Blood results

[Dippybird2]

Hi everyone,

So a few weeks ago I posted my latest TSH, T3 and T4 results and advised I’m a poor converter and advised to take T3 and test vitamins. Luckily my doctor agreed to test Folate, B12, D and Ferritin. They came back all satisfactory according to their ranges. These are the results and would welcome any advice on them as I have a phone appointment tomorrow with GP.

Folate

5.61 ug/l (>5.38)

B12

508.0 ng/l (211.0-911.0)

25OH Vitamin D(GP only)

68.8 nmol/1

Don’t know why it had (GP only)

Ferritin

62.4 ug/l (10.00-291.00)

He also did a full blood count which all came back well within ranges so won’t post them except for this one which I have no idea what it is.

Eosinophil count 0.83 (0.02-0.5)

So whatever that is looks like it’s over range.

Anyway any advice would be appreciated as I doubt my gp will suggest anything as all apparently satisfactory although he did say once results come back and discussed he would write to an Endo for advise.

Aside from my Levothyroxine (150mg)

I also take Bendrofumethiaze (a water table re blood pressure)

Adcal-D3 which I was told is not good as Plain vitamin D is better so I will be changing this.

Those are all prescribed.

I also take myself

Selenium

Vitamin c

Turmeric

Garlic

Evening Primrose oil.

I would love some advise on anything else I could take that might help. Thanking you in advance.

[SlowDragon Administrator]

Folate 5.61 ug/l (>5.38)

B12 508.0 ng/l (211.0-911.0)

25OH Vitamin D(GP only) 68.8 nmol/1

Ferritin 62.4 ug/l (10.00-291.00)

Folate only just above bottom of range, others are slightly too low

Only add one supplement at a time and wait at least 2 weeks to assess any changes before adding another

Retesting thyroid levels 6-8 weeks after adding last new supplement

Vitamin D

GP will often only prescribe to bring levels to 50nmol.

Some areas will prescribe to bring levels to 75nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

NHS Guidelines on dose vitamin D required

ouh.nhs.uk/osteoporosis/use...

But improving to around 80nmol or 100nmol by self supplementing may be better

ncbi.nlm.nih.gov/pubmed/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Test twice yearly via vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function. There’s a version made that also contains vitamin K2 Mk7

It’s trial and error what dose we need, with hashimoto’s we frequently need higher dose than average

Calculator for working out dose you may need to bring level to 40ng/ml = 100nmol

grassrootshealth.net/projec...

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

With your Vit D, are you also taking it's important cofactors - magnesium and Vit K2-MK7?

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

Low folate and average B12

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid) may be beneficial.

This can help keep all B vitamins in balance and will help improve B12 levels too

Difference between folate and folic acid

chriskresser.com/folate-vs-...

B vitamins best taken after breakfast

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

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Borderline ferritin

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

List of iron rich foods

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.