Hi all. I had decided to do a ultravit blood test as like some of us still seem to have thyroid symptoms. For once my TSH came back great as did my Free T3 and free Thyroxine.My Ferritn came back 24.4 range was 13-150, B12 61.3 range 37.5-187.5, vitamin D 38.4 range 50-176. My thyroglobulin antibodies is 707 starting range 115 and thyroid peroxidase antibodies 139 staring range 34. Feedback was for me to start on vitamin D. I have order vitamins D, B12 and Iron & vitamin C. My question is am I doing the right thing, what time of day is best and can I take them at the same time. I take my levothyroxine 125mcg mon-fri and sat-sun 100mcg at night, I know I can’t take iron at the same time as them. Also how do I reduce my antibodies as it seems high. My TSH is 0.684 range 0.27-4.2, Free T3 5.04 range 3.1-6.8 and Free thyroixine 20.8 range 12-22. Thankyou in advance
When to take vitamins : Hi all. I had decided to... - Thyroid UK
When to take vitamins
No folate result?
B12 is borderline. Works with folate. So will wait to see folate result before commenting
Vitamin D is too low. Technically GP should prescribe 1600iu daily for 6 months
It’s trial and error what dose we need, with hashimoto’s we frequently need higher dose than average. So you likely be better off self supplementing anyway
ouh.nhs.uk/osteoporosis/use...
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, very likely you will 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. There’s a version made that also contains vitamin K2 Mk7
Government recommends everyone supplement October to April
gov.uk/government/news/phe-...
Magnesium is important co-factor with vitamin D
betterbones.com/bone-nutrit...
medicalnewstoday.com/articl...
livescience.com/61866-magne...
sciencedaily.com/releases/2...
Bone pain
easy-immune-health.com/pain...
Vitamin K2 mk7
betterbones.com/bone-nutrit...
intechopen.com/books/cell-s...
Ferritin is very low. GP should do full iron panel test for anaemia
Iron is complex, low ferritin doesn’t necessarily mean iron levels are low
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
Links about iron and ferritin
irondisorders.org/Websites/...
healthunlocked.com/thyroidu...
healthunlocked.com/thyroidu...
Are you on strictly gluten free diet?
Many hashimoto’s patients find this helps improve symptoms and may sometimes slowly reduce antibodies
Hashimoto's frequently affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten intolerance. Second most common is lactose intolerance
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find strictly gluten free diet reduces symptoms, sometimes significantly. Either due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first
Assuming test is negative you can immediately go on strictly gluten free diet
(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)
Trying strictly gluten free diet for 3-6 months
If no noticeable improvement, reintroduce gluten and see if symptoms get worse
chriskresser.com/the-gluten...
amymyersmd.com/2018/04/3-re...
thyroidpharmacist.com/artic...
Folate test needs to be redone as something went wrong in the test. Will update when I get it back. Just all so confusing but I suppose when you get used to it it all becomes easier. I end up doing private blood tests as my doctors just looks at the TSH and that’s it. I have extremely heavy/ painful periods and my hips and pelvic hurt most days. Just trying to balance it all out myself.
Heavy periods are common and classic sign of still being hypothyroid
Insist GP does full iron panel test for anaemia.
Obviously heavy periods are common cause of low iron
Improving low vitamin D
Starting on vitamin D supplement first
Recommend Better You vitamin D mouth spray with vitamin K2 included. Available on Amazon
Mouth spray vitamin D doesn’t need to be four hours away from levothyroxine. Perhaps just an hour
Folate result often has problem. They should send new kit to redo the test
Yes have a new kit arrived today so will wait until Monday morning now and do it. Just feel really exhausted all the time. Can get up in the morning and be exhausted by 1pm and no energy to do anything. I’m the sort of person that never stops usually but just don’t have the energy.
Low iron levels can cause terrible fatigue
Low iron also badly affects how thyroid hormones work
Had whatever the doctors check iron for 4 months ago and it was just and no more in range so pat on the back and that’s it. Was offered Endometrial ablation two years ago but thought that was a bit drastic as still think it’s all related to my thyroid. That was only after being put on iron tablets then. Periods are extremely bad and can last for two weeks and a week of that at least very heavy.
Can you post these full iron results
Perhaps as new post ....so more members will read
Yes frequently heavy periods resolve once hypothyroidism correctly treated
nahypothyroidism.org/deiodi...
Iron deficiency is shown to significantly reduce T4 to T3 conversion, increase reverse T3 levels, and block the thermogenic (metabolism boosting) properties of thyroid hormone (238-242). Thus, iron deficiency, as indicated by an iron saturation below 25 or a ferritin below 70, will result in diminished intracellular T3 levels. Additionally, T4 should not be considered adequate thyroid replacement if iron deficiency is present (238,239,241,242).
Will do. That’s my thinking that if only I get my thyroid under control then an op is really isn’t required. Thanks for all your help
If you're going to take vit d, you also need to take magnesium and vit K2-MK7.
Do not start a bunch of supplements all at the same time. Leave a couple of weeks in between starting each one. So, you could start on the iron, for example, which gives you time to get a folate result.
As a general rule:
* Take vitamins early morning; minerals at night. Or early evening, as you take your levo at night.
* Vit D, iron and magnesium should be at least 4 hours away from thyroid hormone.
* Iron should be taken 2 hours away from EVERYTHING, except vit C, which needs to be taken at the same time.
* Vit D, magnesium and vit K2 can be taken at the same time, but vit D and Vit K2 need to be taken with some form of fat. You can buy them in olive oil capsules, but otherwise, take them with fatty food - a piece of cheese or bread and butter, or something - in which case you should take them separately as they compete for the fat for absorption.
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