Please can i have your thoughts on these results - Thyroid UK

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Please can i have your thoughts on these results

ferretmam profile image
ferretmam
β€’13 Replies

*Edited * These results are from Thriva

Not used this company before and don't feel too comfortable looking at it's dashboard, really dunno why πŸ€”

B12 Active 160. pmol/ L. ( 37.5 - 188 ) normal

Ferritin 100. ug /L ( 13 -150. ). Optimal

Folate. 44.7. nmol / L ( 8.83 - 60.8 ) optimal

FT3 5.3. pmol / L. ( 3.1 - 6.8. ). Normal

TSH. 3.29. MIU / L. ( 0.27. - 4.3 ) normal

T 4. 110. nmol / L. ( 66 - 181. ). Normal

FT4. 15.6 pmol. / L. ( 0. - 30. ). Optimal

TgAb. 91 kU / L. (0. - 115 ). Normal

TPOAb. 23.6. KIU. / L ( 0. - 34). Normal

Vit D 44 nmol / L. ( 50 - 175). Low

I was shocked at the vit D result as ive been supplementing with D3 & all the co factors for nearly 2 years. I really expected to have different B12 results as i've got all dreadful symptoms of deficiency. I took this test as my Gp tested serum only, which was 726 ng/L (190 - 910 )

My TSH has risen though, it was 2.1 in December.

I'm still waiting for DI02 gene test to come back. Don't think i will get anything interesting there though since i'm supposed to be "Optimal" even though i feel like i'm dying !

On a brighter note it looks like my gluten free diet has helped a lot.

Looking forward to your help x

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ferretmam
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SeasideSusie profile image
SeasideSusieRemembering

Which company is this? I've never seen a set of results with the low number of the reference range as zero, and if the Vit D upper level is 375nmol/L then that is into toxicity territory. In fact all those ranges look very dodgy! Can you add a picture of the results by editing your opening post.

ferretmam profile image
ferretmamβ€’ in reply toSeasideSusie

Thanks SeasideSusie

The company is Thriva

Vit D pic there now

Should i just be quoting the numbers referring to the green areas on their chart ?

SeasideSusie profile image
SeasideSusieRememberingβ€’ in reply toferretmam

Should i just be quoting the numbers referring to the green areas on their chart ?

Yes, that's correct. just the green area, both pale and dark green if both are present, that's the actual reference range.

For your Vit D, if not already supplementing then you need to.

The Vit D Council recommends a level of 125nmol/L) and the Vit D Society recommends a level of 100-150nmol/L. To reach the recommended level from your current level, based on the Vit D Council's suggestions you could supplement with 5,000iu D3 daily

Retest after 3 months.

Once you've reached the recommended 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/

Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3 as recommended by the Vit D Council

D3 aids absorption of calcium from food and Vit K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.

D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking tablets/capsules/softgels, no necessity if using an oral spray.

Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.

Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds if taking tablets/capsules, no necessity if using topical forms of magnesium.

naturalnews.com/046401_magn...

drjockers.com/best-magnesiu...

afibbers.org/magnesium.html

If you can add the ranges from the green areas for the others then I'll come back later and interpret the rest of your results for you.

ferretmam profile image
ferretmamβ€’ in reply toSeasideSusie

Thank you, πŸ˜‚ i'm such a divvy !

Edited the ranges to the correct ones x

SeasideSusie profile image
SeasideSusieRememberingβ€’ in reply toferretmam

B12 Active 160. pmol/ L. ( 37.5 - 188 ) normal

This is a good result, if you are supplementing you only need a small maintenance dose as our B12 store is good for at least 2 years.

Folate. 44.7. nmol / L ( 8.83 - 60.8 ) optimal

This is a good result, folate should be at least half way through range. If you are supplementing then you only need a small maintenance dose.

If you want to maintain your B12 and folate levels then a B Complex with a small amount of B12 will be enough, maybe take 2 or 3 days a week. A wholefood B Complex will usually contain a small amount of B12 compared with other types of B Complex, eg Naturelo

Ferritin 100. ug /L ( 13 -150. ). Optimal

This is a good result. I have seen it said that a good level for a female is 100-130.

TSH. 3.29. MIU / L. ( 0.27. - 4.3 ) normal

T 4. 110. nmol / L. ( 66 - 181. ). Normal

FT4. 15.6 pmol. / L. ( 0. - 30. ). Optimal - this is still the wrong range, the range in the green area will be 12-22..

FT3 5.3. pmol / L. ( 3.1 - 6.8. ). Normal

Your TSH is too high, your FT4 is just 36% through the range (green) and FT3 is 59% through the range.

These results suggest that you are currently undermedicated as the aim of a treated hypo patient generally is for TSH to be 1 or below with FT4 and FT3 in the upper part of their ranges. So you need an increase in your dose of Levo, 25mcg now, retest in 6-8 weeks, repeat until your levels are where they need to be for you to feel well.

TgAb. 91 kU / L. (0. - 115 ). Normal

TPOAb. 23.6. KIU. / L ( 0. - 34).

These are within range but high enough to consider that you have Hashi's. In fact you posted these antibody results 2 years ago:

Thyroglobulin antibodies (TGab) 60 iu/ml ( 0 - 115 )

Thyroid peroxidase antibodies (TPOab) 68.5. iu/ml. ( 0 - 34 )

and the raised thyroid peroxidase antibodies do confirm Hashi's.

Normal

Vit D 44 nmol / L. ( 50 - 175). Low

Discussed in reply above.

ferretmam profile image
ferretmamβ€’ in reply toSeasideSusie

Thank you so much, i so wish my brain would work enough for me to look at those numbers and understand without begging for help.

You put that so nice i think i get it a little ! πŸ˜‚

My problem now is my Gp cos he reeeeeally doesn't "get" thyroid numbers. If facts are not dished out on his computer screen, they don't exist !

I was supplementing B vits up until xmas, then i became so stressed and forgetful i forgot all about them. Gp had me on proton pump inhibitors for gastric issues, anti biotics and steroids for other things, i just became so confused :(

He's only happy to tell me i have his "dustbin" diagnosis of fibromyalgia. But to me, the pain and tremor is real and i know it's not normal.

I may have to buy my own levo from somewhere else. Oh flippin joy πŸ˜‚ x

SeasideSusie profile image
SeasideSusieRememberingβ€’ in reply toferretmam

I may have to buy my own levo from somewhere else.

You shouldn't have to. Use the following information to request an increase in dose from your GP:

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine (the magazine for doctors):

"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).*"

*He recently confirmed, during a public meeting, that this applies to Free T3 as well as Total T3.

You can obtain a copy of the article by emailing Dionne at

tukadmin@thyroiduk.org

print it and highlight question 6 to show your doctor.

You can also refer to NHS Leeds Teaching Hospitals who say

pathology.leedsth.nhs.uk/pa...

Scroll down to the box

Thyroxine Replacement Therapy in Primary Hypothyroidism

TSH Level .................. This Indicates

0.2 - 2.0 miu/L .......... Sufficient Replacement

> 2.0 miu/L ............ Likely under Replacement

ferretmam profile image
ferretmamβ€’ in reply toSeasideSusie

Thank you !

Will request stuff from Dionne & go "armed"........ πŸ˜‚

Geeeez he better listen ! x

Angel_of_the_North profile image
Angel_of_the_Northβ€’ in reply toferretmam

Just the green area

knitwitty profile image
knitwittyβ€’ in reply toSeasideSusie

With those ranges for Frees and TSH virtually nobody would get a diagnosis of hypothyroidism!

SeasideSusie profile image
SeasideSusieRememberingβ€’ in reply toknitwitty

No, of course not, but they're not the correct ranges, Ferretmam now knows to post the ranges from just the green areas which are the correct ranges.

No free T3 result?

ferretmam profile image
ferretmamβ€’ in reply toAngel_of_the_North

The Ft3 is 5.3 (3.1 - 6.8 )

Just edited the post.

Didn't think i would be this ill from those thyroid results, but my tremor & brain fog is dreadful :(

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