Hi everyone, I posted here last year when I originally got my thyroid checked after experiencing hypothyroid symptoms. I hope maybe I can get some advice after getting my levels rechecked again.
Here are my results below. The top ones are 2020 and bottom is last year's results -
Thyroid Peroxidase Antibodies X 88.8 kIU/L (Range: < 34)
So I have the antibodies that point to hashimotos I believe, and they have grown. From my levels I believe I won't get treatment from my GP?
I've been severely fatigued, depressed, cold all the time, experiencing muscle fatigue at nothing. I've also had 3 very early miscarriages in a year, wondering if this is linked.
Any advice very much welcome.
Thank you 😊
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Yes high antibodies confirms autoimmune thyroid disease also called Hashimoto’s
Also EXTREMELY important to test vitamin D, folate, ferritin and B12
Low vitamin levels are extremely common with Hashimoto’s
Ask GP to test vitamin levels or test privately
Low vitamin levels tend to lower TSH
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 .
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Is this how you do your tests?
Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins
Likely to need at least B12 supplements, very likely B12 injections
If you start B12 injections via GP it’s recommended also to supplement 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 between injections too
If GP only prescribes B12 supplements, then still recommended to take vitamin B complex too
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.
There is a high (approx 40%) prevalence of B12 deficiency in hypothyroid patients. Traditional symptoms are not a good guide to determining presence of B12 deficiency. Screening for vitamin B12 levels should be undertaken in all hypothyroid patients, irrespective of their thyroid antibody status. Replacement of B12 leads to improvement in symptoms
Thanks so much for your help. I'm going to work on getting my vitamin levels up and may try cutting out gluten too. Ferritin was actually ok last time I had it tested.
Poor gut function with Hashimoto’s 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.
Thanks for all the information. Do you think my GP is likely to pay any attention if I approach her with my results? Last time we spoke she just said that some people have antibodies but it doesn't mean anything.
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Help me interpret results?
Medichecks thyroid results
Update to Previous Thread with Results
Recent Test Results Advice Please 
Can anyone help me interpret my results so I can articulate myself better with my GP?
