Hi everyone sooo iv just had my NHS blood results back and I'm a little bit confused to the readings😕 they are as follows
TSH 0.04 (0.3-4.2)
Ft4 13.2 (9-19)
Tpo 634 (<60)
Vit D 57 (50-250)
Foltate 5 (3-20)
Ferritin 117 (20-300)
B12 364 (180-900)
Iv also had a full bloods done as well that comes back everytime with a abnormal neutrophil count 1.7 (2-7).
So my biggest confusion is my tsh/ ft4 on my previous bloods I was 0.5 tsh 17.3 ft4 but still showing worsening symptoms so she suggested a slight rise in thyroxine, now it's pushed my tsh very low but my ft4 has dropped aswel? Iv been seen an endo she's under the impression I'm not hashi and the tpo is normal, also has anyone else had any experience with Vit levels being what they are above is it the norm should I begin suplimenting? I'm waiting for an abointment at my local hospital to get a medicheck blood draw done, for my FT3 Etc I was due then covid hit so all got stoped.
I'd be grateful to see what everyone else thinks of these results? The gp will call me in a few days but Im sure they'll see no problem, and my endo just recommended I do yoga to get my symptoms better 😡
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gangymy
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Often when medics see below range TSH they automatically reduce dose.
As others have said fT3 is the active hormone. If you are not converting & as some vitamins are not optimal that’s possible you will feel hypo symptoms.
Your 42% through FT4 range and often higher (top third) is recommended.
Useful calculator often shown on here to calculate where you are in range
I’m not impressed by your Endo. You absolutely do have Hashimoto’s (autoimmune thyroid disease) with antibodies that level. And yoga is no substitute for being prescribed a decent amount of thyroid hormone replacement. Imagine an endocrinologist telling a type 1 diabetic that they don’t need insulin, they just need to do more yoga...
TSH is far less relevant now that you’re on 150mcg levothyroxine but what you do need to know at this point is what your FT3 is doing. Sadly, it seems like your Endo isn’t one who’s going to know how important it is.
How are you feeling? Do you feel like you might need a raise in dose?
Have you tried the Medichecks fingerprick blood tests? They’re just as good as having blood taken from your arm.
Re vitamins, your B12 is a little on the low side—generally it’s better for it to be over 500. And your folate levels are very low. Would be worth getting a good B complex supplement (one which contains methylcobalamin and methylfolate) as the B Vits work best in combination.
Out of range anti-TPO levels mean Hashimoto´s, period. How can your endo say your levels are normal when they are ten times the upper normal limit?! Your endo does not seem to know what she is talking about!!!
As others have pointed out, if still symptomatic, you need to have FT3 tested to know how well you are converting T4 to T3 (the most important thyroid hormone).
Absolutely agree with Jazzw . Can you do a basic TSH/ free T4/ free T3 finger-prick test? - you have the other results you need. Your free T4 is only 43% through range, so I'd be surprised if free T is adequate. Your vit D is very much too low - as Lora7again says (should prob also add magnesium to the vit D spray) and folate could use a bit of a boost.
I'm guessing you don't feel great so the real issue is whether you need more levo, to bring free T4 up to the top third of range, or keep levo as it is and add lio, if conversion is poor. Either way, I'd say you need to be increasing meds ...
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.
Hashimoto's frequently affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
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.
Come back with new post once you get full thyroid results
Then retested again after added all vitamins and 3 months on strictly gluten free diet diet
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 .
Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
I agree, Good quality Dark Chocolate is my favourite health food,. Magnesium, Iron (non-heme source so eat an orange [vit C] with it to maximise absorption) ,Vit B12 , Vit K, copper, potassium, phosphorous, Zinc , Selenium, and Manganese are all included for free.
fortunately for me i've always preferred it to milk chocolate.
Wow Thanks everyone il have a chat with my GP again see if I can see another endo as well, il look to get some extra vitamin supplements as well thanks everyone for the awesome information and tips
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