs

B12 and folate on the low side. Supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be beneficial.

chriskresser.com/folate-vs-...

B vitamins best taken in the morning after breakfast

Recommended brands on here are Igennus Super B complex. (Often only need one tablet per day, not two. Certainly only start with one tablet per day after breakfast. Retesting levels in 6-8 weeks ).

Or Jarrow B-right is popular choice, but is large capsule

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before any blood tests, as biotin can falsely affect test results

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

endocrinenews.endocrine.org...

Low B vitamins often go with low vitamin D as explained here

drgominak.com/sleep/vitamin...

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).

TSH has pronounced diurnal variation and is highest in early morning

Research into fasting or non fasting tests

ncbi.nlm.nih.gov/pmc/articl...

[Goldengirl01 in reply to SlowDragon]

I’m on better you sprays Vit D And K2. One spray vit D as spray recommends and 3 sprays K2 daily.. I’m not on gluten free diet as it is too expensive For the pension I have. Iv order the vit B complex but have got some vit B from the doctors 1mg daily (cyanovobalamin) (1000mcg) prolonged release only for 6 weeks.

[SlowDragon Administrator]

Looking at previous posts, you have had total thyroidectomy after Graves' disease

Are you on strictly gluten free diet?

Or tried it

This frequently helps many Hashimoto's or Graves patients

Only add one supplement at a time and wait at least ten days to assess before adding another supplement or making any dietary changes same applies