Is the download attached?

[RedThaiLover]

Here is download

[SeasideSusie Remembering]

Previous thread healthunlocked.com/thyroidu...

RedThaiLover

You need to make an appointment with your GP to discuss your iron results. Ferritin below range, transferrin saturation below range, TIBC over range and serum low barely in range - all these suggest iron deficiency which needs addressing. Your GP should do a full blood count to see if you also have anaemia.

Your poor lipid results are quite likely to be due to your hypothyroidism.

Your over range TSH and below range FT4 show that you are very undermedicated or that you are not absorbing your Levothyroxine.

Active B12 is not dire but would be better over 100.

Folate is recommended to be at least half way through range.

A good, bioavailable B Complex will improve both B12 and Folate. Consider Thorne Basic B or Igennus Super B. Always leave off the B Complex (or Biotin if taken separately) for 7 days before any blood test as this gives false results when Biotin is used in the testing procedure, which most companies do use.

Vit D is too low and it's recommended to be between 100-150nmol/L. Consider taking 5,000iu D3 daily and retest in 3 months. Also take D3's important cofactors - magnesium and Vit K2-MK7.

Do you know if you have had thyroid antibodies tested, do you have autoimmune thyroid disease aka Hashi's?

[RedThaiLover in reply to SeasideSusie]

Wow!! That's probably why I feel so tired and miserable all the time!!! I was previously on 175MG daily but he upped it too 250mg!

[RedThaiLover in reply to SeasideSusie]

What are the best supplements for the vitamin d and magnesium! I.e what you said below

between 100-150nmol/L. Consider taking 5,000iu D3 daily and retest in 3 months. Also take D3's important cofactors - magnesium and Vit K2-MK7.

Thank you for the answers x makes me feel better that I am not imagining all this

[SeasideSusie Remembering in reply to RedThaiLover]

RedThaiLover

What are the best supplements for the vitamin d and magnesium!

I have always done very well with D3 softgels from Doctor's Best, they contain just 2 ingredients - D3 and extra virgin olive oil - so no unnecessary excipients. They are also very reasonably priced for such a good supplement.

There seems to be a high demand for Vit D supplements at the moment, due to it being discussed that good Vit D levels help where the virus is concerned. I have just ordered some from here:

dolphinfitness.co.uk/en/doc...

I got the large bottle while they have them in stock. This is where I get quite a few of my supplements, good prices, never had a problem. Delivery is slightly longer than usual at the moment, but I think most places are the same.

Ebay also have some ebay.co.uk/sch/i.html?_from...

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.

This is a good K2-MK7 and the one I have just bought:

amazon.co.uk/dp/B00UTDYXCY/...

Or there's this liquid (3 drops = 100mcg):

amazon.co.uk/Vitamin-K2-Liq...

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

You will have to decide yourself which form of magnesium is best for you, it's not something that I can recommend unless you need help with bowels and I take a good one for that.

[RedThaiLover in reply to SeasideSusie]

All this is great xx thank you xx

[SlowDragon Administrator]

Previous post says GP has started you on 250mcg levothyroxine.....this is far far too high a dose

Or do you mean you have been on this dose for months/years?

Are you absolutely sure that’s what’s prescribed ?

With very low vitamin levels you need to start on levothyroxine slowly (usually at 50mcg daily) and improving low vitamin levels then enables levothyroxine to slowly be increased

Bloods should be retested 6-8 weeks after each dose increase

The aim of Levothyroxine is to increase the dose slowly in 25mcg steps upwards until TSH is under 2 (many patients need TSH significantly under one) and most important is that FT4 is in top third of range and FT3 at least half way through range

NHS guidelines on Levothyroxine including that most patients eventually need somewhere between 100mcg and 200mcg Levothyroxine.

nhs.uk/medicines/levothyrox...

Also note what foods to avoid (eg recommended to avoid calcium rich foods at least four hours from taking Levo)

All four vitamins need to be regularly tested and frequently need supplementing to maintain optimal levels

Ask GP to test thyroid antibodies for autoimmune thyroid disease (Hashimoto’s)

Ferritin is extremely low and GP should do full iron panel test for anaemia

[RedThaiLover in reply to SlowDragon]

So I have been on thyroid medication for about 8 years...and its slowly being increased....I did show the form to him before lockdown....and he immediately put me on to 250mg he also gave me some iron supplements but wants a stool sample x

[SlowDragon Administrator in reply to RedThaiLover]

Ok,...so how much levothyroxine were you on when taking this test?

How much was dose increased

Bloods should be retested 6-8 weeks after any dose increase

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also EXTREMELY important to test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially if you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies

Vitamin D needs improving as detailed by Seasidesusie

You may need to get full Thyroid testing privately as NHS refuses to test TG antibodies if TPO antibodies are negative

Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .

Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Is this how you do your tests?

Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins

List of private testing options

thyroiduk.org.uk/tuk/testin...

Medichecks Thyroid plus ultra vitamin

medichecks.com/products/thy...

Medichecks currently has 25% off

Thriva Thyroid plus vitamins

thriva.co/tests/thyroid-test

Blue Horizon Thyroid Premium Gold includes vitamins

bluehorizonbloodtests.co.uk...

[RedThaiLover in reply to SlowDragon]

Thank you for all this x I have ordered the thyroid test xx

[SlowDragon Administrator in reply to RedThaiLover]

Do test early morning on Monday or Tuesday minimum of 6-8 weeks after latest dose increase in levothyroxine

Make sure to work hard on improving vitamin levels too