Test results back from Medichecks - can anyone ... - Thyroid UK

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Test results back from Medichecks - can anyone please help advise on next steps?

HC17 profile image
HC17
6 Replies

Are these results telling me I have a health Thyroid???

Laboratory Report (Thyroid Check UltraVit Blood Test)

Thank you for monitoring your health with Medichecks.

Your CRP level is high. This may indicate increased inflammation and/or infection within the body. If you are experiencing pain, fever or other symptoms that suggest infection or inflammation then I recommend that you discuss this further with your GP. The type of

CRP test that you have had is one which can also indicate future risk of cardiovascular disease. I recommend repeating this test in 6-8 weeks to see whether it remains above 3. If it does then I recommend that you take a more aggressive approach to managing other

cardiovascular risk factors such as blood pressure, cholesterol, diet, smoking and exercise levels.

Your vitamin D levels are at the low end of the normal range. This may progress to vitamin D insufficiency or deficiency if you don’t take steps to increase your vitamin D levels. Low levels of vitamin D can cause fatigue, bodily aches, poor memory and difficulties concentrating. Outside of the winter months there is enough sun for your skin to make at least part of your daily requirement of vitamin D, so it is worth trying to get 15-20 minutes of midday sun when the sun is out. Vitamin D can also be found in fortified foods such as breakfast cereals, plant-based milks, tofu and some fruit juices. The only reliable natural source of vitamin D is in oily fish, although it can also be found in some mushrooms (portobello, maitake, morel, button, and shiitake are particularly good), you can improve this by leaving the mushrooms in the sun before cooking them. We recommend supplementing with 400 - 800 iu of vitamin D per day for twelve weeks. If you are already taking vitamin D then I recommend that you increase your dose. I'm pleased to report your thyroid stimulating hormone, thyroxine and T3 are all normal which suggest healthy thyroid function. Your thyroid autoantibodies are also negative, which means you are less likely to develop an autoimmune thyroid problem in the near future. I hope this information has been useful.

Inflammation

CRP HS X 8.14 mg/L (Range: < 5)

Iron Status

Ferritin 52.4 ug/L (Range: 13 - 150)

Vitamins

Folate - Serum 7.39 ug/L (Range: > 3.89)

Vitamin B12 - Active >150 pmol/L (Range: > 37.5)

Vitamin D 53.9 nmol/L

Deficient <30

Insufficient 30 - 50Consider reducing dose >175

(Range: 50 - 175)

Thyroid Hormones

TSH 1.43 mIU/L (Range: 0.27 - 4.2)

Free T3 4.12 pmol/L (Range: 3.1 - 6.8)

Free Thyroxine 13.100 pmol/L (Range: 12 - 22)

Autoimmunity

Thyroglobulin Antibodies 14.700 kIU/L (Range: < 115)

Thyroid Peroxidase Antibodies <9.0 kIU/L (Range: < 34)

Any advise would be greatly appreciated as always...

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HC17
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SlowDragon profile image
SlowDragonAdministrator

Definitely not. Clearly shows you need dose increase in levothyroxine

50mcg levothyroxine is only a starter dose

(The notes from Medichecks doctors are frequently useless....they obviously are unaware you are on levothyroxine, or hadn’t read your notes)

Ft4 is only 11% through range. When on adequate dose of levothyroxine Ft4 should be at least 70% through range

Ft3 is higher at 28% ....but that’s still extremely low. (Likely Only higher due to you being on high dose propranolol)

You need 25mcg dose increase in levothyroxine

See GP to discuss

Also discuss with GP starting extremely slow reduction in propranolol.

Vitamin D

GP will only prescribe to bring levels to 50nmol. But improving to around 80nmol or 100nmol may be better

ncbi.nlm.nih.gov/pubmed/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, you may need on going maintenance dose to keep it there.

Test twice yearly via vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function

It’s trial and error what dose we need, when hypothyroid we frequently need higher dose than average

Local CCG guidelines

clinox.info/clinical-suppor...

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

Propranolol lowers magnesium and low vitamin D is often linked to low magnesium

Magnesium

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Bloods will need to be retested 6-8 weeks after each 25mcg dose increase in levothyroxine

Always stick to same brand of levothyroxine

SlowDragon profile image
SlowDragonAdministrator

See from previous post you have been supplementing B12

Rather than supplementing just B12, recommended on here to supplement a good quality daily vitamin B complex.

This helps keeps all B vitamins in balance

Supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be beneficial.

chriskresser.com/folate-vs-...

B vitamins best taken in the morning after breakfast

Igennus Super B complex are nice small tablets. Often only need one tablet per day, not two. Certainly only start with one tablet per day after breakfast. Retesting levels in 6-8 weeks

Or Thorne Basic B or jarrow B-right are other options that contain folate, but both are large capsules

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

SlowDragon profile image
SlowDragonAdministrator

Also .....avoid all soya including soya lecithin. (And avoid tofu......mentioned in Medichecks reply)

silverfox7 profile image
silverfox7

You thyroid meds are low so increase by 25 mcg and then work on getting your supplements up. This in turn should also help your thyroid levels to rise as well.

HC17 profile image
HC17 in reply tosilverfox7

Hi, do you know if it is okay to take Dihydrocodiene with Levo?

HC17 profile image
HC17

Thank you all as always. Working through advice. Vitamins ordered, Levo to be increased hopefully Monday. Does anyone know much about Dyhidrocodiene with Levo? Can I take it?

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