Fluctuating body temperatures

[reelingenious]

I am feeling dreadful, a situation which only shows worsening.

I'm weak, exhausted, dizzy, aching, constipated and mostly chilled, especially hands and feet.

Every time I have any sort of Thyroid function test or Vitamin levels check, they come back as within range, apart from a once high B12. The most recent was 12 months ago.

My (in ear) body temperature can lurch between the mid 34's to 38. Most of the time it's between 35.5 and 36.5. But all of the time I'm feeling cold, heating, on sat next to a radiator. The odd high temps (when I don't feel cold) occur in bed.......................unheated room with open window, accompanied by "prickly heat".

The really low temps (34.5 to 35.3) can be indoors, heating on.

GP.............no idea!!!

I've been seeing a "General" consultant whose one train of thought is always ME.

Could it be Thyroid related, or something else?

The whole process of chasing hospital results and consultant secretaries is incredibly exhausting, on top of being exhausted generally.

[SeasideSusie Remembering]

reelingenious

Every time I have any sort of Thyroid function test or Vitamin levels check, they come back as within range, apart from a once high B12. The most recent was 12 months ago.

But where within range?

If your most recent test was 12 months ago, maybe time to do a Medichecks Thyroid Check ULTRAVIT (don't bother with rT3), especially as you are feeling so bad at the moment.

[reelingenious in reply to SeasideSusie]

I got the age of these wrong, they were Nov 2019!!

TSH @ 2.52 (0.27 - 4.2

FT3 @4.71 (3.1 - 6.8

THYROGLOB ANTI @ 10.2 (0 -115)

THYROID PEROX ANTI @ 9 (0 - 34)

SERUM FOLATE @ 13.38 (3.89 - 19.45)

ACTIVE B12 @150 (37.5 - 188)

CRP HS @ 0.63 (0 - 5)

FERRITIN @ 178 (30 - 400

VIT D @ 60.8 (50 - 175)

FOLATE - SERUM @ 9.55 (3.89 - 19.45)

I've upped the Vid D since these results, to nil effect.

[SeasideSusie Remembering in reply to reelingenious]

reelingenious

You are missing an FT4 result, and you have 2 x Folate results.

TSH is higher than one would normally expect to see in a normal healthy person - it would usually be no more than 2. However, certain things can affect TSH, eg coffee. Was your test done no later than 9am, after an overnight fast (breakfast after the test), with water only to drink before the test?

Antibodies are negative so don't suggest Hashi's, however one can have Hashi's without raised antibodies.

SERUM FOLATE @ 13.38 (3.89 - 19.45)

FOLATE - SERUM @ 9.55 (3.89 - 19.45)

Folate is recommended to be at least half way through range, so that is 12+ with that range. So the first one listed is OK, the second one is too low. Only you know which is the latest test.

Active B12 is good.

Ferritin is recommended to be half way through range, so around 215 with that range but your level is not dire by any means.

VIT D @ 60.8 (50 - 175)

I've upped the Vid D since these results, to nil effect.

How much D3 are you taking? In what form - oral spray, oil based softgels, tablets, capsules? Are you also taking magnesium as the body needs this to convert D3 into it's usable form. Do you also take D3's other important cofactor - Vit K2-MK7?

CRP is nice and low and doesn't indicate inflammation.

[reelingenious in reply to SeasideSusie]

Sorry about the mistakes. Brain is a little dulled today!! The more recent Folate is the 9.55! Free Thyroxine was 13.8 (12 - 22)

D3 is in the form of Soft Gel caps 2000iu. No to K2 and Magnesium.

The test was done by Medichecks at 10.45 am by visiting Nurse, as I had already failed at finger prick testing on earlier occasions. Can't remember whether fasting was specified, if it was I would have!

[SeasideSusie Remembering in reply to reelingenious]

Fasting is not specified, that's a patient to patient tip. When looking for a diagnosis of hypothyroidism we need the highest possible TSH and to achieve this we need a blood draw no later than 9am, fast from evening meal the night before, water only before test. If you had done all that then your TSH would very likely be higher than the result you had.

FT4 was very low, just 18% through the range. A normal healthy person would usually have a TSH of no more than 2 with FT4 around mid-range.

I would increase your D3 to 4,000iu daily and retest in 3 months. Aim for 100-150nmol to be within the level recommended by the Vit D Council and Vit D Society.

2,000iu is more of a maintenance dose. I had severe Vit D deficiency and now that I have an optimal level I have discovered that my maintenance dose is 5,000iu daily (although not everyone needs this much).

We need Magnesium when taking D3, it's needed for the body to convert D3 into it's active form.

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 tissue where it can be deposited and cause problems such as kidney stones, calcification of arteries, etc.