Bit confused about results

[AS14]

Hi

Ive just got my medichecks vitb12, folate and ferritin results back and not sure if theyre ok or not.

Ferritin 244 (range 13 - 150)

Doctors comments are, above range but could be caused by diet or supplements if so reduce for a while.

Folate 19.8 ( range 3.89 - 20.58)

Vit B12 150 (range 37.5 - 187.5)

Is the high ferritin something to cause concern and if so what would cause it to be high. I have been supplementing with folate but not the other two.

Id appreciate any advice

Thank you

[SeasideSusie Remembering]

AS14

I think you can lower the dose of folate now to a maintenance dose, what exactly do you take?

B12 is fine.

Ferritin is high. If you don't supplement, do you eat a lot of iron rich foods - liver, liver pate, black pudding, red meat, etc? If you ate any in the week before the test this would give a highish result.

High ferritin can also be caused by infection/inflammation. Any suggestion of that at the time of the test?

Presumably this was the UltraVit test? What was Vit D result? And thyroid results? Were thyroid antibodies raised?

[SlowDragon Administrator]

What are you actual TSH, Ft4 and Ft3 results

Many people when adequately treated have suppressed TSH

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.

Most patients will feel well in that circumstance.

But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor



please email Dionne at

[e-mail]

As you have had TT if symptoms remain when Ft4 is right at top of range .....you will likely need addition of small dose of T3 alongside levothyroxine

[Superduperloopylea]

Hi Ferratin levels can be high due to Haemochromotosis look it up. A much undiagnosed condition. Hope you get sorted

[AS14]

Thank you for the replies, much appreciated.

I dont eat any of the things that could cause the high ferritin nor take any supplements other than folate which Im now going to lower.

Theres no obvious reason why its high so Im going to get a more detailed iron blood test done and go from there.

Thanks again

[SlowDragon Administrator in reply to AS14]

Helpful website info on iron

irondisorders.org/Websites/...

[SlowDragon Administrator]

Why did you have TT?

Was it for thyroid cancer or for Graves, goitre or Hashimoto’s?

[AS14]

Hashimotos but I had a large retrosternal goitre that affected my breathing and eating being the reason for the TT

Thanks

[SlowDragon Administrator in reply to AS14]

No vitamin D test result?

vitamindtest.org.uk

Do you supplement vitamin D?

ncbi.nlm.nih.gov/pubmed/286...

Vitamin D deficiency is frequent in Hashimoto's thyroiditis and treatment of patients with this condition with Vitamin D may slow down the course of development of hypothyroidism and also decrease cardiovascular risks in these patients. Vitamin D measurement and replacement may be critical in these patients.

endocrine-abstracts.org/ea/...

Evidence of a link between increased level of antithyroid antibodies in hypothyroid patients with HT and 25OHD3 deficiency may suggest that this group is particularly prone to the vitamin D deficiency and can benefit from its alignment.