My blood results

[Bellmitzi]

Hi had some bloods back Doctor said their fine got to speak to him in morning any help would be appreciated ty

[SlowDragon Administrator]

How much Levothyroxine are you currently taking?

Do you have autoimmune thyroid disease (Hashimoto's)?

Absolutely essential to have good levels of vitamin D, folate, ferritin and B12

When were these last tested?

What supplements do you currently take?

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also important to test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially if Thyroid antibodies are raised

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).

Is this how you do your tests?

Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or all vitamins

thyroiduk.org.uk/tuk/testin...

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have special offers, Medichecks usually have offers on Thursdays, Blue Horizon its more random

If antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).

About 90% of all primary hypothyroidism in Uk is due to Hashimoto's.

clearly your FT4 is BELOW RANGE

But TSH is also low.....this is common if vitamin levels are very low

[Bellmitzi in reply to SlowDragon]

Hi I take 125 mg daily at the minute I've just had fb count and come back anemic I'm very weak unwell but also on warfarin do you think I need more thyroxine they wont treat anemia until I've seen a specialist I've complained for months how I'll I feel and if I hadn't asked for copy of results receptionist said I was fine and retest in 8 weeks I'm on b12 every 3 months too ty for reply

[SlowDragon Administrator in reply to Bellmitzi]

Thyroid hormones can’t work if vitamins are too low

Guidelines clearly say it’s essential to test vitamin D, folate, ferritin and B12

[Bellmitzi in reply to SlowDragon]

Thanks for that I’m waiting for the doctor to ring but to be honest not holding my breath on what they will say

[SlowDragon Administrator in reply to Bellmitzi]

Thousands of members on here forced to get full Thyroid and vitamin testing privately

[Bellmitzi in reply to SlowDragon]

I know it’s not fair I’ve got alote goin on at minute got blood clots in leg and now they think I’ve got a bleed in gut so I’m limited what they will give me to be honest nothing even though I’m anemic refuse until I’ve been seen fed up of feeling dreadful ty for taking time to reply

[SlowDragon Administrator in reply to Bellmitzi]

Eating liver or liver pate once a week, plus other iron rich foods like black pudding, prawns, spinach, pumpkin seeds and dark chocolate, plus daily vitamin C may help improve iron absorption

[Bellmitzi in reply to SlowDragon]

Thankyou for this I’m goin to cook some black pudding for my breakfast today I will let you know what my gp says

[DIYqueen in reply to SlowDragon]

I have high normal iron, low normal ferritin but everything I have read on here is about increasing iron to increase ferritin. Is there a way to increase one without the other?

[Bellmitzi in reply to DIYqueen]

I have no idea but maybe someone can help you on here sorry I'm asking for advice maybe you should write another thread so it can be seen hope you can get sorted soon too good luck

[humanbean in reply to DIYqueen]

I wrote a fairly long reply on the problem of having high serum iron and low ferritin in this thread :

healthunlocked.com/thyroidu...

Look for my name in the above thread. Hope it helps and you can always do more research on MTHFR if you think it might be helpful to you.

[DIYqueen in reply to humanbean]

Thanks. Will look up now.

Just read. I was thinking of taking iron and Vit B complex. From what you suggest I should skip the iron? And take Active B12 with folate? Would a full Vit B complex cover this or should I take just those two?

[humanbean in reply to DIYqueen]

If you have high levels of iron in your blood there is a chance that taking extra iron could just make the iron level in your blood even higher without improving ferritin much.

I would suggest skipping the iron, at least for now. What you want to achieve is for your serum iron to reduce back into a healthy level and start being moved into ferritin. Perhaps you could try taking separate methylcobalamin and separate methylfolate so that you can tailor your doses as you want. You would also want them to be in a form you could cut, so that you can take half a dose or quarter of a dose as necessary. Try it for a month or two, then do an iron panel and see if your situation has improved. If it hasn't, then I'm afraid I can't help. But at least the suggestion is unlikely to have caused any harm.

Another link you might find interesting :

chriskresser.com/folate-vs-...

Bellmitzi Sorry for hijacking your thread and going off topic.

[DIYqueen in reply to humanbean]

Brilliant to, also apologies to @Bellmitzi

[Bellmitzi in reply to DIYqueen]

No probs just thought I'd let you know incase no one answered your post

[humanbean]

Bellmitzi

What was your TSH when you were first diagnosed as hypothyroid?

Do your results usually show low in range or below range TSH with low in range or below range Free T4?

If they do you could ask your doctor to refer you to an endocrinologist to be tested for secondary or central hypothyroidism. This is a condition in which your thyroid may be perfectly healthy but your pituitary is unable to produce sufficient TSH to stimulate your thyroid to produce enough thyroid hormones for your needs. The pituitary gets its orders from the hypothalamus. So having insufficient TSH can actually be caused by a pituitary problem or a hypothalamus problem.

...

Another possibility is that your thyroid has just gone through an attack by your immune system. Such an attack will cause thyroid hormone levels to rise which then causes TSH to drop. When the immune system attack stops, your thyroid hormone levels may drop quite quickly, but TSH takes longer to recover to an appropriate level for the amount of thyroid hormones you are producing.

[Bellmitzi in reply to humanbean]

Thanks very much I will check and let you know very useful information you've given much appreciated

[TSH110]

I’d retake the shot to hide the details of your doctor and surgery

[Bellmitzi in reply to TSH110]

Thanks I will do