WBC

[Gillybabe48]

My white blood cell count is 4.6 seems low end in range 4.5 to 11.0 is this why I am tired.

[SlowDragon Administrator]

Autoimmune diseases can affect WBC

Presumably you have Hashimoto's?

Can see in previous post that thyroid levels appear ok.

But no test results for vitamin D, folate, ferritin or B12

When were these last tested?

What vitamin supplements do you currently take?

Are you still only on 75mcg Levothyroxine? Which brand do you take and is it always the same brand?

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

[Gillybabe48 in reply to SlowDragon]

Thank you for all the information. We have a new doctor at our surgery who is younger. He sent me for blood tests last Friday at last for Coeliac because of tummy troubles as I have diarrhea and constipation, bloating,tummy cramps etc. and he also is testing for B12, Ferritin, Folate and another test which he ticked but I cannot think what it was.

[SlowDragon Administrator in reply to Gillybabe48]

Come back with new post once you get vitamin results

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

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

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

restartmed.com/hashimotos-g...