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Fox78 profile image
9 Replies

Hello all

I’ve got an endo follow up appointment on Friday over the phone and I’ve had some recent tests back I just want general thoughts on my conversion from t4-t3

Still don’t feel right after 3 years I’m now on 175 thyroxine since September but gained a massive amount of weight since then, general hypo symptoms cold tired no energy weakness in legs and arms pins needles anxiety bloating massive tummy GERD dizzy heart palps chest pain menses all over the place shakiness anxiety attacks constipation and diarrhoea terrible lower back pain and pain top of neck I also have a buffalo hump and stretch marks weight is central with no gain on arms or legs

Tsh 0.02 (0.27-4.2)

T4 24.9 (9-26)

T3 4.7 (2.8-7.1)

My t3 has gone up slightly but continues to remain mid range even though my t4 is at the top range

B12 401 (191-663)

Folate 3.3 (3.3-19.3)

Ferritin 154 (10-150)

I did have vitamin d also done but it doesn’t look like this have come back it’s always been ok previously

My white blood count lymphocytes and neutrophils are slight up but have been previously on tests

CRP is also high ish but GP said it’s nothing to worry about 17 <11

I have pcos too which I take metformin for

I am also asking to have a suppression test done for cortisol levels as GP refused to do a 9am cortisol test

Appreciate any thoughts and thank you

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Fox78 profile image
Fox78
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SlowDragon profile image
SlowDragonAdministrator

As you have Hashimoto’s are you now on strictly gluten free diet?

healthunlocked.com/thyroidu...

B12 and folate are too low

Metaformin Frequently lowers B12

endocrineweb.com/news/diabe...

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 (Or even just half a tablet for first week) per day after breakfast.

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...

Low B12 symptoms

b12deficiency.info/signs-an...

What’s your diet like?

Vegetarian or vegan?

academic.oup.com/nutritionr...

The present review of the literature regarding B12 status among vegetarians shows that the rates of B12 depletion and deficiency are high. It is, therefore, recommended that health professionals alert vegetarians about the risk of developing subnormal B12 status. Vegetarians should also take preventive measures to ensure adequate intake of this vitamin, including the regular intake of B12 supplements to prevent deficiency. Considering the low absorption rate of B12 from supplements, a dose of at least 250 μg should be ingested for the best results.3

Low vitamin D and low B vitamins may be linked as explained here

drgominak.com/sleep/vitamin...

In YouTube video when Dr Gominak talks about vitamin D levels ...vitamin D at 40ng/ml (USA units) is equal to 100nmol (UK units)

youtu.be/74F22bjBmqE

Essential that all four vitamins are optimal for good conversion of Ft4 to Ft3

healthunlocked.com/thyroidu...

Fox78 profile image
Fox78 in reply toSlowDragon

Hi there

No I don’t currently take any vitamin b12 so I will look into that thank you

I try and follow a gluten free diet yes as best as I can but not 100%

SlowDragon profile image
SlowDragonAdministrator in reply toFox78

It does need to be absolutely strictly gluten free to be effective, as explained here

chriskresser.com/the-gluten...

Fox78 profile image
Fox78 in reply toSlowDragon

Ok thank you

SlowDragon profile image
SlowDragonAdministrator in reply toFox78

With low folate AND low B12

Are you now taking a daily good quality vitamin B complex ?

SlowDragon profile image
SlowDragonAdministrator

Also suggest you look at getting cortisol and DHEA testing

regeneruslabs.com/products/...

cdn.shopify.com/s/files/1/0...

Fox78 profile image
Fox78 in reply toSlowDragon

Yes that’s the next step I’m speaking to the consultant about this on Friday as given my symptoms I feel they should be doing this on the nhs

SlowDragon profile image
SlowDragonAdministrator in reply toFox78

They only do cortisol blood test on NHS. Still don’t offer saliva testing I don’t think

SlowDragon profile image
SlowDragonAdministrator

Vitamin D result?

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