Briefly have been treated for hypothyroidism for 25 years with various medicines. Currently on 1 naturethyroid daily. I know there have been some problems with it but I feel o.k.
I monitor with finger prick blood tests every now and then.
Recent blood results
TSH 0.09 (0.27-4.20)
T4 total 69.3 (66-181)
Free T4 13.1 (12.0-22.0)
Free T3 4.98 (3.1-6.8)
Anti-thyroidyperoxidase 39 (less than 34)
Anti-thyroglobulin 36 (less than 115)
Vitamin D 76 (50-175)
B12 388 (insufficient 145-300)
Serous Folate 9.83 (8.83-60.8)
Ferritin 180.0 (13-150)
CRP 2.18
Vitamin D is the highest it’s ever been (after a good summer with plenty of sun)
Ferritin is always high.
My ability to loose weight has always been my main problem so quite overweight at present, otherwise I am quite healthy.
Problems now are my legs don’t work properly, really ache now after a few minutes walk. Numbness in feet, really bad in left foot. Burning feet, sleep with feet hanging out of bed! I really have to concentrate to put one foot in front of the other and balance is awful.
Looking at the B12 result, is this too low?
I avoid the doctors. But do I need him to investigate these symptoms and rule out some degenerative disease or shall I try some b12 tablets or whatever. If he tests B12 will he think it’s within range and ignore it.
I don’t take any supplements at the moment although I might try D3 during the winter.
I would be grateful for any comments and suggestions.
Written by
Trish
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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
With such low B12 result taking a B12 supplement and a B Complex (to balance all the B vitamins) initially for first 2-4 months, then once your serum B12 is over 500 (or Active B12 level has reached 70), stop the B12 and just carry on with the B Complex.
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .
If/when On NDT make sure to take last third or quarter of daily dose 8-12 hours prior to test, even if this means adjusting time or splitting of dose day before test
Is this how you do your tests?
Ft3 is perhaps a little low
Retest thyroid levels in 6-8 weeks after working on improving low B12 and folate
As you have Hashimoto’s....Are you on strictly gluten free diet?
No I am not gluten free. I followed all the advice about testing. I think I would find it very difficult to be totally gluten free and considering I usually feel fine when medicated I haven’t gone down that route. Do you think it would make any difference to legs/balance problems. I did experiment with no medication and my TSH shot up so I obviously do need it.
The 145-300 is the range for insufficient. Higher than 300 is considered O.K. But 388 is quite low in that range and I know from reading posts here that anything under 500 might need supplementing.
OK thanks. It seemed different via mobile tel. and I was also unaware they provide a "range" for insufficient rather than a "below" figure. My mum's last reading was 312 ng/l with range provided of 170-730 and we have requested a retest for the reasons youve indicated.
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