In my last post about my results, after abstaining from ALL supplements for about eight days, including metavive and adrenavive (whole bovine/porcine gland and whole adrenal gland respectively) I had blood tests and reported the following:
Ft3 4.6 pmol/L (3.5 - 6.5)
TSH mU/L< 0.03 (0.35 - 5.5)
Ft4 13.1 pmol/L (10.5 -21.0)
Ferritin 79.0 ug/L (10.0 - 291.0)
B12 482.0 ng/L (211.0 - 911.0)
D3 114 nmol (30.0 - 50.0)
Folate 17.44 ug/L (> 5.38)
Rightly, you pointed out that this wasn’t enough time (endo agreed) and suggested it be a month. This I did and below are the results from the tests on 16/08/20
What I was trying to establish is what exactly my hormones are doing without any assistance whatsoever. You’ll see that one of the liver enzymes is abnormal and that serum cortisol taken at 9.05am is very high (is there an association between high cortisol and that particular liver enzyme and did I read somewhere about liver disease in thyroid patients?)
I should add, I have a saliva cortisol (CAR) test in a box waiting to be done on Monday because I know it’s important to see what the adrenals are doing over the course of a whole day. The test involves saliva taken immediately upon waking, then 30 mins later and then 60 mins later. Altogether, it’s six saliva samples. This, I’ll present to the endo to compare to the serum 9am cortisol she had me do
What I’d like advice on please, is, we know I have Hashi’s and now we know my natural state without assistance from supplements. So, going forward I’m open to suggestions as to what I need to be taking and dosages. Obviously my aim is to become optimal and what that would mean to me is:
Ditching my insomnia
Ditching the weight
Regaining my zest for life
Feeling well in general
Now, whether this means continuing with metavive or switching to NDT or conventional pharmaceuticals, I’d love to hear what you have to say, (telling me why, is always helpful too) including your advice on nutritional supplements
The following are results from a year ago when I was in the thick of taking nutritional and thyroid supplements:
Ft3 3.8 pmol/L (3.5 - 6.5)
TSH 4.95 mU/L (0.27 - 4.2)
Ft4 10.2 pmol/L (12 - 22)
And the following are my results from Tuesday. You’ll see my TP0ab is very high. Well, high for me as it’s usually between 43 and 168. Does this mean that at this precise time, my thyroid is under attack? You will also see that the lab reference ranges have changed. One is Lister refereced and the other Addembrookes
I hope this post isn’t too muddled but if so, please do ask me questions for clarification. The following was copied and pasted:
Serum thyroid peroxidase antibody concentration 267 iu/ml [0.0 - 60.0]
Serum free triiodothyronine level 4.4 pmol/L [3.5 - 6.5]
Serum gamma-glutamyl transferase level 109 u/L [0.0 - 37.0]
Serum albumin level 41 g/L [35.0 - 50.0]
Serum total bilirubin level 9 umol/L [0.0 - 20.0]
Serum alkaline phosphatase level 70 U/L [30.0 - 130.0]
Serum alanine aminotransferase level 46 U/L [10.0 - 49.0]
Serum TSH level 8.09 mU/L [0.35 - 5.5]
Serum free T4 level 9.4 pmol/L [10.5 - 21.0]
A 09:00 am cortisol of >374nmol/L excludes adrenal insufficiency providing the patient has not had recent exposure to exogenous oral steroid or oral oestrogen (OCP, HRT).
Serum cortisol level 659 nmol/L
Above high reference