Can you please help with my results

[liz1946]

Tsh 1.71 range 0.27 - 4.2, free T3 3.34 range 3.1 -6.8 Free thyroxine 18.900 pmol/L range 12-22

Autoimmunity

Thyroglobulin antibodies 18.800. Range 115

Thyroid peroxidase antibodies 123 klU/L range 34

[Marz]

I see from reading your other posts that you have arthritis. Have you had your VitD tested ?

As you have Hashimotos (mentioned in your post of two years ago ! ) I wonder if you are gluten or dairy free. Not a cure for everyone but can help with lowering inflammation.

Your Folate was low in an earlier post and B12 could be better. So knowing your Ferritin and VitD results would complete the picture. All these levels - if low - can affect the conversion of the T4/Levo into the Active T3. Your conversion does look poor ...

Are you on any other medications ? Taking supplements ?

[liz1946 in reply to Marz]

Morning Marz, no I haven’t had my VitD tested for ages but I have started taking an over the counter vit d3 1,000iu a day for the past few weeks. I’m not gluten or dairy free but certain foods really do upset my tummy I thought I had Irritable bowel syndrome so I know to avoid or suffer tummy cramps and diarrhoea. I was going to get some selenium?? To try, will do anything, do you think I should do another finger prick test for Vitamins.

[SlowDragon Administrator in reply to liz1946]

If you have high antibodies this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).

Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone working

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first

Assuming test is negative you can immediately go on strictly gluten free diet

(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)

Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

drknews.com/changing-your-d...

restartmed.com/hashimotos-g...

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

ncbi.nlm.nih.gov/pubmed/296...

The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported

ncbi.nlm.nih.gov/pubmed/300...

The obtained results suggest that the gluten-free diet may bring clinical benefits to women with autoimmune thyroid disease

nuclmed.gr/wp/wp-content/up...

In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned

restartmed.com/hashimotos-g...

Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.

Obviously arthritis patients often find strictly gluten free diet helps enormously

[Marz in reply to liz1946]

Do you have your VitD result from when you were last tested ? Supplementing is according to your test result - so you may need to be taking more. Test first. Also the important co-factors VitK2 -MK7 and Magnesium are suggested when taking VitD.

VitD is fat soluble so best taken with a good fat or a gel capsule containing olive oil !

I would also test Folate - Ferritin and B12 - so yes have them all tested to see where you are.

Maybe worth keeping a food diary to see which foods upset you. I have/had Crohns and find that problems do not always show up the next day - so a diary is useful. Try giving up dairy for a week or two and see how you go. I eat goat and sheeps' yogurt and cheese and all is well.

Selenium - don't take too much and give yourself a break from time to time.

[SlowDragon Administrator]

Important to regularly retest vitamin D, folate, ferritin and B12

vitamindtest.org.uk

[SlowDragon Administrator]

Are you currently taking levothyroxine?

[Marz in reply to SlowDragon]

On Bio - 100mcg 😷

[SlowDragon Administrator]

Have you had coeliac blood test done?

Are you now on absolutely strictly gluten free diet?

[SlowDragon Administrator]

important to test vitamin levels at least Annually