Hi, I can’t get my old g.p blood results and my story is long and complicated, so I’m starting at the beginning.
CRP HS 1.75 (<5
FERRITIN 226 (13-150) I don’t supplement iron and have been vegan for six months. To consider iron profile test.
FOLATE-SERUM 10.65 ( >3.89
VITAMIN B12- ACTIVE 126 (> 37.5
VITAMIN D 71.7 ( 50-175
TSH 2.9 ( 0.27-4.2
FREE T3 3.97 ( 3.1-6.8
FREE THYROXINE 11.4 ( 12-22
THYROGLOBULIN ANTIBODIES 17.6( <115
THYROID PEROXIDE ANTIBODIES <9 ( <34
Sorry WeeN but as you haven't given any information it's hard to say anything.
Are these your most recent results?
Do you have a diagnosis of hypothyroidism and are you on Levo?
Did you take this test no later than 9am, didn't eat anything before test drinking water o my before the test?
If on Levo did you take your last dose 24 hours before test?
Do you take any supplements or other medication?
Results are from today. Not been diagnosed with hypothyroidism. Bloods taken first thing on empty stomach. Was taking a multi b vitamin, b12 and vit d3 but stopped 5 days before test.
WeeN
TSH 2.9 ( 0.27-4.2
FREE T3 3.97 ( 3.1-6.8
FREE THYROXINE 11.4 ( 12-22)
I am not medically trained, and I am not diagnosing, but what could be indicated here is Central Hypothyroidism. This is where the problem lies with the hypothalamus or the pituitary rather than a problem with the thyroid gland. With Central Hypothyroidism the TSH can be low, normal or slightly raised, and the FT4 will be low.
TSH is a pituitary hormone, the pituitary checks to see if there is enough thyroid hormone, if not it sends a message to the thyroid to produce some. That message is TSH (Thyroid Stimulating Hormone). In Primary Hypothyroidism the TSH will be high. If there is enough hormone then there's no need for the pituitary to send the message to the thyroid so TSH remains low.
However, with Central Hypothyroidism the signal isn't getting through for whatever reason. It could be due to a problem with the pituitary (Secondary Hypothyroidism) or the hypothalamus (Tertiary Hypothyroidism).
Your GP can look at BMJ Best Practice for information - here is something you can read without needing to be subscribed (you can only read the Summary but make sure you click "Read More" as well:
bestpractice.bmj.com/topics...
and another article which explains it:
ncbi.nlm.nih.gov/pmc/articl...
and another here:
endocrinologyadvisor.com/ho...
You could do some more research, print out anything that may help and show your GP.
As Central Hypothyroidism isn't as common as Primary Hypothyroidism it's likely that your GP hasn't come across it before. You may need to be referred to an endocrinologist. If so then please make absolutely sure that it is a thyroid specialist that you see. Most endos are diabetes specialists and know little about the thyroid gland (they like to think they do and very often end up making us much more unwell that we were before seeing them). You can email Dionne at
tukadmin@thyroiduk.org
for the list of thyroid friendly endos. Then ask on the forum for feedback on any that you can get to. Then if your GP refers you, make sure it is to one recommended here. It's no guarantee that they will understand Central Hypothyroidism but it's better than seeing a diabetes specialist. You could also ask on the forum if anyone has been successful in getting a diagnosis of Central Hypothyroidism, possibly in your area which you'll have to mention of course.
Thyroid antibodies are low so don't suggest autoimmune thyroid disease (Hashimoto's).
**
CRP HS 1.75 (<5
This is an inflammation marker and is relatively low so is fine.
FERRITIN 226 (13-150) I don’t supplement iron and have been vegan for six months. To consider iron profile test.
High for someone who doesn't supplement or have inflammation which would show with the CRP being over range. Not sure what constitutes high iron foods in a vegan diet but if you ate a considerable amount in the week before the test that could give a high ferritin result.
FOLATE-SERUM 10.65 ( >3.89
This is OK.
VITAMIN B12- ACTIVE 126 (> 37.5
This is a good result.
VITAMIN D 71.7 ( 50-175
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 3,000iu D3 daily
Retest after 3 months.
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:
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...
Thankyou. I will go study central thyroidism.
How long have you been vegan?
Six months.
Are you making sure to include foods with iodine in or taking any multivitamins for vegan diet
I was taking multi b complex, b12, vitamin d3 and magnesium but stopped for bloods 5 days ago My diet is plant based And fairly balanced.
SeasideSusie has advice on best iodide test
I had symptoms ( cold, fatigue, hair falling out, dry skin, diminished eye sight, pain, numbness, vertigo...) before I went vegan. In fact I was Paleo for two years. Diagnosed with fibromyalgia and chronic fatigue 18 months ago.
Genova Diagnostics do a non-loading iodine test which you can order with ThyroidUK as your "practioner".
Urine Iodine Test:
Specimen requirements: Urine
Cost:£71.00
Order Code: END25
Turnaround time: 5 -10days
Iodine is an essential trace element, vital for healthy thyroid function. Adequate levels are required to enable the production of T3 and T4 thyroid hormones, whilst also being required in other areas of health. Deficiencies can lead to impaired heat and energy production, mental function and slow metabolism. Urine iodine is one of the best measures of iodine status. This test is not performed as a loading test, but can be used to establish existing levels or to monitor iodine supplementation.
How to order: thyroiduk.org/getting-a-dia...
Hi, thanks for link. Will have to wait for now, spent everything I had on bloods. Do you think low iodine is likely when I was eating meat daily before six months ago and feeling the same ?
Do you think low iodine is likely when I was eating meat daily before six months ago and feeling the same ?
I couldn't possibly say. Iodine in our diet comes from milk, yogurt, white fish, scampi, etc, very little comes from meat.
🤦 I was eating lots of dairy and fish. Definitely something to consider thought.🤔
Reading your second post .....
20% of Hashimoto's patients never have raised antibodies
healthunlocked.com/thyroidu...
Suggest you push GP for ultrasound scan of thyroid and referral to recommended thyroid specialist endocrinologist
Email Dionne at thyroid Uk for list of recommend thyroid specialist endocrinologists
Help interpreting medicheck results 
please Help with my results-first proper full test
My medicheck results 
Help with test results please!
