Thyroid results - are these normal?

[LLr1]

I just got a thyroid and vitamin blood test done through Medichecks, after being advised to do so on this forum. I had just done a basic GP blood test (early june) and they weren't willing to search further.

I'm after some advice as to whether these are normal (the Medichecks doctor's summary says all good but I'm not sure if that's anything to go by and am aware that the TSH reading is higher in these results than in a test done last month - the results of which I posted on here and was told hypothyroid could still be possible).

The attached photos are of the Medichecks results I received today. [not included in photo of today's results is: folate-serum at 7.79 ug.L (range 3.89-19.45). And Thyroglobulin levels are at 11 kIU/L (range 0-15). And Thyroperoxidase antibodies at <9 kIU/L (range 0-34).]

Below are my tests results done through the GP earlier this month:

B12 - 272 pg/mL (197 - 771)

TSH - 1.81 (0.27 - 4.20)

Free T4 - 12.9 (12.0 - 22.0)

Liver function (serum total bilirubin) - 20 umol/L (0 - 20)

Liver function (serum albumin) - 49 g/L (34 - 50)

Any advice! After my first blood test where b12 was on the low side I assumed if no thyroid issues that I would just grab some b12 supplements and hope for the best - but here they're apparently in the good range?

Also, could anyone shine any light on why certain vitamins would be low in the first place? Assuming diet is very healthy and varied (it is). Especially vitamin D, when I've spent much time out in it in recently.

Thank you!

[SlowDragon Administrator]

Did you also have TPO and TG thyroid antibodies tested?

And ferritin?

Ft4 and Ft3 are both rather low and a TSH rather high

Vitamin D obviously too low

GP will often only prescribe to bring levels to 50nmol.

Some areas will prescribe to bring levels to 75nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

NHS Guidelines on dose vitamin D required

ouh.nhs.uk/osteoporosis/use...

But improving to around 80nmol or 100nmol by self supplementing may be better

ncbi.nlm.nih.gov/pubmed/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, you May need on going maintenance dose to keep it there.

Test twice yearly via vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function. There’s a version made that also contains vitamin K2 Mk7

It’s trial and error what dose we need, with hashimoto’s we frequently need higher dose than average

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

Also read up on importance of magnesium and vitamin K2 Mk7 supplements when taking vitamin D

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

[LLr1 in reply to SlowDragon]

Hi,

Yes sorry I added those in afterwards - Thyroglobulin levels are at 11 kIU/L (range 0-15). And Thyroperoxidase antibodies at <9 kIU/L (range 0-34).

Thank you for the info. What could these results suggest as a cause if I'm someone who eats healthy etc?

[SlowDragon Administrator in reply to LLr1]

Vitamin D deficiency is widespread in the uk

We don’t get out in sunshine enough, often plastered in suncream, washing every day

Government recommends everyone supplement October to April.Do you ALWAYS do this?

gov.uk/government/news/phe-...

Anyone with darker skin is especially at risk of low vitamin D

foodnavigator.com/Article/2...

Low vitamin D and low B vitamins may be linked as explained here

drgominak.com/sleep/vitamin...

In YouTube video when Dr Gominak talks about vitamin D levels ...vitamin D at 40ng/ml (USA units) is equal to 100nmol (UK units)

youtu.be/74F22bjBmqE(Not working as expected?)

[SlowDragon Administrator]

20% of Hashimoto's patients never have raised antibodies

So testing negative doesn’t rule Hashimoto’s out

Ask GP if it possible to have ultrasound scan of thyroid (unlikely to agree)

healthunlocked.com/thyroidu...

See you have IBS ....have you considered trying strictly gluten free diet?

[LLr1 in reply to SlowDragon]

Thanks for all of the info. I think I very likely have IBS - how would this impact my vit b12 and D levels? and how does it link to gluten.

Thank you

[SlowDragon Administrator in reply to LLr1]

poor gut function and low stomach acid can lead to low nutrients

IBS and gluten

verywellhealth.com/gluten-v...

healthline.com/health/diges...

[LLr1 in reply to SlowDragon]

thank you.

And are my current thyroid results normal? Not sure where to go from here.

Other than begin on supplements- would like to get to the root causes if there could be more than one

[SlowDragon Administrator in reply to LLr1]

Thyroid results are a bit off. Often improving vitamins improves thyroid levels

So first step is Getting vitamin levels optimal

Trialling strictly gluten free diet

Getting thyroid ultrasound (difficult if GP won’t agree)

Retesting thyroid and vitamins in say 3-6 months, making sure to do test as early as possible in morning before eating or drinking anything other than water

[LLr1 in reply to SlowDragon]

I’m definitely going to order some supplements and try the gluten free thing right away.

Do you know how long it takes for your body’s vitamin d and b12 levels to begin to rise with supplements? Want to make sure I don’t over do it especially on the vitamin D.

Regarding the ultrasound of the thyroid (if I were to manage to get it), what exactly would they be looking for? Would being hypothyroid mean something would 100% be visible on a thyroid scan?

Thanks thanks x

[SlowDragon Administrator in reply to LLr1]

Ultrasound scan can show if thyroid is small, has nodules, Hashimoto’s shows Thyroid has granulated appearance. (Should be smooth)

Vitamin D ...retest after 2-3 months. Then twice year. Trial and error what dose each person needs.

[SlowDragon Administrator in reply to LLr1]

Also remember to stop taking any supplements that contain biotin (like vitamin B complex) a week before any blood tests

[LLr1 in reply to SlowDragon]

Would you recommend low fodmap at the same time as no gluten?

I'm wondering if this would just prevent me from knowing the trigger

[SlowDragon Administrator in reply to LLr1]

Personally I would do one or the other