Please help me figure my new results out. - Thyroid UK

Thyroid UK

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Please help me figure my new results out.

Susiegood profile image
7 Replies

Hi everyone, I hope you are all doing as well as can be expected under the current circumstances.

I used to feel fine on my 60 mg of Armour Thyroid (NDT), but these last few weeks I have been feeling pretty awful and exhausted a lot, no energy, can't be bothered with my work. My iron is very low, (I'm not eating anything like as much red meat as I used to and my multi vitamin has only 5.4 mg of brown rice iron) so I figure that is the cause of the low energy, exhaustion etc. Any recommendations for an iron supplement, (feel free to message me) or should I just let the Dr. prescribe some?

Here are my new test results. It does seem that I might need an increase in NDT, or should I bring my iron and B12 back up first and see how I feel after that?

Thank you for any help!

Nov 2019

TSH – 1.677 – Range 0.358 – 3.740

FT4 - 0.69 – Range .76 – 1.46

FT3 - 3.4 - Range 1.5 - 3.5

July 2020

TSH - 3.01 - Range .40 - 4.50

FT4 - 0.76 - Range .80 - 1.80

No FT3 - somehow got missed from the RX

FTI - 1.73 - Range 1.01 - 4.03

Oct 2020

TSH -1.95 - Range .40 - 4.50

FT4 - 0.74 - Range .80 - 1.80

FT3 - 2.26 - Range 2.30 - 4.20

No FTI test

July 2020

Anti Thyroglobulin AB - 7.27 - Range 0.00 - 4.11

TPO - 28.9 - Range 0.00 - 5.6

Oct 2020

Anti Thyroglobulin AB - 8.81 - Range 0.00 - 4.11

Anti Microsomal AB - 32.65 - Range 0.00 - 5.61

July 2020

Folate - GR Than 24.8 - Range 5.9 - 24.8

Oct 2020

Folate - 21.3 - Range 5.9 - 24.8

July 2020

Ferritin - 236.8 - Range 11.0 - 306.8

Oct 2020

Total Iron - 49.0 - Range 60.0 - 150.0

July 2020

B12 - 474.0 - Range 180 - 914

Oct 2020

B12 - 278 - Range 180 - 914

July 2020

D - 49.8 (US)

Oct 2020

D – 57 (US)

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Susiegood
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SlowDragon profile image
SlowDragonAdministrator

Multivitamins are never recommended on here

Too little of what we do need, frequently stuff we don’t want ...like iodine

Better to test and only supplement what’s needed

Vitamin D is fine

B12 dropped a lot

Folate looks ok

Ferritin and Iron Test difficult to compare

High thyroid antibodies confirms autoimmune thyroid disease

Are you on strictly gluten free diet

Susiegood profile image
Susiegood in reply to SlowDragon

Thank you for responding. I mostly avoid gluten. It only bothers my stomach in a few foods so I avoid them and others don't give me any trouble.

When you say to test for vitamins, do you mean to test for every individual vitamin? I'm not sure I could get that done and what about all the minerals etc? I did get zinc tested last year and it was fine. I'll probably have to get ferritin done again since it wasn't done this time. I did ask for it, but I am dealing with a foreign language, so things sometimes get missed.

Yes, I do have Hashi's, however my antibodies have come down a lot over the last year.

SlowDragon profile image
SlowDragonAdministrator in reply to Susiegood

Links about why if gluten is an issue it’s important to be strictly gluten free

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

drknews.com/changing-your-d...

restartmed.com/hashimotos-g...

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

ncbi.nlm.nih.gov/pubmed/296...

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

ncbi.nlm.nih.gov/pubmed/300...

The obtained results suggest that the gluten-free diet may bring clinical benefits to women with autoimmune thyroid disease

nuclmed.gr/wp/wp-content/up...

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

restartmed.com/hashimotos-g...

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.

SlowDragon profile image
SlowDragonAdministrator in reply to Susiegood

No only necessary to test vitamin D, folate, ferritin and B12

Some people do test zinc, selenium

Susieg1 profile image
Susieg1 in reply to SlowDragon

How do we therefore make sure we are getting enough of all the other nutrients necessary if we don't take a multi?

I am on a very low gluten diet now.

SlowDragon profile image
SlowDragonAdministrator in reply to Susieg1

By eating a nutrient dense and varied diet?

Susieg1 profile image
Susieg1 in reply to SlowDragon

I do, but since soils are depleted nowadays it is hard to know we are getting everything we need.

I eat organic as much as I possibly can, but living in Puerto Rico, it is not always easy. I can rarely get grass fed meat, but the local meat is supposed to be good. No guarantees on the packaging though.

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