Latest results

[sharonlow]

hi

I would be grateful if someone could look at my latest results, they are within range, but I keep wanting to sleep and I am gaining weight again . I am GF. I am on 125mg levo

Iron Status

Ferritin X 164 ug/L (Range: 13 - 150)

Vitamins

Folate - Serum 6.82 ug/L (Range: > 3.89)

Vitamin B12 - Active 110.000 pmol/L (Range: > 37.5)

Vitamin D 66.8 nmol/L (Range: 50 - 175)

Thyroid Hormones

TSH 0.866 mIU/L (Range: 0.27 - 4.2)

Free T3 3.67 pmol/L (Range: 3.1 - 6.8)

Free Thyroxine 18.100 pmol/L (Range: 12 - 22)

Autoimmunity

Thyroglobulin Antibodies X 256.000 kIU/L (Range: < 115)

Thyroid Peroxidase Antibodies X 62.5 kIU/L (Range: < 34)

Thank you

Sharon

[SlowDragon Administrator]

Your results show you are very poor converter

FT4 is 61% through range

FT3 only 15% through range

Helpful calculator for working out % through range

chorobytarczycy.eu/kalkulator

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 as 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...

folate is on the low side. 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...

Do you also avoid all soya?

You may be have room for small increase in Levothyroxine...125/150mcg alternate days

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.

Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor

please email Dionne at

[e-mail]

Getting vitamins optimal and retesting again in 6-8 weeks

Likely FT3 will remain on low side. If it does you should be prescribed trial of addition of small dose of T3

Email Dionne at Thyroid Uk for list of recommended thyroid specialist endocrinologists who will prescribe T3

thyroiduk.org.uk/tuk/About_...

[sharonlow]

Thank you slowdragon