medichecks thyroid results

[ianskelly]

hi all I have just had my medichecks ultravit thyroid test back, the doctor has pointed out i may be over medicated (i currently take 100mcg levo with 25mcg t3 and 12.5 t3 in the afternoon, i started with the t3 probably about 7 mths ago and did feel better when in was added, daft question but my t3 results came back fine, does this mean i dont actually need the t3 or is it just doing its job (i didnt take levo or t3 24 hrs before the test)

thanks Ian

inflamation c reactive protein 2.09 (normal under 5)

ferratin 600( normal under400) (i have read this could be as low as 200 as I am male)

folate serum 10.43 (normal 3.89 to 19.45

b12 74.9 (normal 37.5 to 187)

vitamin d 52.7 (normal 50-175)

tsh 0.078 (normal 0.27-4,2)

free t3 4.73 (normal 3.1 - 6.8)

free thyroxine 15.9 (normal 12 -22

thyroglobin antibodies 15.8 (normal under 115

thyroid peroxadise antibodies 208 (normal under 34)

[greygoose]

The Medichecks doctor is just a common or garden NHS-trained GP, who thinks that a low TSH always indicated over-medication despite the levels of the Frees. He is wrong.

my t3 results came back fine, does this mean i dont actually need the t3 or is it just doing its job

It means it's doing its job. If you didn't need it, it would be well over-range.

(i didnt take levo or t3 24 hrs before the test)

You left off the T3 for too long. It should be 8 - 12 hours between the last dose of T3 and the blood draw. So, you actually have a false low FT3, there - free t3 4.73 (normal 3.1 - 6.8). But, even so, I don't think it would have been over-range, even if you'd only left 12 hours. It would probably only have been about 5.7. So, no, you're not over-medicated.

[ianskelly in reply to greygoose]

thanks for that, when it came back normal i was concerned i didnt need the t3, does this mean i am on the right dosages? is the folate at 600 something to be concerned about?

[greygoose in reply to ianskelly]

It doesn't really man anything much - except that you're not over-medicated. For one thing, you didn't do the test properly, and for another, it largely depends on how you feel. Labs are just a back-up.

It's the ferritin that is 600, and yes, you should see your doctor about that. It's much too high, and needs further investigation.

[ianskelly in reply to greygoose]

cheers, I am booked for a blood test next monday so I will see what comes back from that, I had a ferritin test 12mths ago with similar results and may doctor wasn't concern as he felt it was just a sign of imflamation

[greygoose in reply to ianskelly]

Except that your inflammation isn't high. CRP is an inflammation marker, and it's good at 2.09. So, your high ferritin needs investigation.

So, for your Monday test, make sure you leave 24 hours between your last dose of levo and the blood test; and 8 to 12 hours for the T3.

[SlowDragon Administrator]

Your high TPO antibodies confirms you have autoimmune thyroid disease also called Hashimoto's

As greygoose said you left too long between last dose of T3 and blood test

TSH is almost always suppressed on any dose on T3

Vitamin D is too low. Are you supplementing any?

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-...

ncbi.nlm.nih.gov/pubmed/286...

Vitamin D deficiency is frequent in Hashimoto's thyroiditis and treatment of patients with this condition with Vitamin D may slow down the course of development of hypothyroidism and also decrease cardiovascular risks in these patients. Vitamin D measurement and replacement may be critical in these patients.

endocrine-abstracts.org/ea/...

Evidence of a link between increased level of antithyroid antibodies in hypothyroid patients with HT and 25OHD3 deficiency may suggest that this group is particularly prone to the vitamin D deficiency and can benefit from its alignment.

Ferritin needs more investigation. But high ferritin may be due to Hashimoto's

Link from a post this morning.....I haven't watched it yet. Might be interesting

healthunlocked.com/thyroidu...

Older post about high ferritin

healthunlocked.com/thyroidu...

I have high ferritin too.....but iron levels normal. GP not bothered

[SlowDragon Administrator]

As Greygoose says ....last dose of T3 was too long before blood test

Next time make sure to adjust last dose 8-12 hours before blood test

You might be better to take a 5mcg dose of T3 before bed ...some try it and don't like it ......others find it helps

Perhaps 18.25mcg in morning, 12.5mcg mid afternoon and 6.25mcg at bedtime