Test results

[TheOtherSpellman]

Hi all,

I got my latest test results through from Medichecks. They are as follows;

CRP HS 3.3 (<5)

Ferritin 101 (13-150)

Folate-serum 5.81 (>3.89)

Vit B12 62.2 (>37.5)

Vit D 84.5 (50-175)

TSH 3.61 (0.27-4.2)

FT3 4.38 (3.1-6.8)

FT4 15.4 (12-22)

Thyroglobulin Antibodies 162 (<115)

TPO <9 (<34)

I’m not on any medication. I feel constantly tired and have palpitations often.

[fuchsia-pink]

I'm sure you feel rubbish with these results - your free T3 and free T4 aren't even half-way through range and your TSH is over 3. In many countries, you would get treatment with these results, but the NHS is likely not to do so until your TSH is well over range - possibly as high as 10.

I would suggest you re-test regularly and as soon as your TSH is over range, ask your GP for medication. If they insist on it being even higher, there is a legitimate question as to what the point IS of having a range if going outside it is ignored.

Good luck

[SeasideSusie Remembering]

TheOtherSpellman

TSH 3.61 (0.27-4.2)

FT3 4.38 (3.1-6.8)

FT4 15.4 (12-22)

A normal healthy person would have a TSH of no more than 2 (often around 1) with Ft4 around mid-range. In some countries you would be diagnosed hypothyroid with a TSH above 3. Here in the UK we have to wait until it reaches 10. So you are on the way to hypothyroidism by the looks of it but you wont get a diagnosis from your GP.

Thyroglobulin Antibodies 162 (<115)

TPO <9 (<34)

Raised Thyroglobulin possibly Hashimoto's but can be raised due to other things. If TPO antibodies were raised then that would more likely be indicative of Hashi's, but you can have negative TPO antibodies but raised Tg antibodies and have Hashi's.

Ferritin 101 (13-150)

Ferritin result is good.

Folate-serum 5.81 (>3.89)

Folate is over the low limit but low, it would be better in double figures.

Vit B12 62.2 (>37.5)

This is Active B12 and a result 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

Do you have any signs of B12 deficiency – check here:

b12deficiency.info/signs-an...

If you do 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 signs of B12 deficiency come back and I can suggest what can be done to raise B12 and folate levels.

Vit D 84.5 (50-175)

This is on the low side. The Vit D Council recommends a level of 125nmol/L and the Vit D Society recommends a level of 100-150nmol/L.

To reach the recommended level from your current level, based on the Vit D Council's suggestions you could supplement with 2,000-3,000iu D3 daily

Retest after 3 months.

Once you've reached the 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

[TheOtherSpellman in reply to SeasideSusie]

Thank you so much - some really useful guidance. I’ll do a search for the recommended supplements.

I have a couple of symptoms of B12 deficiency but not a huge amount. My last B12 check at the drs last month apparently put me at mid-range so they’re baffled why this has now come up so low on Medichecks. They’re putting it down to anomaly I think.

[SeasideSusie Remembering in reply to TheOtherSpellman]

As far as B12 is concerned, symptoms are more important than numbers, symptoms are what doctors should be going by. I have done the active B12 test with Medichecks, as have many other members, it has always been reliable.

If you don't want to pursue further testing then I would suggest you get a good quality, bioavailable B Complex such as Thorne Basic B or Igennus Super B and take at the recommended dose.

Always leave off B Complex for 7 days before any blood tests as it contains biotin and biotin is often used in the testing procedure and this can give false results.

Don't start all supplements at once, start with one, give it a week or two then add the next one, continue like this. That way if there are any adverse reactions you will know what caused it.

As for Vit D, tablets and capsules are the least absorbable forms, have a look at D3 softgels such as Doctor's Best, and some people like an oral spray, eg BetterYou.

For Vit K2-mk7 I like Vegavero or Vitabay.

[TheOtherSpellman in reply to SeasideSusie]

I’m kicking myself.. I was on supplements that contain B12 and biotin in April when I last had my bloods done at the GP. Could that be why my levels showed as higher?

I ran out and didn’t get around to replacing so had been off them a couple of weeks by the time I had my medichecks bloods done. I feel like such a wally for not considering that before now.

Thanks so much for your insights. I’ll definitely be getting the vits you’ve recommended x

[B12jab in reply to TheOtherSpellman]

Hi,just come across your post,so familiar I too have high thyroglobulin antibodies but normal tpo and I feel dreadful! How are you? Have you had further tests any answers to the high antibodies? X

[TheOtherSpellman in reply to B12jab]

Hi B12jab,

I’ve got another blood test on Monday so will have the results end of next week.

I chased my GP for my actual serum B12 and they were 378pg/ml (197-771). It means nothing as I was on supplements containing biotin but they’re refusing to consider that so I’ve been waiting to do another medichecks test. I think it’s likely I’m deficient.

I’m feeling absolutely tired out and I’m pretty sure I’ve developed Raynauds or similar in my feet (they’re always either purple or bright red).

Sorry you’re in a similar situation. Have you managed to get anywhere with your GP?