I would be grateful if members could advise on ... - Thyroid UK

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I would be grateful if members could advise on my test results

Katrina999666 profile image
5 Replies

Hi everyone a very fast turn around for my results from Medi check sent off Monday results reported today. I would be really grateful for advise on the results and any known Vitamin recommendations regarding the Vitamin D which appears to be low. I have been on Levothyroxine now for 14 days after raised antibodies were detected and readings given to me over the phone by the Doctor of T4 13.5.. TSH 4.21.. Thyroid antibodies 168.7.. I don't know what the parameters were as this was given only by telephone hence I wanted to have a Thyroid and Vitamin panel done as a baseline reference now that I have started the Levothyroxine. These results were from a blood draw taken by the GP on the 4th June 2020.

If I am interpreting the results correctly looks like

High result for Iron.

Low on Vitamin D

TSH still needs to come down

I haven't taken the multi vitamins for some weeks now so not sure why my Iron count is on the high side.

Results from Medi check are as follows:

CRP HS 3.18 < (5)

FERRITIN 183 (13-150)

FOLATE-SERUM 10.69 > (3.89)

VITAMIN B12 ACTIVE 48.9 > (37.5)

VITAMIN D 39.5 (50-175)

TSH 3.1 (0.27-4.2)

FREE T3 3.97 (3.1-6.8)

FREE THYROXINE 15.7 (12-22)

THYROGLOBULIN ANTIBODIES 14.6 < (115)

THYROID PEROXIDASE 127 < (34)

Thank you for taking the time to comment

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SlowDragon profile image
SlowDragonAdministrator

So your high TPO antibodies confirms the cause of your hypothyroidism is due to autoimmune thyroid disease also called Hashimoto’s

Low vitamin levels are EXTREMELY common with hashimoto’s, especially vitamin D

ncbi.nlm.nih.gov/pubmed/286...

Vitamin D deficiency is frequent in Hashimoto's thyroiditis and treatment of patients with this condition with Vitamin D may slow down the course of development of hypothyroidism and also decrease cardiovascular risks in these patients. Vitamin D measurement and replacement may be critical in these patients.

endocrine-abstracts.org/ea/...

Evidence of a link between increased level of antithyroid antibodies in hypothyroid patients with HT and 25OHD3 deficiency may suggest that this group is particularly prone to the vitamin D deficiency and can benefit from its alignment.

Low vitamin D obviously needs improving and GP should prescribe 1600iu everyday for 6 months

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 with Hashimoto’s, 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, 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...

Ask GP to do further testing for low B12 before starting any B vitamins

Low B12 symptoms

b12deficiency.info/signs-an...

Katrina999666 profile image
Katrina999666 in reply toSlowDragon

I've started the Better you VIT D oral spray 1000 I am taking 2 puffs per day. My joints are stiff and I am suffering a degree of discomfort. I was taking multi vitamins before and the discomfort disappeared. I have stopped those since I have had my bloods taken with Medi check and from reading posts on the forum.

Is there any reason I shouldn't take any supplements for the joint pain?

Will the higher Ferratin result be causing me any problems with the Hashimoto diagnosis?

I had an ultrasound on my neck yesterday due to a soft moveable lump appearing won't find out the results of that until next week.

Is there any other vitamins or minerals I should be taking to help with my diagnosis?

Thanks for taking the time to read my post.

SlowDragon profile image
SlowDragonAdministrator in reply toKatrina999666

You don’t want multivitamins. Most contain iodine (makes Hashimoto’s worse) and iron ...your ferritin already high

High ferritin can be due to inflammation of Hashimoto’s

Vitamin D needs magnesium as cofactor

Suggest adding a magnesium supplement soon

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...

Importance of vitamin D for fighting Covid

moxafrica.org/post/the-vita...

Calm vitality magnesium powder is magnesium citrate. Cheap and easy to use.

Magnesium citrate: mild laxative, best for constipation.

Magnesium taurate: best for cardiovascular health.

Magnesium malate: best for fatigue – helps make ATP energy.

Magnesium glycinate: most bioavailable and absorbable form, non-laxative.

Magnesium chloride: for detoxing the cells and tissues, aids kidney function and can boost a sluggish metabolism.

Magnesium carbonate: good for people suffering with indigestion and acid reflux as it contains antacid properties.

Worst forms of magnesium: oxide, sulphate, glutamate and aspartate.

Bone pain can occur as you improve low vitamin D

easy-immune-health.com/pain...

Katrina999666 profile image
Katrina999666 in reply toSlowDragon

I stopped the multivitamins quite a few weeks ago.

So is the suggestion a magnesium supplement and K2 supplement?

I've already commenced the Vitamin D supplement a fortnight ago.

Thanks

SlowDragon profile image
SlowDragonAdministrator

Multivitamins are not usually recommended on here.

Better to supplement only what you need

Most multivitamins contain iodine, not recommended for Hashimoto’s patients

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.

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