New Blood Results

[Yellow113]

NEW RESULTSOn 50 Thyrovanz since last bloods 22 weeks ago

Prior to blood tests I stopped B12 10 days prior and iron, Vit D, k2 5days prior.

Last thyrovanz does was 18 hours prior to bloods

TSH 5.27 (0.27-4.2)

Free T3 4.23 (3.1-6.8 )

Free T4 12.8 (12-22)

Reverse T3 19 (10-24)

FT3:rT3 14.49 (>15)

Thyroglobulin antibodies 110 (<115)

TPA 175 (<34)

Iron 21.54 (5.8-34.5)

TIBC 68.44 (45-72)

UIBC 46.9 (24.2-50)

Transferrin sat 31.47% (20-50)

Ferritin 48.2 (13-150)

Folate 9.86 >3.89)

Vit B13 91.3 (>37.5)

Vit D 48.5 (50-175)

CRP 0.35 (<5)

I am reintroducing foods with AIP

I am having acupuncture to try and support body

Main symptoms are hair loss and dry, itchy, rash skin.

But brain feels better, concentration improving, mood good.

I will change my vit D supplement to a spray and see if that helps. I will continue with my other supplements.

Anything else I can do?

Thanks

[SeasideSusie Remembering]

Yellow13

You left too long between your last dose of Thyrovanz and your test, when taking NDT (or glandulars mean to have the same effect as NDT) then last dose should bwe 8-12 hours before the test. Leaving too long means that the hormone results - FT4/FT3 will show a false low. However, even allowing for the time gap being too long, it would seem that there is room to increase your dose.

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Looking at your previous posts it appears that you already know that you have Hashi's and have been given some information about that.

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Vit D 48.5 (50-175)

How much D3 are you taking? Are you taking D3's important cofactors - magnesium and Vit K2-MK7? Magnesium helps the body use D3.

This result suggests that you should be taking 5,000iu D3 and retest in 3 months' time. The Vit D Council recommends a level of 125nmol/Land the Vit D Society recommends a level of 100-150nmol/L. When you've reached that level then you'll need a maintenance dose to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:

vitamindtest.org.uk/

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There's no point in spending money on a reverse T3 test. If it was over range then it can't tell us the reason why, and there are many, many reasons for high rT3 not connected to the thyroid. If it was connected to thyroid then a high FT4 and low FT3 would show this.

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Ferritin 48.2 (13-150)

Ferritin is recommended to be 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...

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Folate 9.86 >3.89)

Vit B13 91.3 (>37.5)

These are just about approaching OK. I'd want Active B12 over 100 and folate in double figures. You might want to consider a good quality B Complex and take it a few days a week (consider Thorne Basic B or Igennus Super B).

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Optimal results for an iron panel, according to web.archive.org/web/2018083... are:

Serum iron: 55 to 70% of the range, higher end for men - yours is 55%

Saturation: optimal is 35 to 45%, higher end for men - yours is 31.47%

TIBC: Low in range indicates lack of capacity for additional iron, High in range indicates body's need for supplemental iron - yours is near the higher end

I would say there's no real cause for concern with your iron panel and that eating liver will probably be all that's needed.

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I am not medically qualified, my reply is based on my own experience and optimising my own results.

[Yellow113 in reply to SeasideSusie]

Thank you for this. I take a vitamin b12 supplement, is it best to swap that for b complex?

[Yellow113 in reply to Yellow113]

And I’m taking 4000iu Vit d with k2 - I’ve read about a spray might be better to absorb, do you know if this is true?

[SeasideSusie Remembering in reply to Yellow113]

When taking a B12 supplement, we also need a B Complex to balance all the B vitamins so you should have been taking that also. If you get a B Complex with 400mcg methycobalamin that will be plenty, it will maintain, maybe even increase, your B12 level as well as giving you the methylfolate to improve your folate level.

As for a Vit D spray, it's suggested that it's best for Hashi's patients as it bypasses the gut; however, there are some Hashi's patients who have done well with an oil based softgel. I can't speak from personal experience with a Vit D spray as there are too many excipients for me to consider using it, I prefer "cleaner" supplements with little or no excipients, but I don't have Hashi's so haven't had a problem with absorption.

[Yellow113 in reply to SeasideSusie]

Thank you, I shall now do my research. I’ll probably be back in a few months we need bloods