Recent Labs don't understand WHY my numbers keep dropping

[Batty1]

I need help with my most recent labs, I just don't understand "WHY" my tsh keeps dropping even though I take my pills same way for a year now. (I have No Thyroid)

I have been on Armour Thyroid now for a year now and I take (2 grains) which I split I take one very early AM and one late morning. I always do my blood test early morning and dont take the thyroid meds until after the blood drawl and I had no food or coffee prior to labs either.

Recent test (August 2, 2019)

TSH: <0.014 (0.27-4.20)

T3 : 1.21 (80-200)

FT3: 3.380 (2.0-4.4)

FT4: 1.10 (.093-1.7)

Iron panel and Vitamin D (Aug 2019)

Iron - 81 mcg/dL (37-145)

Iron Binding Capacity Total Calculated 277 mcg/dL (228-428)

Iron Saturation - 29.1 % (15-50)

Iron Binding Capacity Unsaturated - 196 mcg/dL (112-347)

Ferritin - 40 ng/mL (13-150)

Vitamin D - 32.1 (29-100)

NO Other Vitamins tested (recently) Aug 2019

JANURARY 2019 (Iron,thyroid Vitamins)

TSH: 0.186 (0.27-4.20)

T4 : Test was not ran because tsh was not below or above TSH lab range!

T3 : 102.9 (80-200)

FT3: 2.86 (2.0-4.4)

FT4:0.97 (.093-1.7)

VITAMIN RESULTS ( Jan 2019)

Vitamin D,25 Hydroxy: 29.4 (29-100)

Folate: 17.27ng (4.6-34.8)

Vitamin B12: 1118.0 (232-1245)

Magnesium: 2.4 (1.7-2.6)

IRON TESTING ( Jan 2019)

Iron Binding/Total calculation: 122 (37-145)

Iron Binding Capacity Total: 275 (228-428)

Iron Saturation: 44.3% (15-50)

Iron Binding Unsaturated: 153 (112-347)

Ferritin: 43 (13-150)

[Batty1]

Anyone home?

[olga67]

Hi Batty, I am pretty new here, there are more knowledgeable people but I see that your vit D and Ferritin levels are on the low side. Vit D should be about 80(29-100) and ferritin above 80(13-150). For vit D I would take one loading dose of 50.000IU then 4.000-5.000 IU per day for 8 weeks then retest.

vitamindcouncil.org/

For iron I use over the counter ferrous fumarate, it does not give me constipation even in larger dosages. I do not recommend ferrous sulphate because of the gastrointestinal issues.

Ferritin also should be tested regularly. Too much iron can be toxic.

I hope it helps a bit.

[Batty1 in reply to olga67]

Thank you. I'm not sure why my iron would be low I've been menopausal for 15yrs but I noticed a lot of odd bruising.

[olga67 in reply to Batty1]

Lowish iron can be due to low stomach acid as it is common with hypo, or other gut issues. PPI like omeprazole, pantoprazole can block nutrients absorption. A good vitamins and mineral levels are important for thyroid hormones to work. Take some vit C with the iron for better absorption and at least 4 hours away from hormones.