Help with test results please lovely experts.

[1dolly]

Hi,

Would really appreciate some help interpreting my Blue Horizon test results. I'm currently taking 2 3/4 grains of Thiroyd NDT daily. Feeling ok apart from dreaded night sweats and those weird itchy ears driving me mad! Here are the readings - don't worry about the cortisol - something they have started adding in but I know that blood isn't the best for testing this. My vitamin D is low - I have been using the D3/K2 spray but stopped my supplements for a week before the test just to try to get an accurate reading - will start again asap and try to find some sunshine!

Reading Normal range

hs-CRP

3.02 <5.0

Ferritin

105.0 13 - 150 ug/L

Hormones

Cortisol (Random)

156.0 6am - 10am 113 - 456 nmol/L

4pm - 8pm 58 - 278

Midnight <64

Thyroid Function

TSH

L <0.005 0.27 - 4.20 mIU/L

T4 Total

85.7 66 - 181 nmol/L

Free T4

13.3 12.0 - 22.0 pmol/L

Free T3

H 9.03 3.1 - 6.8 pmol/L

Immunology

Anti-Thyroidperoxidase abs

<9.0 <34 kIU/L

Anti-Thyroglobulin Abs

16 <115 kIU/L

Vitamins

Vitamin D (25 OH)

57 Deficient <30 nmol/L

Insufficient 30 - 50

Consider reducing dose >175

Vitamin B12

392 Deficient <145 pmol/L

Insufficient 145 - 300

Consider reducing dose 569

Serum Folate

37.70 8.83 - 60.8 nmol/L

I got a Doctor's comment who seems to think I am changing to overactive from hypo?

'There is a slight elevation in the free T3 level. In the presence of a low thyroid stimulating hormone level (TSH), this suggests there may be too much thyroxine in the body . As the free thyroxine level is within normal limits, it would not surprise me to learn you are taking liothyronine (T3) instead of levothyroxine - is this the case?. If you are taking a form of thyroxine medication already, you may need to reduce your dose – a discussion with your usual doctor would be sensible. If not, I also suggest you make an appointment to see your doctor – at least surveillance of thyroid function would be wise, as it would seem in this scenario that an overactive thyroid gland might be developing.'

Sorry it's long and messy - I am a regular poster and not just using your lovely expertise for medical interpretation - honest! Thanks so much - this forum has saved me.

[greygoose]

Silly man. If you are hypo enough to take that much NDT, you cannot possibly 'develop' hyperthyroidism. Just goes to show how much he know about thyroid. It's really not worth getting the doctor's comments with these tests.

You would appear to be a little over-medicated. But, how do you feel?

[1dolly in reply to greygoose]

Yes, I thought you'd like that one! I feel ok thanks - much better than when I was on levothyroxine.

[SeasideSusie Remembering]

1dolly

When did you take your last dose of NDT before the test?

If it was the recommended 8-12 hours then your FT3 result suggests you might be a little overmedicated.

If last dose was less than 8 hours then you have a false high, it is measuring the T3 in your dose of Levo that you took.

If last dose was more than 12 hours before blood test then you have a false low and you are overmedicated.

I have been using the D3/K2 spray but stopped my supplements for a week before the test just to try to get an accurate reading

You don't need to do that. If you are supplementing then you need to know if you are taking the right amount. To do that then you continue taking your D3 supplement but on the day of the test take it after the blood draw. Even allowing for the fact that you left it off for a week, a result of 57nmol/L may not be much higher if you'd continued it so I would say you need to increase your dose of D3. The level recommended by the Vit D Council/Vit D Society is 100-150nmol/L.

Do you also supplement with magnesium? That is an important cofactor of D3 as 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.

B12 could do with being higher.

Ferritin and Folate are good.

[1dolly in reply to SeasideSusie]

Hi Susie, thanks for replying. I followed your previous instructions and took dose around 10 hours before the blood was taken. I should have checked about stopping my vitamin D too - I'll increase that dose and also start back on the magnesium - didn't realise they worked together. I suppose the lack of sun hasn't helped. I'll start back on the B12 spray and I'll cut back on my NDT a little. Thanks for the usual great advice and support. I feel much more positive and empowered about this condition now thanks to all the help and information I have found on the forum.

[SlowDragon Administrator]

What time of day did you do the test?

[1dolly in reply to SlowDragon]

It was around 9:45am

[SlowDragon Administrator in reply to 1dolly]

So your cortisol is on lower end of range for time of day

[1dolly in reply to SlowDragon]

Yes, I don't know how to improve that.

[SlowDragon Administrator in reply to 1dolly]

Improving low vitamin D may help

[1dolly in reply to SlowDragon]

Thanks - yes something I have to work on.