Help analysing test results :-) : Hi I’m new... - Thyroid UK

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 is a touch low. Looking at increasing iron rich foods

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

Toni0505 in reply to SlowDragon4 years ago

Thank you so much that has been really helpful!

SeasideSusieRemembering4 years ago

Toni0505

but everything is else is grand. Is that right?

No, not quite.

Ferritin: 63.9ug (13-150)

Ferritin is recommended to be half way through range, so 82-ish with that range. Your result isn't dire by any means but it might be worth trying to improve it. You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet

apjcn.nhri.org.tw/server/in...

Once every couple of weeks may be enough.

Folate serum: 4.23 (>3.89)

They used to have a range, may still do if you look at the green bar graph (I think) that comes with the result, it should have 3.89 at the bottom, not sure of the top number. Folate should be at least half way through range, where there is no range then aiming for double figures is a good idea.

Vit b12 active: 50.6 (>37.5)

Active B12 below 70 suggests testing for B12 deficiency according to Viapath at St Thomas' Hospital:

viapath.co.uk/our-tests/act...

Reference range:>70. *Between 25-70 referred for MMA

Your GP may say you are in range so no need, but with B12 deficiency it's important to go by symptoms, not numbers, so check signs/symptoms of B12 deficiency here:

b12deficiency.info/signs-an...

If you do 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.

If you don't have any then it will be fine to supplement with a good bioavailable B Complex containing methylcobalamin and methylfolate (eg Thorne Basic B or Igennus Super B). This will also raise your folate level.

Vit d: 28.1 (50-175)

The NHS consider Vit D Deficiency to be below 25. You could ask yourGP if he is willing to consider prescribing loading doses (totalling 300,000iu over a number of weeks). If he wont, and is willing to prescribe less, eg 800iu or 1,600iu, then that wont be enough and you'll have to self supplement with the equivalent of the loading doses as outlined here:

NICE treatment summary for Vit D deficiency: cks.nice.org.uk/vitamin-d-d...

(click on Management > Scenario:Management)

"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)."

Once the loading doses have finished it's essential to retest to check your level and base the ongoing dose on the new level.

The Vit D Council recommends a level of 125nmol/L and the Vit D Society recommends a level of 100-150nmol/L. Once you've reached this recommended level then you'll need a maintenance dose to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:

vitamindtest.org.uk/

Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3 as recommended by the Vit D Council

D3 aids absorption of calcium from food and Vit K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.

D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking D3 as tablets/capsules/softgels, no necessity if using an oral spray.

Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.

Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds if taking magnesium as tablets/capsules, no necessity if using topical forms of magnesium.

naturalnews.com/046401_magn...

drjockers.com/best-magnesiu...

afibbers.org/magnesium.html

Your low nutrients may be causing symptoms that overlap with symptoms of hypothyroidism and optimising them may help.

Don't start all supplements at once. Start with one, give it a week or two and if no adverse reaction then add the next one. Again, wait a week or two and if no adverse reaction add the next one. Continue like this. If you do have any adverse reaction then you will know what caused it.

TSH: 1.55 (0.27-4.2)

Free T3: 5.7 (3.1-6.8)

Free thyroxine: 17.7 (12-22)

Thyroglobulin antibodies: 24 (<115)

Thyroid peroxidase antibodies: 14 (<34)

Your thyroid results are euthyroid (normal). A normal healthy person will have a TSH of usually no more than 2 with FT4 (free thyroxine) around mid-range-ish (yours is 57%). Your thyroid antibodies are low in range so don't currently suggest autoimmune thyroid disease.

CRP is an inflammation marker and yours is nice and low.

Toni0505 in reply to SeasideSusie4 years ago

Thank you so much that has been really helpful!!