My private blood tests have arrived, please can I have some help? Your input would be so appreciated as I am feeling so awful with severe muscle aches etc (see last post)
Here are my results; (I am taking 100mcg Levo & have been for around 8 months)
CRP 0.47 (<5)
TSH (was in the red) 0.181 (0.27 - 4.2)
Free Thyroxine 19 (12-22)
T3 3.82 (3.1 - 6.8)
Thyroglobulin antibodies (red) 436 (<115)
Thyroid proxidase antibodies (red) 65.5 (<34)
Ferritin 75.4 (13-150)
Active b12 64.2 (37.5 - 187.5)
Vitamin d 65.1 (50-175)
I’m so glad I didn’t contact my GP as based on these results and knowing the don’t test T3, they’d probably reduce my Levo!
What can I do next to get well? I don’t currently supplement.
Also does anyone know why my TSH is so low when neither T4 or T3 too high??
Thank you x
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HashisKate
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High antibodies confirms autoimmune thyroid disease
Are you currently taking vitamin supplements
Are you on strictly gluten free diet ....if not you need coeliac blood test while still on high gluten diet
Vitamins need some improvement
Vitamin D and B12 are a bit low
Pity there’s no folate result
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
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
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
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.
Clearly FT3 is very low .....you are likely to need addition of small dose of T3 alongside levothyroxine....but getting vitamins optimal first and trialing strictly gluten free diet first recommended
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
Thanks for replying - I’m not coeliac I’ve had a blood test and an endoscopy.
I will definitely get my levels up for vitamin d using a better you spray. Do you happen to know what an ideal active b12 result would be? Something I should aim for? Should I do the vitamin b supplement alongside a b12 spray?
Reference range:>70. *Between 25-70 referred for MMA
and for Total B12 the following applies:
According to an extract from the book, "Could it be B12?" by Sally M. Pacholok:
"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".
"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."
Thank you very much. My active b12 was 65, I had my serum b12 done by the GP last year only to be told it’s fine. I don’t know what the result was but I had a b12 test via Medichecks at the same time and active b12 was 62. So I’m guessing it would have been the low side of normal.
I’ve bought the igennus b that was recommended here so fingers crossed I can get things improved! Will retest in 2-3 months
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