Blood Test Results from Medichecks

[quartzd1]

Just would like to know what you make of these results. I am taking 100mg of Levothyroxine. Inflammation CRP HS 3.51mg/L Vitamin D 76..8nmol. B12 PMOL/L active over 150active Ferritin 43.9 ug/L Folate serum7.08 UG/L Antibodies Thyroglobulin Antibodies 17.9K1L /L Thyroid Peroxidase 128 KIU TSH 0.973 MIL/UL T4 18.2 PMOL/L T3 2.95PMOL/L

Not sure if I need T3. Probably not . Many thanks in advance Quartz

[SlowDragon Administrator]

Don’t quite understand your post

Are these results from Medichecks?

CRP HS 3.51mg/L

Vitamin D 76..8nmol.

B12 Acive PMOL/L active over 150active

Ferritin 43.9 ug/L

Folate serum7.08 UG/L

Antibodies Thyroglobulin Antibodies 17.9K1L /L

Thyroid Peroxidase 128 KIU

TSH 0.973 MIL/UL

T4 18.2 PMOL/L (12-22)

T3 2.95PMOL/L (3.1-6.8)

Clearly your conversion of Ft4 to Ft3 is extremely poor

FT3 is BELOW range

Ft4 is 60% through range

See GP and request 25mcg dose increase in levothyroxine

Bloods should be retested 6-8 weeks after each dose increase

Is your B12 result 150?

Exactly what vitamin supplements are you currently taking?

Vitamin D needs improving to at least 80nmol and 100nmol may be better

Folate on low side. 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...

Ferritin also on low side

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

dailyiron.net

Did you know you have Hashimoto’s confirmed by high TPO antibodies?

[quartzd1 in reply to SlowDragon]

Hi Slow Dragon. Yes these are the Medichecks results. I did know that the hypothyroidism was autoimmune but not particularly Hashimotos. The result for B12 just says >150. Thank you so much for all this information. I will see my GP and ask for an increase in the levothyroxine. I guessed things weren,t quite right as I have symptoms that I had to begin with when I first found that I was hypothyroid. Many Thanks Quartz

[SlowDragon Administrator in reply to quartzd1]

Hashimoto's frequently affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone working and poor conversion

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...

drknews.com/changing-your-d...

restartmed.com/hashimotos-g...

[quartzd1 in reply to SlowDragon]

Thank you so much for all this info. I found out 2 years ago that I was Diabetes type 1 not 2 as I had been told for 12 years.I did a private test in Spain as they wouldn,t do it in uk as too expensive to do for all.They wouldn,t believe the result of Spanish blood test and so went on to do test in uk. Crazy.well that was positive for type 1. Apparently 2 in 10 people diagnosed with type 2 are actually type 1 !!!

At the time I did a test for coeliac and that was negative. What you have told me seems right so will test again and if negative will go strictly no gluten and see if I feel better. Best wishes Quartz

[SlowDragon Administrator in reply to quartzd1]

Susan Blum book The immune system recovery plan talks about gluten free diet being good idea for type one diabetes......and for all autoimmune disease

Type one diabetes is autoimmune

Getting vitamin levels optimal and going strictly gluten free can improve gut function and conversion rate of Ft4 to Ft3

Do you take medication for diabetes?

[SlowDragon Administrator in reply to quartzd1]

Do you supplement B12?

[quartzd1 in reply to SlowDragon]

sorry, Yes I inject insulin for Diabetes and my Blood Sugar levels are all over the place and have always been. Trying very hard to change the status. The Susan Blum book sounds very interesting and I will get it. I can,t express how helpful you have been. Information is power I do believe. So thank you very much Quartz

[SlowDragon Administrator in reply to quartzd1]

Ok ...

So not on metaformin which is linked to lowering B12

[quartzd1 in reply to SlowDragon]

No metformin or other oral meds for Blood sugar levels. Yes a lot of people aren,t aware of metformin lowering B12. Not good, although I do think it mentions it now in information leaflet.

I did take B12 supplement and after results with an extremely high B12 result I stopped taking it a couple of months back.

[SlowDragon Administrator in reply to quartzd1]

It takes 4-6 months for B12 to revert to base level

You may be better taking 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 or even just half a 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...

[quartzd1 in reply to SlowDragon]

Many Thanks Quartz

[Lora7again]

My Dad who 78 and classed as elderly is on 100mcg a day. Unless you are elderly I think you need an increase of 25mcg then continue to increase it until you feel well.

[quartzd1 in reply to Lora7again]

Hi Lora7again

Thank you ffor your reply.. I`m 65 and not sure if considered elderly .Don,t think so ,so will go and discuss upping the levothyroxine

Thank you again Quartz

[Lora7again in reply to quartzd1]

Well I am 60 and I don't look or feel elderly and neither does my Dad but he does have copd which means he does not do much because he becomes breathless.

[quartzd1 in reply to Lora7again]

Sorry that your Dad has COPD.

[Lora7again in reply to quartzd1]

Yes it is, but he knows he caused it by smoking from the age of 14. He had a heart attack when he was 60 and then stopped smoking but it was already too late and he then developed copd.