TEST RESULTS: Hi - you’ve all been very helpful... - Thyroid UK

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TEST RESULTS

Luckylady2 profile image
9 Replies

Hi - you’ve all been very helpful so far and I wonder if anyone can shed a bit more light on these results I had done with Thriva recently - next set due September. It was supposed to be a more in depth thyroid profile but I realise from this site it’s really quite basic! However the results all came back as normal they are:

TPOAb - unable to be completed (!)

Throxine T4 - 111 nmol - normal

FT4 - 16.1 pmol - optimal

FT3 - 4.6 pmol - optimal

TSH - 0.62 mlu - normal

TgAB - 26.2 ku - normal

My CRP level has been increasing slowly suggesting inflammation somewhere? It was 4.8 mg it was a high sensitivity test. So I’m wondering what this is ?

My cholesterol levels were high in January at 6.86 and I’ve managed to get them down to 5.2 with Benecol and being more careful Triglycerides are still a bit high.

My transferrin saturation levels were low at 18% suggesting anaemia but other bloods for were normal just this one was a normal.

I’m looking to see an Endo privately and am going to get more in depth bloods done as per advice on here before I go. But just wondered what interpretations people can draw from these results? I’m feeling anxious a LOT and have low mood and feel down depressed a lot lately very up and down. Puffy under eyes, puffy ankles, palpitations every now and then. Also probably peri-menopausal now although menstrual cycle still normal. Would be grateful for any advice. Thank you so much 😊

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SlowDragon profile image
SlowDragonAdministrator

Essential to regularly retest vitamin D, folate, ferritin and B12

When were these last tested

What vitamin supplements are you currently taking

Are you on strictly gluten free diet

Ft4 shows room for dose increase in levothyroxine

Ft3 is rather low

Come back with new post once you get vitamin results

Luckylady2 profile image
Luckylady2 in reply to SlowDragon

Thank you for replying 😊These were done in June - they did test vitamin D which was 72 nmol (classes as sufficient by them) despite taking a vit D3 supplement of 4000 iu twice daily and vit k and super B complex. I take selenium every other day. I am now looking into getting a new set of tests done before I see an Endo

SlowDragon profile image
SlowDragonAdministrator in reply to Luckylady2

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...

You need ferritin tested

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.

Lactose intolerance is also very common with Hashimoto's. Some people cut out both lactose and gluten all at once...

Others cut gluten...then maybe try lactose or dairy free in few months time

ncbi.nlm.nih.gov/pubmed/240...

Lactose intolerance was diagnosed in 75.9 % of the patients with HT

read.qxmd.com/read/24796930...

These findings show that lactose intolerance significantly increased the need for oral T4 in hypothyroid patients.

Luckylady2 profile image
Luckylady2 in reply to SlowDragon

Wow - thank you. So much to take in and learn and so much I wasn’t aware of. Really appreciate you taking the time. Thank you

Luckylady2 profile image
Luckylady2 in reply to SlowDragon

PS. They did test ferritin - result was 28 ug - classed as normal.

SlowDragon profile image
SlowDragonAdministrator in reply to Luckylady2

Ferritin only classed as “normal “ as it’s within range, but right at bottom of range.....so it’s far from OPTIMAL

Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption

Iron and ferritin are complex. Don’t supplement iron based only on low ferritin result. You need full iron panel test for anaemia

Can have low ferritin and good iron levels

dailyiron.net

Links about iron and ferritin

irondisorders.org/Websites/...

drhedberg.com/ferritin-hypo...

This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.

restartmed.com/hypothyroidi...

healthunlocked.com/thyroidu...

Thyroid disease is as much about optimising vitamins as thyroid hormones

High cholesterol levels may be linked to being under treated for your hypothyroidism

nhs.uk/conditions/statins/c...

If you have an underactive thyroid (hypothyroidism), treatment may be delayed until this problem is treated. This is because having an underactive thyroid can lead to an increased cholesterol level, and treating hypothyroidism may cause your cholesterol level to decrease, without the need for statins. Statins are also more likely to cause muscle damage in people with an underactive thyroid.

Luckylady2 profile image
Luckylady2 in reply to SlowDragon

Thank you

Luckylady2 profile image
Luckylady2 in reply to SlowDragon

Sorry forgot also - not on gluten free as yet but it was mentioned about lactose intolerance showing on one set of tests a long time ago and that I didn’t need to do anything about it! Stupidly I listened and am now wondering about this. I have recently started taking lactojoy tablets - to see if these help? Do I need a test for gluten sensitivity?

Luckylady2 profile image
Luckylady2

Forgot to mention GP did mention at last blood test by them that B12 level was high he said to keep supplementing which I am of course

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