Bloods results back still no T3 tested !! Here are today’s results any advice on these

[curlymom]

So my bloods came back today they still didn’t test my T3 in the hospital even though doctor ordered it ,he said I will need to go to Endo for that ,so frustrating .anyway this is what I have back these are tested when I was on 100mg dose of Eltroxin for 8 weeks ,I’ve since moved up to 125mg . Blood drawn fasted and 24 hours since last dose.

Ferritin- 39 (6.9-282.5 ng/ml)

Serum iron 18.2(9-30.4 umol/L)

Transferrin 2.5(1.8- 3.82 g/L)

Transferrin saturation 29 (15-45)

TIBC 63 (42-80 umol/L)

CRP < 5 (0-5)

TSH - 1.6 (0.5 - 4.40)

Free T4 - 17.4 ( 10-20)

Vit B 1022.0 ( 200-1100)

Folate >24 ( 3-14)

Total 25 OH vit D -170 (50-125)

TPO antibodies 1300 ( 0-60)

[Lalatoot]

On those results you needed an Inc of meds which you gave done.

[SeasideSusie Remembering]

Ferritin- 39 (6.9-282.5 ng/ml)

Serum iron 18.2(9-30.4 umol/L)

Transferrin 2.5(1.8- 3.82 g/L)

Transferrin saturation 29 (15-45)

TIBC 63 (42-80 umol/L)

These are optimal iron panel results according to web.archive.org/web/2018083...

Serum iron: 55 to 70% of the range, higher end for men - yours is 43% through range so just slightly low for a female

Saturation: optimal is 35 to 45%, higher end for men - yours is 29% so again just slightly low

TIBC or Transferrin: Low in range indicates lack of capacity for additional iron, High in range indicates body's need for supplemental iron - your TIBC is 55% through range so neither low nor high, and your Transferrin is 35% so edging towards the low side

Ferritin: Low level virtually always indicates need for iron supplementation - yours is definitely low

If those were my results I'd be looking at trying to improve ferritin as 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.

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...

B12 is near the top of the range, are you supplementing?

Folate is good.

Vit D is over the recommended level according to the Vit D Council/Vit D Society who recommend a level of 100-150nmol/L. Are you supplementing? If so you might want to drop back a touch.

You already know you have Hashi's and SlowDragon gave some information and links in reply to a previous post of yours.

I imagine that your 25mcg dose increase will take your FT4 to the top of the range and should lower your TSH.

[curlymom in reply to SeasideSusie]

Yes I’m supplementing D and b12 ,I will hold off on this mths lisdunf dose of vit D . Thanks a million for helping me understand the iron results so clearly xx

[curlymom in reply to curlymom]

Loading dose

[SeasideSusie Remembering in reply to curlymom]

lisdunf dose of vit D

??? You've got me there

How much D3 do you take? It might just be a case of dropping your daily dose down, or dropping off a couple of days a week.

As you're taking D3, are you also taking it's important co-factors magnesium and Vit K2?

B12 stores are generally good for a couple of years, so I'd stop your B12 supplement, retest in 5-6 months to see how much you are holding on to. Are you taking a B Complex which is necessary when taking B12 to balance all the B vitamins? If so, then there is probably enough B12 in the B Complex now and you wont need to supplement B12 again.

[curlymom in reply to SeasideSusie]

Sorry loading dose ,it’s a months high dose of 25000iu/2.5ml,I’m taking revive active everyday which has tonnes of ingredients including magnesium and and all the B’s .

"Ingredients + Vitamins and Minerals Per Sachet (13.28g)

3.00g L-Arginine, 1.00g L-Arginine alpha keto glutarate, 2.00g Citrulline DL Malate, 150mg Co Enzyme Q10, 1.00gTaurine, 750mg L-Carnitine, 500mg L-Glutamine,15.00μg Vitamin D3 (Cholecalciferol), 18.00mg Vitamin E (dl-alpha tocopheryl acetate), 400.00μg Folic Acid, 2.50μg Vitamin B12 (Cyanocolalamin), 56.65mg Magnesium, 150.00μg Vitamin K 2-7, 500.00mg Vitamin C (Ascorbic Acid), 4.20mg Vitamin B6 (Pyridioxine HCl), 48.00mg Vitamin B3 (Niacinamide), 3.30mg Vitamin B1 (Thiamine HCl), 5.60mg Vitamin B2 (Riboflavin and 18mg Vitamin B5 (Cacium D Pantothenate.")

[SeasideSusie Remembering in reply to curlymom]

I personally wouldn't take that, it has cyanocobalamin B12 and the recommended form is methylcobalamin, and it has folic acid and the recommeded form is methylfolate.

I don't know what some of the ingredients are nor whether you'd need them.

[curlymom in reply to SeasideSusie]

Before taking it my b12 and folate were low so I was happy those both went up and when I don’t take it I’m floored so would be scared to go back to where in was in May if I’m honest .

[SeasideSusie Remembering in reply to curlymom]

If there's definitely only 2.50μg (micrograms) of B12 in that supplement, and that's all the B12 you take, then it's not helping your B12 level. A normal sublingual B12 would have 1000mcg methylcobalamin. So if that's all the B12 you take then it's not the B12 in that supplement that is doing anything for you or raising your level. The 400mcg folic acid would be better as methylfolate. A good B Complex such as Thorne Basic B contains 400mcg of both B12 and methylfolate.