I had my bloods done as suggested

[Tessica]

Hi everyone.

I have just received my latest bloods. (Posted a set of bloods recently that were different to these). I have Hashimotos and been unwell for 23 years. Have *** next to ones that are out of range.

I would appreciate any comments. Have taken Levo 100/125 for many years.

My Hashis has been managed by GP.

TSH 0.27 - 4.2 R

1.47 mIU/

Last test approx 5

FREE T3

3.1 - 6.8 R

4.31 pmol/L

Last test approx 3.6

FREE THYROXINE ***

12 - 22 R

26.1

Last test approx 21.0

CRP 4.45

< 5 R

Thyroid Peroxidase Antibodies ***

78 kIU/L

< 34 R

THYROGLOBULIN ANTIBODIES ***

< 115 R

415 Kiu

Folate - Serum

10.43

ug/L

> 3.89 R

Vitamin B12 - Active

137

pmol/L

> 37.5 R

Vitamin D

70.8 nmol/L

50 - 175

Ferritin ***

187 ug/L

13 - 150 R

Thank you for your help.

[Nanaedake]

Ferritin is over range have you had a full iron panel done? Are you supplementing iron?

[Tessica in reply to Nanaedake]

No I have only had Ferritin checked once before and I remember it was over range but GP not concerned. I was told years ago I have fatty liver/ non alcoholic type when I had an ultrasound but GP not concerned. Had a liver test recently done privately and GGT raised. Medichecks suggested I had another liver test but it wasn’t clear which one. I appreciate your comments 👍

[Lesleyg13 in reply to Tessica]

Fatty liver has become increasingly common in developed nations, and is increasing rapidly. GP's have a tendency to ignore the diagnosis of fatty liver because the majority don't know what to do to improve the condition, they don't understand the most common cause.

NHS GP Dr David Unwin treats many of his patients with a low carb diet and found out by accident that this usually pretty quickly reversed fatty liver disease in many of them. Dr Unwin has mentioned in interviews that he used to ignore it because he didn't know what the cause was, and used to accuse his patients of being secret alcoholics, but he now knows better!

So it can be reversed by eating the right foods.

youtube.com/watch?v=TEYtRiP...(Not working as expected?)

dietdoctor.com/insulin-fatt...

dietdoctor.com/groundbreaki...

dietdoctor.com/how-fat-is-y...

youtube.com/watch?v=gyZVTsH...(Not working as expected?)

Raised GGT and ferritin can both be signs of raised inflammation. CRP is also an inflammation marker and although yours is technically within range it is still above optimal. In your case the inflammation could well be from your fatty liver.

If you try changing to low carb you might well find all of these improve, definitely worth a try in my opinion.

[Tessica in reply to Nanaedake]

And no I have never supplemented for iron.

[SlowDragon Administrator]

Common to have slightly raised Ferritin with Hashimoto's, most likely due to inflammation of autoimmune thyroid disease

Your vitamin D could be better higher around 80nmol, or around 100nmol may be better

What vitamin supplements do you currently take?

Your results show you are poor converter of FT4 to FT3

As you have Hashimoto's are you on strictly gluten free diet? Or tried it?

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...

Gluten free diet may improve conversion

If FT3 remains low then you add likely to benefit from trial of addition of small dose of T3

[Tessica in reply to SlowDragon]

Hi Slowdragon I don’t take any vitamin supplements only calcium post parathyroidectomy. I have tried gluten free for several months but it did not help.

[SlowDragon Administrator in reply to Tessica]

Sometimes the only improvement gluten free is slow drop in a TPO antibodies and/or improved conversion

Have you also tried dairy free?

Taking a selenium supplement may perhaps improve conversion of FT4 to FT3

Presumably your calcium levels are measured regularly

[Tessica in reply to SlowDragon]

Yes have calcium checked every 4 weeks. Not tried dairy free yet!

[Nanaedake in reply to Tessica]

The low carb diet sounds like a good option. I would be cautious about a dairy free diet due to your need for calcium supplements. Although I don't have type two diabetes, I am technically overweight. A low carb diet brought my diabetes marker down from the top of the range into a good place so it does make a difference.

Some good research suggests that taking K2-MK7 supplements can prevent calcium from lining arteries and drive it into bone which is where it needs to be. Fermented foods contain K2 and organic dairy foods produced from grass fed cattle.

[Tessica in reply to Nanaedake]

Thank you. I do take a K2 with my calcium.