Blood test results (again)

[jaxie28]

Hello lovely people

I'd appreciate some input on my most recent Blue Horizon blood test results please:

Biochemistry

hs-CRP 1.65 (<5.0 ) mg/L

Ferritin 99.1 (13 - 150) ug/L

Magnesium 0.97 (0.7 - 1.0) mmol/L

Hormones

Cortisol (Random) 405.0 (6 - 10am 113 - 456; 4 - 8pm 58 - 278; Midnight <64) nmol/L

Thyroid function

TSH L 0.04 (0.27 - 4.20) mIU/L

T4 Total L 69.6 (66 - 181) nmol/L

Free T4 12.4 (12.0 to 22.0) pmol/L

Free T3 4.74 (3.1 - 6.8) pmol/L

Immunology

Anti-Thyroidperoxidase abs 10 (<34) kIU/L

Anti-Thyroglobulin Abs 12 (<115) kIU/L

Vitamins

Vitamin D (25 OH) 116 (50 - 175) nmol/L

Vitamin B12 819 (Deficient <145; Insufficient 145-300; Consider reducing dose >569) pmol/L

Serum Folate L 4.43 (8.83 - 60.8) nmol/L

Also my Active B12 is 150 pmol/L (37.5 - 188) according to a Thriva blood test

It has taken me a long time to get these results due to Covid-19 and I am so grateful to anyone who takes the time to reply to give me some information about what these results mean

Thanks in advance

Jacqui x

[SlowDragon Administrator]

Looking at previous posts....are you on NDT?

How much

Did you get your thyroid test as early as possible in morning before eating or drinking anything other than water and last Half or third of daily dose NDT 8-12 hours before test

Folate is obviously low

What vitamin supplements are you currently taking

[jaxie28 in reply to SlowDragon]

Yes I’m on 2 and a half grains of NDT and yes I took a third of my dose about 10 hours before test

I take Vitamin D, K, B12, Biotin, Iron, Selenium, Magnesium, Zinc

Thanks so much for your reply

[SlowDragon Administrator in reply to jaxie28]

Did you stop biotin a week before any blood tests

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...

[jaxie28 in reply to SlowDragon]

Yes I stopped Biotin a week before the test

I will start taking a B Complex supplement

Thanks for your feedback

Much appreciated x

[SlowDragon Administrator in reply to jaxie28]

You won’t need biotin as well as vitamin B complex

[jaxie28 in reply to SlowDragon]

Thank you again. Does a B Complex contain B12 please?

[SlowDragon Administrator in reply to jaxie28]

Yes, though some people still need sublingual B12 supplements as well

[jaxie28 in reply to SlowDragon]

Thanks so much x

[SlowDragon Administrator in reply to jaxie28]

Your B12 is high ...so you probably only need vitamin B complex .....not extra B12 as well

[jaxie28 in reply to SlowDragon]

Hi I wanted to ask you a follow up question please because I have stopped the Biotin and am just on B Complex now and I have noticed that I have a lot of hairs falling out so wonder if this could be because of that? I did not increase my NDT.

I have had slight hair fall before this but now it is much more obvious. If I put my hands through my hair several hairs will come out at at time.

Any information would be gratefully appreciated.

Thanks

[SlowDragon Administrator in reply to jaxie28]

So you only need to stop ALL biotin (including vitamin B complex) for a week before all blood tests

You can go back on supplements after bloods have been done

[jaxie28 in reply to SlowDragon]

Thank you SlowDragon x

[fuchsia-pink]

How do you feel? Your free T4 is really low - crawling along the bottom of the range - but your free T3 is quite a bit better at 44% through range although I'd still like it higher myself ... so overall I'd say that if you don't feel tip-top it would be worth increasing meds. I don't know why you chose NDT, but there's scope for both free T3 and free T4 to go up quite a lot without being over-medicated - so try another 1/4 grain or so? - or maybe add some levo to the mix as your free T4 is so very low?

[jaxie28 in reply to fuchsia-pink]

I feel better than I have in the past though do get headaches (less now than a month ago and probably hormone related as I’m 53 and menopausal). I do get tired in the late afternoon

I may try a quarter of a grain increase to see if that helps

Thanks so much for your feedback x

[Marz]

Getting folate into double figures could help.

[jaxie28 in reply to Marz]

Thanks so much x

[jaxie28]

Thank you Marz x