Having been on 125 mcg Levo for years ( well over 15) I ws reduced to 125 from 150 a year ago - apparently over medicated.. however have never managed to reduce weight, my hair is thinning / falling out and Im terribly tired att.
I posted y result ( sorry GreyGoose - in the wrong place I think) - I really dont know where to go next, as Tyroid looks to be normal - but I am anything but..
Ferritin - 290 ug/L (Range 13-150) NB I do not eat red meat, nor am I taking iron supplements
Folate serum 3.28 ug/L (>3.89)
Vit B12 - active 54.400 pool?l (37.5-188)
TSH 0.607 (0.27 - 4.2)
Free T3 3.82 (3.1 - 6.8)
Free Thyroxine 17.400 pmol/L (12-22)
Thyroglobin Antibodies <10 klU/L (<115)
Thyroid Peroxidase antibodies 49.4 kl/U/L (<34)
does any of this explain my problems?
Written by
Toscatilly
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Hi! It looks to me like your T3 is on the low end. You could maybe benefit from adding some Liothyronine (T3) to your Levo or switching to NDT(Armour thyroid). I recently made a switch from 100 mcg. Levo to 1 grain of NDT and it has helped a lot. More concerning though is your high ferritin. Too much iron can damage your liver. Have they tested you for hemochromatosis (iron overload)? If you don’t eat red meat or take iron supplements, other causes should be explored. Hope this helps.
Thank you so much - Its so good to feel there might be some reasons for felling this way so so long. My doctor is not supportive at all - for years just has re-tested my TSH and said "normal" when Ive felt anything but. They have recommended further iron tests so I will do that too. Pin cushion experience commencing !
The other replies are correct to check out other reasons for the abnormalities of your test results before making changes to your thyroid treatment. I would like to add that sometimes over or under treatment with thyroid medication can have an impact on other test results.
List any that you may be experiencing to show your GP when asking for further testing.
Your GP may prescribe folic acid for your folate deficiency, don't start taking this until further testing of your B12 has been carried out, it will mask signs of B12 deficiency and skew results. Once B12 injections/supplements have been started you can then start taking folic acid.
Ferritin - 290 ug/L (Range 13-150) NB I do not eat red meat, nor am I taking iron supplements
Infection or inflammation can raise ferritin levels but this is rather high so I would discuss this with your GP.
Did you have Vit D tested? This will complete the core vitamins that need to be tested.
TSH 0.607 (0.27 - 4.2)
Free T3 3.82 (3.1 - 6.8)
Free Thyroxine 17.400 pmol/L (12-22)
Your FT4 is 54% through range and your FT3 is 19% through range. Conversion isn't good but we need optimal nutrient levels for good conversion to take place and yours are far from optimal, which is why they need to be addressed before considering T3 or NDT.
Thyroglobin Antibodies <10 klU/L (<115)
Thyroid Peroxidase antibodies 49.4 kl/U/L (<34)
Your raised Thyroid Peroxidase antibodies suggest autoimmune thyroid disease aka Hashimoto's which is when immune system attacks the thyroid and gradually destroys it. Fluctuations in symptoms and test results are common with Hashi's.
Most doctors dismiss antibodies as being of no importance and know little or nothing about Hashi's and how it affects the patient, test results and symptoms. You need to read, learn, understand and help yourself where Hashi's is concerned.
Some members have found that adopting a strict gluten free diet can help, although there is no guarantee.
Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks.
You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Supplementing with selenium l-selenomethionine 200mcg daily can also help reduce the antibodies, as can keeping TSH suppressed.
Hashi's and gut absorption problems tend to go hand in hand and can very often result in low nutrient levels or deficiencies and this could very well be the reason why your B12 and folate are so low.
Thank you so much - Ive struggled for years with the symptoms and only recently discovered that my 6 monthly TSH tests were not the whole picture. I will get the Vit D tested and start reading. Its so good to know there may be reasons and Im not going mad !
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