I’ve just received these results, I had a private test as my endocrinology nurse informed me that consultant would be reluctant to order tests for vitamin level. I’m awaiting a response from my GP, any input from the members would be very welcome.
hs-CRP 3.30 <5.0
Ferritin 300.0 13-150
Magnesium 0.99 0.66-0.99
Cortisol (random) 629.0 6am-10am 113-456
TSH 9.13 0.27-4.20
T4 total 108.0 66-181
Free T4 18.6 12.0-22.0
Free T3 4.24 3.1-6.8
Anti-Thyroidperoxidase abs <9.0 <34
Anti-Thyroglobulin Abs 14 <115
Vit D (25 OH). 62. 50-175
Vit B12. 614 >569 (consider lowering dose)
Serum Folate. 10.30. 8.83-60.8
I’m a 71 year old female, I had RAI in January because of a toxic nodule. Am presently on 100mcg Levo, after insisting on an increase from 75mcg.
The only vitamins taking are vit C and vit C with zinc.
Not a big meat eater nor do I drink much alcohol. I say that because some of the information I’ve come across infers that these could contribute to some of the results.
Thanks in anticipation.
Written by
Roulette26
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Your TSH is far too high and should be 1 or lower I think you need a further increase of 25mcg. You might even have to add T3 because a lot of people who have RAI or their thyroid removed need both T4 and T3.
Have a look at Elaine Moore's site she had RAI and now runs a support site. There is a lot of information on there and she has helped me a lot in the past.
Thanks for the info. Unfortunately my endo doesn’t test T3, only did that when I was hyper. I agree with you about the increase, that should be fun as I almost had to do battle with my endocrine nurse to increase to 100mcg.
Unfortunately a lot of us have to do our own private blood tests because of NHS guidelines. Could you pay for a private blood test? I use Medichecks and we get discounts through this site.
Sorry ... I haven't been paying attention. This is because I am multitasking on two sites. I only have my TSH tested if I use the NHS so I always do my own private testing which my GP won't accept because they are not the NHS labs. I did however get him to put my very high antibodies on my records because the NHS do not think they are important.
Agree with Lora7again - you need more meds. Currently you've got a bit of room in the free T4 range (currently 66% through range and free T3 is much lower at 30.8% through range (indicating you don't convert brilliantly well, so that's something to watch)
At the same time, ferritin and B12 are both over-range but folate and vit D are quite low. Hopefully SeasideSusie will pop along in a bit to say more as she is excellent on nutrient advice x
The Vit D Council recommends a level of 125nmol/L and the Vit D Society recommends a level of 100-150nmol/L.
To reach the recommended level from your current level, based on the Vit D Council's suggestions you could supplement with 3,700iu D3 daily. The nearest you can get to that is 4,000iu.
Retest after 3 months.
Once you've reached the recommended level then you'll need a maintenance dose to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:
Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3 as recommended by the Vit D Council.
D3 aids absorption of calcium from food and Vit K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking D3 as tablets/capsules/softgels, no necessity if using an oral spray.
Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.
Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds if taking magnesium as tablets/capsules, no necessity if using topical forms of magnesium.
Folate is recommended to be at least half way through range so you're looking at at least 35+ with that range. Folate rich foods will help, also a good quality, bioavailable B Complex with methylfolate rather than folic acid. You can get some B Complex supplements with a very low B12 amount in it.
Vit B12. 614 >569 (consider lowering dose)
I wouldn't worry about this, it's not really high (mine is always 850pmol/L+). 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 for your comprehensive reply, I’ve refrained from taking any supplements, apart from Vit C and zinc, because I didn’t want to “overload” if not necessary. I shall get on to this straight away.
The ferritin result is one that concerns me, I’m hoping the GP will investigate.
I’m waiting for the GP to comment. I don’t have arthritis, but there are a myriad of other reasons including haemochromatosis, being of Irish descent that’s another possibility.
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private blood test results
Latest test results
Latest test results. Blood taken at 6:00a.m. Fasting, last Levo 24 hours before sample. No supplements since the end of November.
