Blood test results?

[TheGroovyLlama]

Hello,

I’m new to the forum and have just received the results of my Medi Checks blood test:

Inflammation

CRP HS X 8.09 mg/L (Range: < 5)

Iron Status

Ferritin 40.8 ug/L (Range: 13 - 150)

Vitamins

Folate - Serum X 3.52 ug/L (Range: > 3.89)

Vitamin B12 - Active 137.000 pmol/L (Range: 37.5 - 188)

Vitamin D X 25.5 nmol/L (Range: 50 - 175)

Thyroid Hormones

TSH 4.04 mIU/L (Range: 0.27 - 4.2)

Free T3 4.12 pmol/L (Range: 3.1 - 6.8)

Free Thyroxine 16.100 pmol/L (Range: 12 - 22)

Autoimmunity

Thyroglobulin Antibodies 20.600 kU/L (Range: < 115)

Thyroid Peroxidase Antibodies X 210 kIU/L (Range: < 34)

I am a Type 1 Diabetic and have had symptoms of Hashimoto’s Disease for several years now, with fatigue, memory loss and ‘brain fog’ worsening in the past few months.

I have purchased some Vitamin D and Iron supplements in the hopes this will relieve some of my symptoms and want to test these again in 12 weeks. However, does anyone think it is still worth speaking to my GP/ consultant about these results? Could I still have an under active thyroid even though my hormone levels are in range? Any suggests would be greatly appreciated. Thank you! Caitlin.

[Lora7]

Your CRP is high, mine is as well and has been steadily climbing for the last 12 years. It means there is inflammation somewhere in your body. My inflammation is cause by my multi-nodular enlarged goitre. Hopefully some else will be along to give you advice.

[SlowDragon Administrator]

As you have type one diabetes this is autoimmune

Your high TPO Thyroid antibodies confirms you have autoimmune thyroid disease

Like many people with Hashimoto's your vitamin levels are very low

You need to see GP about very low vitamin D. Your result is only 0.5 above deficiency levels and requires LOADING dose vitamin D - that's 300,000iu over 6-8 weeks

Local CCG guidelines

clinox.info/clinical-suppor...

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. Frequently with Hashimoto's we need higher dose than average

Your Folate is also deficient and GP should prescribe folic acid

Your TSH is high, but GP may not agree you need treatment.....yet

Improving vitamins may result in increase in TSH so you can get prescribed Levothyroxine

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first

Assuming test is negative you can immediately go on strictly gluten free diet


(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)


Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

Non Coeliac Gluten sensitivity and autoimmune disease

ncbi.nlm.nih.gov/pubmed/296...

The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported

ncbi.nlm.nih.gov/pubmed/300...

The obtained results suggest that the gluten-free diet may bring clinical benefits to women with autoimmune thyroid disease

nuclmed.gr/wp/wp-content/up...

In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned

restartmed.com/hashimotos-g...

Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.

88% benefit from strictly gluten free diet

thyroidpharmacist.com/artic...

Going gluten free is a strategy that everyone with Hashimoto’s should try. In some cases, we see a complete remission of the condition; in other cases (88% of the time), the person feels significantly better in terms of bloating, diarrhea, energy, weight, constipation, stomach pain, reflux, hair regrowth, and anxiety.

todaysdietitian.com/newarch...

Many clinicians report that eating a gluten-free diet may help improve thyroid function in nonceliac gluten intolerance. “Getting gluten out is primary for patients with Hashimoto’s, even without celiac disease,”

[SlowDragon Administrator]

You might find informative reading the Autoimmune recovery system by Susanne Blum - chapters about type one diabetes

[linway]

I've just recently been diagnosed and I'm reading the Hashimoto's Protocol by Izabella Wentz. If nothing else, it made me draw a connection between symptoms I thought weren't associated or linked.