Got all my results- what to do next??

[yolobrass]

I now have all my results back and not sure what to do next?

2003 I had graves and then took RAI. I’ve currently been on 125mg Levothyroxine per day.

I’m 42 and I feel awful, fatigue, weight gain, moods, lack of interest, brain fog... joints aches, neck pain- few to mention. I’m sick of feeling like this.

My GP and endo won’t help and thing my levels in thyroid are normal - but that doesn’t explain how I feel. Neither will give me T3. I now feel to self mediate along with the right supplements to boast my b12 and vit D.

TSH - 0.04 miu/L (0.35-4.78

T4 -19.4 pmol/ L ( 10.0 - 20.0

T3 - 5.3 pmol/L ( 3.5 - 6.5)

Vitamin D - 60nmol/L ( 75.0-200)

B12 - 241 ngl ( 200-900)

Ferritin 91 ugl (15.0- 250)

Folate 13.5 ugl ( 2.0-17.0)

Any advice I would be grateful for my next steps!

Thank you

[SlowDragon Ambassador]

You may need to reduce levothyroxine dose slightly and add T3 alongside

But first you need to get vitamin D and B vitamins optimal

Email Dionne at Thyroid UK for list of recommend thyroid specialist endocrinologists who will prescribe T3

mailto:[e-mail]

Vitamin D

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, very likely you will 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

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...

Your B12 is very low

See GP for full testing for Pernicious Anaemia before starting on any B12 supplements

You may need B12 injections

What’s your diet like....vegetarian or vegan?