2019 test results - help: TSH - 1.18 (0.2... - Thyroid UK

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2019 test results - help

Joant24 profile image
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TSH - 1.18 (0.27 - 4.2) (2018 - 1.65)

Free T3 4.06 (3.1-6.8) (2018 - 4.53)

Free Thyroxine 13.6 (12 - 22) (2018 - 15.6)

Thyroglobolin Antibodies <10 (0-115) (2018 - 193)

Thyroid Peroxidase Antibodies 61.9 (<34 ) (2018 - 224)

Ferritin 49.7 (13 - 150) (2018 - 59.4)

Folate 5.2 (3.89 - 19.15) (2018 - 19.4)

B12 72.3 (37.5 - 188) (2018 - 89.9)

Vit D 87.1 (50-175) (2018- 79.8)

My question is, would these results make me feel miserable in any way? I'm tired all the time, mood swings, not quite with it half the time and very little motivation to do anything, my hearing is getting worse (although not quite at hearing aid level yet!!) I ache, I'm constipated, mild tinnitus, properly fed up, I often feel either too hot or too cold, the temperature fluctuation comes in waves. Recurrent UTIs and currently seeing consultant regarding new treatment. The brain fog is quite miserable at times. I often have aches and pains and cramps although the cramp is helped by a glass of tonic water containing quinine every evening (only occasionally topped up with gin) My skin is quite itchy and dry and I have this irritating cough that comes and goes. And I won't even go into memory issues or lack of concentration. Other than that I'm hunky dory!!!

What I will say is that I'm not overweight having gone from 10st 7lbs this time last year to 9st 9lbs now. There have been some lifestyle changes in that I've been vegetarian for the past 8 months and have gone lactose free for approx 3 months. The latter made quite a difference to my gut as I don't suffer with anywhere near as much wind and bloating or gripe type pains. Also you'll notice my Antiboides have gone from 224 to 61.9 which I assume is the lactose free element.

I do have an active life as I take a yoga class once a week, have a (very gentle) once a week personal trainer (both to help with my posture and lack of fitness) and take the dog out for a walk everyday either two smaller walks or one long one. So even though I moan in my first paragraph, I do achieve things but the fitness part is at the expense of day to day things such as keeping the garden tidy or hoovering etc. I just flop until my very lovely hubby puts tea on the table and then flop until bedtime. I have no energy left to plan a trip away or even a day excursion.

This has been going on for a long time and the Dr's usual response is that I'm depressed but if I fill in the NHS depression questionnaire I don't fit the criteria and besides which when my head hits the pillow I pass out until the following morning when I often feel like I could do with another 2 hrs!!!

Sorry to witter on by it's my yearly cry for help or explanation. Oh and the only medication I'm on is Vit D 50mg, and a daily antibiotic for recurrent UTIs from Dr and probiotic to help with gut flora/fauna. Thanking you in anticipation and for getting to the end of this long moan. :-)

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Joant24
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SlowDragon profile image
SlowDragonAdministrator

Well your results suggest you need dose increase- but GP unlikely to agree

Essential to test vitamin D , folate, ferritin and B12

Vitamin D dose is possibly too small

How low was vitamin D when GP prescribed 25mg (1000iu)

As a vegan you will almost certainly need to supplement at least B12 but probably a good quality daily vitamin B complex Too

Iron is difficult to keep high on vegan diet too

Ask GP to test vitamins

Or use Medichecks Thyroid plus ultra vitamin test

All thyroid tests should be done as early as possible in morning and fasting and last dose levothyroxine 24 hours prior to test

Aiming for TSH under one, FT4 in top third of range and FT3 at least half way in range

All four vitamins need to be optimal

Test B12 and folate BEFORE starting any B supplements

SeasideSusie profile image
SeasideSusieRemembering

Joant24

Presumably you are still not diagnosed and prescribed Levo?

You know you have Hashi's, it's been mentioned in reply to your posts before.

Ferritin 49.7 (13 - 150) (2018 - 59.4)

Too low. It's said that for thyroid hormone to work properly (that's our own as well as replacement hormone) ferritin needs to be at least 70, preferably half way through range. I've seen it said that for females a good level is 100-130.

You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet

apjcn.nhri.org.tw/server/in...

Folate 5.2 (3.89 - 19.15) (2018 - 19.4)

You can't compare your folate results because the 2018 result had a range of 2.91-50.00. However, your current result is low in range.

B12 72.3 (37.5 - 188) (2018 - 89.9)

This is Active B12 and a result below 70 suggests testing for B12 deficiency. You are too close to that level to ignore the possibility, check for signs here

b12deficiency.info/signs-an...

If you have any you need to ask your GP to test for B12 deficiency/pernicious anaemia.

If you don't have any you need to supplement to raise both B12 and folate. A good B Complex such as Thorne Basic B or Igennus Super B will help there.

Vit D 87.1 (50-175) (2018- 79.8)

50mg D3 = 2000iu. For your level, to reach the Vit D Council recommended level of 125nmol/L, they suggest supplementing with 2,500iu. If that's what you've been taking since your last test in 2018 then if it was me I'd raise my dose a little. What form of D3 are you taking? As you have Hashi's then for best absorption it's recommended to take an oral spray such as BetterYou or a sublingual liquid.

As you're taking D3 then you should be taking it's important cofactors 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).

Retest Vit D in 3 months and when you've reached the recommended level then you'll need a maintenance dose to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:

vitamindtest.org.uk/

Don't start all supplements at the same time. Start with one, leave it 1-2 weeks and if no adverse reaction then add the second one. Continue like this. If you have any reaction then you will know what caused it.

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