Hi all
I’m a first time poster, but I’ve learnt a lot from this site already.
Sorry if it’s a bit long. Feel free to skip to latest test results at the end.
I am male, in my 50s, and I was diagnosed hypothyroid in Aug 2017.
Hashimotos confirmed:
Anti-Thyroidperoxidase antibodies AntiTPO (TPEX)
Sept 2017 53 iu/mL (0-34)
April 2018 55.7 kIU/L (0-34)
Abnormal High, in keeping with autoimmune thyroiditis, reason for hypothyroidism. Optimal <15
.
TSH blood test results
Aug 2017 (Before Hypothyroidism diagnosis) 5.36 mIU/L (0.27 - 4.20) High
Sep 2017 (Taking 50 mcg Levothyroxine) 1.53 mIU/L (0.27 - 4.3)
Feb 2018 2.89 (0.27 - 4.3)
April 2018 3.54 mIU/L (0.27 - 4.3) (Taking 50 mcg Levothyroxine)
June 2018 3.3 (0.27 - 4.20)
Borderline high. Optimal is 0.4 - 2.5 (NICE guidelines) or at highest 1.8 - 3, needs to be in lower part of normal range
July 2018 (Taking 75 mcg Levothyroxine) 0.46 mIU/L ( 0.27 - 4.3) optimal
Aug 2018 (Taking 75 mcg Levothyroxine) 0.55 mIU/L (0.27 - 4.2) optimal
Free Thyroxine (FT4)
Aug 2017 11.4 pmol/L
Sept 2017 17.4
Feb 2018 16.5
April 2018 15.3 pmol/L
June 2018 17.4 pmol/L
(Range 12.0 - 22.0)
Good. Needs to be upper part of normal range
July 2018 19.4 pmol/L (Range 12.0 - 22.0) Within normal range, close to top quarter
Aug 2018 18.2 (12.0 - 22.0) slightly lower
Top quarter for FT4 is 19.75-22.0 (22-12=10, 10x0.75=7.5, 12+7.5 = 19.75)
Triiodothyronine (FT3)
April 2018 5.29PMOL/L (3.1 - 6.8) Within normal range, close to top quarter
July 2018 5.3 pmol/L (3.1 - 6.8) Within normal range, close to top quarter
Aug 4.9 pmol/L (3.1 - 6.8) slightly lower
Top quarter is 5.38-6.8 (6.8-3.1= 3.7, 3.7x0.75 = 2.775, 3.1+2.775= 5.3775)
FT4: FT3 conversion ratio 19.4:5.3 = 38.8 : 10.6 (Good conversion is between 3:1 and 4:1)
I am currently taking 100 mcg Levothyroxine, alternating the next day with 75mg, which feels about right.
I was referred to an NHS endocrinologist (diabetes specialist) in Nov 2018, who didn’t have any great insights, but she told me to keep doing what I’m doing to manage my condition.
I try to be an informed, active patient, so I have been following Seaside Susie’s helpful advice to others about supplementing with vitamins and minerals to try to keep my previously low levels within optimal ranges.
My daily supplements are:
Vitamin D 4000iu D3 + Better You D3 oral spray
Organic Turmeric (curcumin) with black pepper and ginger 1380 mg
Vitamin K2-MK7 600 ug to direct calcium to bones.
D3 and K2 are fat soluble so taken with fattiest meal of the day, D3 four hours away from thyroid meds.
Magnesium to help the body convert Vit D into its active form.
Igennus Triple Magnesium Complex with Magnesium Citrate, Taurate and Bisglycinate
Magnesium Malate 200mg
Handful of Magnesium crystal flakes in the bath
.
Vitamin C + B super B Complex containing methylcobalamin B12 900 micrograms; ascorbic acid 160 mg; B3 48 mg, B5 36 mg, B1 20 mg, B6 20 mg, B2 14 mg, B7 Biotin 300 micrograms + B12 oral spray
.
L-Methylfolate 400 ug
Bio-Selenium 100 ug + Zinc 15 mg
Acidophilus Plus and kombucha to maintain my gut flora/pro biotics.
I am vegetarian and I have been gluten free for 2 years, which does seem to be helping to avoid bloating and immune problems, and my weight seems about right too.
I don’t feel great at the moment though. I am not sleeping well, I wake up every day before 4 am. I sweat excessively at night and in the day, and I suffer from brain fog and panic attacks.
I’m due to see a new doctor later this month, having changed my GP practice because they were so bad, and I wonder if anyone has any suggestions for me to ask her, or recommendations for me to try?
Latest Jan 2020 blood test results:
Taken as always first thing in the morning, after fasting, before daily dose of Levothyroxine.
Serum free T4 19.9 pmol/L (12.00 – 22.00)
Serum TSH 0.5 miu/L (0.27 – 4.20)
Serum free T3 4.8 pmol/L (3.10 – 6.80)
! Renal profile
! Serum potassium 5.5 mmol/L (3.50 – 5.10)
! Serum lipids – Cholesterol raised
! Serum cholesterol 5.5 mmol/L (3.00 – 5.00)
Serum ferritin 141 ug/L (30.00 – 400.00)
25 Hydroxy Vitamin D 89 nmol/L (50.00 – 120.00)
Serum folate >20.0 ug/L (3.90 – 26.80ug/L)
Serum vitamin B12 390 ng/L (197.00 – 771.00)
Haemoglobin A1c level 39 mmol/mol (20.00 – 41.00)
! Full blood count
Total white blood cell count 5.7 10*9/L (3.70 – 9.5010*9/L)
! Haemoglobin estimation 174 g/L (130.00 – 170.00)
Haematocrit 49.5% (40.00 – 50.00%)
Mean corpuscular volume 95.2 fL (83.00 – 101.00 fL)
! Mean corpusc. Haemoglobin 33.5 pg (27.00 – 32.00)
Thanks in advance to anyone who takes the time to reply. We are very fortunate to have such great advice and support on this forum.