Your thyroid results are pretty good with FT4 at 89% through range and FT3 at 61% through range. Your FT3 could be a bit better and optimising your nutrient levels may help there.
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Thyroglobulin Antibodies 520 kIU/L < 115
Thyroid Peroxidase Antibodies 36.4 kIU/L < 34
Raised antibodies suggest that you have autoimmune thyroid disease, aka Hashimoto's. Did you know this?
Fluctuations in symptoms and test results are common with Hashi's.
Most doctors dismiss antibodies as being of no importance and know little or nothing about Hashi's and how it affects the patient, test results and symptoms. You need to read, learn, understand and help yourself where Hashi's is concerned.
Some members have found that adopting a strict gluten free diet can help, although there is no guarantee.
Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks.
You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Supplementing with selenium l-selenomethionine 200mcg daily is said to help reduce the antibodies, as can keeping TSH suppressed.
Hashi's and gut absorption problems tend to go hand in hand and can very often result in low nutrient levels or deficiencies.This is very likely the reason your nutrient levels are poor.
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Folate - Serum 2.88 ug/L > 3.89
Your folate level is below range as you can see. You need to discuss this with your GP. As it is below 3mcg/L it indicates folate deficiency - see
◦Serum folate of less than 7 nanomol/L (3 micrograms/L) is used as a guide to indicate folate deficiency.
◦However, there is an indeterminate zone with folate levels of 7–10 nanomol/L (3–4.5 micrograms/L), so low folate should be interpreted as suggestive of deficiency and not diagnostic.
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Vitamin B12 - Active 59.1 pmol/L > 37.5
Your Active B12 is on the low side and a result less than 70 suggests testing for B12 deficiency according to Viapath at St Thomas' Hospital:
If you have any then list them to discuss with your GP and ask for testing for B12 deficiency and Pernicious Anaemia. Do not take any B12 supplements or folic acid/folate/B Complex supplements before further testing of B12 as this will mask signs of B12 deficiency and skew results.
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Vitamin D 26.7 nmol/L 50 - 175
Your Vit D level is just 1.7 above deficiency according to:
"Treat for vitamin D deficiency if serum 25-hydroxyvitamin D (25[OH]D) levels are less than 25 nmol/L.
For the treatment of vitamin D deficiency, the recommended treatment is based on fixed loading doses of vitamin D (up to a total of about 300,000 international units [IU]) given either as weekly or daily split doses, followed by lifelong maintenance treatment of about 800 IU a day. Higher doses of up to 2000 IU a day, occasionally up to 4000 IU a day, may be used for certain groups of people, for example those with malabsorption disorders.
* Several treatment regimens are available, including 50,000 IU once a week for 6 weeks (300,000 IU in total), 20,000 IU twice a week for 7 weeks (280,000 IU in total), or 4000 IU daily for 10 weeks (280,000 IU in total)."
You can ask your GP if he is willing to give you the loading doses. If not he will probably offer 800iu or 1,600iu D3 daily. This will absolutely not raise your level. If he doesn't prescribe the loading doses come back and I will comment further.
The Vit D Council recommends a level of 125nmol/L and the Vit D Society recommends a level of 100-150nmol/L although your GP will just be happy to get you to 50nmol/L and leave it at that. Your aim should be to reach the recommended level, once you've reached this you will then need a maintenance dose to keep it there.
I'll give you further information about this and D3's cofactors when you come back and tell us what your GP is going to do.
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What is your Ferritin result? This must be a Medichecks ULTRAVIT test and it will have been included.
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CRP is an inflammation marker and yours is possibly raised due to the Hashi's.
That's a good result (wish mine was that good). Do you supplement? You don't really need it any higher, recommended is about 50% through range so 82-90 would be good.
Hello thank you for replying. I hurt everywhere, come 6 o'clock in the evening I am no use to anyone. Its quite difficult to explain really I just don't feel right. I have also got quite weighty and find swallowing difficult (have had this checked out)
Have you checked your pulse or temperature. Have you ever tried adding t3 to your Levo? Labs can look good, but sometimes we need other meds to feel good. However, it's really important to work on those vitamins first...
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