🌈 Latest Medichecks Results 🌈

[Aslangal]

Good morning everyone 👋. Hope you are doing well.

Just had my latest private test results from Medichecks. Details in the photo (this table is my own personal way of keeping a record of my test results)

This was a full blood draw, fasting and last Levo dose not taken till after the draw. I also stopped B12 Lozenges a week prior to testing. I don’t take any biotin.

My supplements currently are:

Daily

1 x B50 Complex

Methyl B12 Lozenges

200ug Selenium

Better You VitD3 spray 3000iu

MagAbsorb Magnesium Citrate 150mg

Natural VitK2 MK-7 100 mcg

Zinc Picolinate 22mg

1 x Probiotic

Should have seen the Endo in March but not heard anything. My GP concerned about that and suggested I write to them. I did over 10 days ago and have heard nothing. Also rang the Clinic and left a message on answer machine but still nothing.

My results on 22/4 with GP were:

TSH 1.15 mIU/L (same ranges for all tests)

FT4 22.9 pmol/L (109% through range)

FT3 5.0 (51.35% through range)

21/1/20 at Endo appt, results from Dec Test

TSH 2.14 mIU/L

FT4 25.100 (same ranges 12-22) 131% through range

FT3 not tested

VIT D not retested after loading dose from December appt (my October Medichecks test showed I was very deficient in Vit D at 24.7 nmo/L so I got a private test again and my reading was 74 nmo/L)

9/12/19 at Endo appt

I used my October Medichecks results and gave Endo a copy

Looking at my latest results, it looks like my FT4 and FT3 readings have almost halved?

I know my readings indicate I have Hashimoto’s. I am shielding so not been out walking as much but feel, for the first time, I have gained an area of fat around my lower tummy! (As if things were not bad enough eh? 😂). Could be lockdown.

Appreciate any advice. 😀

Thank you in advance.

🌈

[Aslangal]

Sorry should have said: I am on 125mcg of Levo (Teva brand)

[SlowDragon Administrator]

Did you stop taking your vitamin B complex a week before blood test (it almost certainly contains biotin)

Vitamin D has dropped, so you need to increase dose ...or get out in sunshine more

Are you lactose intolerant?

Is that why you are taking Teva?

Are you on dairy free diet

And/Or strictly gluten free diet?

Results suggest you are under medicated and possibly need dose increase

[Aslangal in reply to SlowDragon]

Yep stopped taking B12 for a week prior to blood draw. No not lactose intolerant it has just always been Teva brand I get. I noticed the drop in Vit D even though I have been out in the sun a lot recently and taking the Better You spray. No not gluten free (I know it is the advice given to go GF but in lockdown (I am shielding till 4/7) it has not always been easy.

According to NICE Guidelines for my weight - I should be on 170 and not 125. GP reduced me from 150 to 125 in October as my TSH had shot up to 9.83.

[SlowDragon Administrator in reply to Aslangal]

If your TSH had gone up to 9.83 GP should have INCREASED dose by 25mcg

See different GP

Aim of levothyroxine is to increase dose up slowly in 25mcg steps until TSH is under one and Ft3 at least 50% through range and FT4 around 75% through range

[Aslangal in reply to SlowDragon]

Thanks SlowDragon ... looking at my FT4 & FT3 then - they are not optimal. Do you think I’m not converting well? 🤷‍♀️

[SlowDragon Administrator in reply to Aslangal]

First step is get levothyroxine dose higher

Plus vitamin D, folate and B12 levels need improving

Vitamin D around 80nmol and around 100nmol maybe better

Daily good quality vitamin B complex with folate in

Strictly gluten free diet often helps or is essential

Getting bloods retested in 6-8 weeks

Make sure to do blood test as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test

[Aslangal in reply to SlowDragon]

Do you think I should ask for B12 injections? Why would my Vit D be low still when I am supplementing 3000iu daily and been out in the sun the last two weeks?

[SlowDragon Administrator in reply to Aslangal]

Well your not optimally medicated and not gluten free may be making a difference too

Lots of Hashimoto’s patients need high dose vitamin D

[Aslangal in reply to SlowDragon]

Right ... no more faffing around. From tomorrow I am keeping a food diary and will go dairy & GF free for June. See if there is a difference 😉

[SlowDragon Administrator in reply to Aslangal]

Get GP to increase levothyroxine too

[Luna1390 in reply to Aslangal]

As far as your Vit D goes, if you can get some genetic testing, look for VDR-TAQ. Many people with autoimmune disease have it and are homozygous (two copies). This gene interferes with your Vit D receptors. If you have it, you may need a higher dose of D than the average person in order to get your levels up.

Here's some info on it mthfrgenehealth.com/vdr-gen...

[Aslangal in reply to Luna1390]

Thanks!

[SlowDragon Administrator in reply to Luna1390]

I just had my ancestry DNA test results evaluated by MTHFR- genetics

mthfr-genetics.co.uk

Of the 12 genetic snips linked to vitamin D production.....I had issues with 9 of them!

[SeasideSusie Remembering in reply to Aslangal]

Lynn193

Can you just clarify :

You said you don't take Biotin. You do take a B Complex and that contains Biotin.

SlowDragon asked if you stopped B Complex and you replied that you stopped B12.

Did you actually stop the B Complex for 7 days before the test?

You also said "last Levo dose not taken till after the draw". What time did you take your last dose of Levo before the blood draw?

[Aslangal in reply to SeasideSusie]

Last dose of Levo would have been 5am previous day

I didn’t take the B Complex either previous week as had run out. I take B12 Lozenges but stopped those.

[SeasideSusie Remembering in reply to Aslangal]

OK, so assuming you didn't do your test at 5am then your FT4 is probably showing lower than your normal circulating amount. If you took did your test at 9am then that would be 28 hours since last dose of Levo. Just mentioning this so that you realise your FT4 would show a bit higher if you leave the advised time gap of 24 hours.

[Aslangal in reply to SeasideSusie]

Test was at 9am

[Aslangal]

Thanks for your advice x

[Aslangal]

No worries 😉

[Aslangal]

So I am waiting to see the Endocrinologist. Do you think I am a poor converter?? Can’t believe I am nearly a year on (August annual test flagged up problems with TSH) and hundreds spent on private tests and supplements and I still am not improving. What about my B12 reading? It’s low end of range - do you think I would benefit form injections?

Vitamin D: the Endocrinologist prescribed 800iu daily after the loading dose, without rechecking my levels. I went one step further and had my levels checked and started taking 3000iu per day in the Better You spray ... so why are my levels dropping? I know with Hashimoto’s it can be common for low stomach acid and poor conversion of nutrients from food hence leading to deficiencies? Is that correct?

[SlowDragon Administrator in reply to Aslangal]

Often vitamin levels struggle if lactose or gluten intolerant