Results

[mummytosix]

These are the results from my medichecks tests. Do these results mean that I have Hashimotos?

Thanks.

[mummytosix]

Also would you say that I’m on the right dose of Levo, I’m on 75mg at the moment.

[SeasideSusie Remembering]

mummytosix

Do these results mean that I have Hashimotos?

Yes, you raised TPO antibodies confirm Hashi's.

Also would you say that I’m on the right dose of Levo, I’m on 75mg at the moment.

How do you feel?

The aim of a hypo patient generally, when on Levo, is for TSH to be 1 or below or wherever it needs to be for FT4 and FT3 to be in the upper part of their reference ranges, if that is where you feel well.

Your TSH suggests you are undermedicated, your FT4 doesn't at 75% through range yet your FT3 is only 42% through range.

What are your nutrient levels - Vit D, B12, Folate and Ferritin?

[greygoose]

Yes, you do have Hashi's. And, I very much doubt you're on the right dose of levo. Your TSH is very high for someone on thyroid hormone replacement. Most hypos need it under 1.

But, how do you feel? That's the most important question. If you feel well on that dose, then it's the right one for you. If not, then you need an increase.

However, increasing your levo might not be a good idea, because you are a poor converter, and raising the FT4 level could make the conversion worse. What you really need is a little T3 added to your levo.

Have you had your nutrients tested: vit D, vit B12, folate, ferritin?

[SlowDragon Administrator]

Your FT3 is much lower through range than FT4. Suggests poor conversion. Common with low vitamin levels and Hashimoto's

You need vitamins tested plus coeliac blood test. Ask GP to test

Hashimoto's frequently affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone conversion

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.

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

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

ncbi.nlm.nih.gov/pubmed/296...

The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported

ncbi.nlm.nih.gov/pubmed/300...

The obtained results suggest that the gluten-free diet may bring clinical benefits to women with autoimmune thyroid disease

nuclmed.gr/wp/wp-content/up...

In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned

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...

[mummytosix]

My vitamin levels seemed fine in my tests,

Folate serum 5.46 (>3.89)

Vitamin b12 active 116 (>37.5)

Vitamin D 79.8 (50-175)

Although I am taking adcal D3 calcium and vitD3 tablets.

[greygoose in reply to mummytosix]

Not really fine, no. Your folate may be over the minimum level, but that doesn't mean much. I'd want mine much higher than that.

B12 is OK.

Vit D is on the low side. It would be better around 100. But, you're taking the wrong type of supplement. That Adcal is all calcium and very little vit D. And, I very much doubt you want all that calcium! In any case, taking vit D increases your absorption of calcium from food, so you should be taking vit K2-MK7 to make sure all that calcium goes into the teeth and bones, and doesn't build up in the soft tissues, where it can cause problems like kidney stones and heart attacks. Excess calcium is a very bad thing. Did you even have it tested before being prescribed Adcal? You'd probably be better off on a vit D supplement that just contains vit D.

So, all in all, with with that low ferritin, it could explain why you are a poor converter.

[mummytosix]

My ferritin levels weren’t good but I am having massive menstrual bleeding at the moment.

Ferritin 4.94 (13-150)

I have been booked in for an iron infusion next Thursday because I can’t tolerate oral iron.

[SlowDragon Administrator in reply to mummytosix]

Ferritin is absolutely terrible.

Heavy periods are classic sign of being hypothyroid

Working on keep iron levels up after iron infusion. Daily vitamin C can help improve iron absorption

Eating liver or liver pate once a week, plus other iron rich foods like black pudding, prawns, spinach, pumpkin seeds and dark chocolate.

Links about iron and ferritin

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

drhedberg.com/ferritin-hypo...

restartmed.com/hypothyroidi...

Post about iron supplements

healthunlocked.com/thyroidu...

Folate is too low Supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be beneficial.

chriskresser.com/folate-vs-...

B vitamins best taken in the morning after breakfast

Igennus Super B complex are nice small tablets. Often only need one tablet per day, not two. Certainly only start with one tablet per day after breakfast. Retesting levels in 6-8 weeks

Or Thorne Basic B or jarrow B-right are other options that contain folate, but both are large capsules

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Vitamin D is too low. GP will only prescribe to bring vitamin D up to 50nmol. Aiming to improve by self supplementing to at least 80nmol and around 100nmol may be better .

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Retesting twice yearly via vitamindtest.org.uk

Vitamin D mouth spray by Better You is good with Hashimoto's as if avoids poor gut function.

It's trial and error what dose each person needs.

Frequently with Hashimoto's we need higher dose than average

Local CCG guidelines

clinox.info/clinical-suppor...

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

If vitamin D is low, B vitamins may be too. As explained by Dr Gominack

drgominak.com/sleep/vitamin...

healthunlocked.com/thyroidu...




Also read up on importance of magnesium and vitamin K2 Mk7 supplements when taking vitamin D

betterbones.com/bone-nutrit...

articles.mercola.com/sites/...

healthy-holistic-living.com...

sciencedaily.com/releases/2...

articles.mercola.com/sites/...


betterbones.com/bone-nutrit...

This article explains should discuss with specialists before taking any vitamin K if you take any blood thinning medication

drsinatra.com/vitamin-k2-su...

[mummytosix in reply to SlowDragon]

Thankyou for all your help.

[mummytosix]

I can’t remember what they were but my calcium levels were low when they were last checked that’s why the doctor put me on adcal.

[silverfox7]

Just a general comment. Most patients have Hashimoto, I’m one on the 10% that don’t.