Can some one help me understand my bloods i have got them retested from my last post 3 weeks ago x

[Cassie101]

Had my bloods retested from the previous picture x

[Lalatoot]

Sorry Cassie can't read a thing off that photo. Please redo or type out relevant result and ranges.

[Cassie101 in reply to Lalatoot]

Hi ya i had a blood test at the end of May witch has thyroid b12 full blood count ect on previous message but I got my vid d done and iron agian on this message xx

[SeasideSusie Remembering]

Cassie101

Agree with Lalatoot.

Even on my PC with large screen it's impossible to read your results, it doesn't help that they're sideways.

There doesn't appear to be any thyroid results, just full blood count, ferritin and Vit D.

I can see that your Ferritin is low at 24 (13-150) but I can't read your full blood count results to see if you are anaemic and there doesn't appear to be an iron panel which would tell you if you have iron deficiency.

[Cassie101 in reply to SeasideSusie]

I changed it i asked for a iron panel and this is all I got i need help x

[Cassie101 in reply to Cassie101]

They took thyroid panel last time on my previous message they wouldn't do it agian so this result and the 1 before are 3 weeks apart xx i think my body dont convert the t4 to t3 and I need t3 because levothyroxine gives me side affects so they decided to reduce me to only 25mg Every other night xx

[SlowDragon Administrator]

Your white cell count is low and neutrophil count low

This is likely because you are under medicated and on too low dose of levothyroxine

How much levothyroxine are you currently taking?

Standard starter dose of levothyroxine is 50mcg (unless over 60) and dose should be increased slowly upwards in 25mcg steps until on full replacement dose

[Cassie101 in reply to SlowDragon]

Levothyroxine doesn't agree with my i have side effects to it im trying to get t3 added but they won't give it to me... I can only tolerate 25 mg Every other night x

[SlowDragon Administrator in reply to Cassie101]

Which brand of levothyroxine are you currently taking?

Which brands have you tried

Suspect your symptoms are due to taking such ludicrously small dose, rather than the levothyroxine itself

Levothyroxine doesn’t top up your own thyroid output, it replaces it...so it’s important to start of with reasonable dose and increase dose upwards as fast as tolerated

Your Ft4 is far too low, you need to increase dose to 25mcg every day....after few weeks up to 50mcg everyday (may need to go to 25mcg and 50mcg alternate days first)

Getting bloods retested after 6-8 weeks on 50mcg levothyroxine everyday

Guidelines on full replacement dose levothyroxine is 1.6mcg per kilo of your weight. For most people that’s a minimum of 100mcg per day

It can be difficult to increase dose, if been left on too low a dose for long time. But getting steady dose increase upwards. Preferably in 25mcg steps, but sometimes 12.5mcg steps necessary

Only once levothyroxine is optimal will you know if you need T3

T3 is impossible to tolerate until all vitamins are at good levels. Frequently Hashimoto’s patients need to be absolutely strictly gluten free too BEFORE considering adding T3

Important to get all vitamins optimal

improving iron and ferritin and low B12

Vitamins are low because you are under medicated and levothyroxine dose too low

[SlowDragon Administrator]

High red cell distribution width confirms low iron levels

healthline.com/health/rdw-b...

You also need B12 and folate tested

[Cassie101 in reply to SlowDragon]

I had b12 and folate tested on my other message on my page could you take a look please x

[SlowDragon Administrator in reply to Cassie101]

Sorry , missed those

Yes B12 not low enough for GP to consider testing, but likely too low for you

Supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be beneficial.

chriskresser.com/folate-vs-...

B vitamins best taken after breakfast

Igennus Super B is good quality and cheap vitamin B complex. Contains folate. Full dose is two tablets per day. Many/most people may only need one tablet per day. Certainly only start on one per day (or even half tablet per day for first couple of weeks)

Or Thorne Basic B or jarrow B-right are other options that contain folate, but both are large capsules

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Low B12 symptoms

b12deficiency.info/signs-an...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.

thyroidpharmacist.com/artic...

[Cassie101 in reply to SlowDragon]

Thank you so mich for helping me I have tryed every levothyroxine brand and the only 1 that is ok is workark cant spell it ... over the last 4 years of having hasimotos thats the only 1 that is ok in small doses... do you think if I added t3 to 25mg of levothyroxine i would start to fell better? X

[Cassie101 in reply to Cassie101]

I was having fits when taking 50mg x

[SlowDragon Administrator in reply to Cassie101]

Email Dionne at Thyroid UK for list of recommended thyroid specialist endocrinologists

[e-mail]

Quite a few people can only take Wockhart

Have you tried taking 2 doses per day....one in morning...one at bedtime

[SlowDragon Administrator in reply to Cassie101]

Here’s some info on rare symptoms of fits on thyroxine

longdom.org/open-access/thy...

[SlowDragon Administrator in reply to Cassie101]

Are you diagnosed with any other problems

Taking any other medication?

[Cassie101 in reply to SlowDragon]

Yes I was dignosed with gerd but that's all xx

[Cassie101 in reply to Cassie101]

I jst dont no what to do anymre i have so many problems with levothyroxine x

[SlowDragon Administrator in reply to Cassie101]

Thousands of posts on here about low stomach acid and acid reflux

healthunlocked.com/search/p...

[SlowDragon Administrator in reply to Cassie101]

Have you seen an endocrinologist who is THYROID specialist

Most endocrinologists are diabetes specialists and not much more use than GP

Liquid levothyroxine is one option

Getting vitamin levels optimal should help

Strictly gluten free diet often essential

[SlowDragon Administrator in reply to Cassie101]

Gerd and low stomach acid are EXTREMELY common hypothyroid symptom

Low stomach acid is caused by being hypothyroid

Low stomach acid leads to low vitamins

They are all interconnected

healthline.com/health/gerd/...

theinvisiblehypothyroidism....