Help with doctor

[sweepandollie]

Just been told need another blood test because my TSH is borderline at 0.24. Doctor ringing back what should I say?

[Marz]

Borderline for what ? Were there other tests done ? FT4 & FT3 ?

[Lalatoot]

You ask what your FT4 and FT3 levels were. You are only overmedicated if these are over range. T4 and T3 are thyroid hormones.

[Lora7again]

What time of the day was the blood test? The reason I ask is when I had a blood test on the afternoon my TSH was 0.27 but when I had it first thing in the morning before eating or drinking anything it was 0.38. Also if your T4 and T3 are in range the TSH doesn't really matter and because it is a pituitary gland hormone not a thyroid gland hormone.

[sweepandollie in reply to Lora7again]

8 am before eating or drinking. They don’t do T3 and didn’t give me the T4.

[Lora7again]

I just read some of your previous posts and see you are taking Levothyroxine so your TSH will be 1 or even lower and it is the T4 and T3 that counts. How are you feeling at the moment?

[SlowDragon Administrator]

Refuse to reduce dose based on TSH alone

Essential to test TSH, Ft4 and Ft3, before considering any change in dose

Request vitamin D, folate, ferritin and B12 tested

What vitamin supplements are you currently taking

[sweepandollie in reply to SlowDragon]

I am following the D Wellness regime i.e. vitamin D3, K2, and magnesium. Also taking B12.

[SlowDragon Administrator in reply to sweepandollie]

Recommend retesting vitamins at least annually as minimum

Cheapest thyroid test is monitor my health

10% off with this code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk

[SlowDragon Administrator in reply to sweepandollie]

Just B12 won’t help low folate

To improve low folate

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-...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.

thyroidpharmacist.com/artic...

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)

igennus.com/products/super-...

Or Thorne Basic B is another option that contain folate, but is large capsule

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

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

endocrinenews.endocrine.org...

Low B12 symptoms

b12deficiency.info/signs-an...

With such low B12 result taking a B12 supplement as well as 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.

B12 sublingual lozenges

amazon.co.uk/Jarrow-Methylc...

cytoplan.co.uk/vitamins/vit...

[SlowDragon Administrator]

Ferritin 131.0 ug/L (13-150)

TSH 0.68 mlU/L (0.27-4.20)

T4 Total 91.7 nmol/L (66-181)

Free T4 16.30 pmol/L (12.0-22.0)

Free T3 3.69 pmol/L (3.1-6.8)

TPO abs 156.0 klU/L (<34)

TG abs 771 kU/L (<115)

Vit B12 229 pmol/L (145-300 insufficient)

Folate 8.29 nmol/L (8.83-60.8)

Thyroid and vitamin results from year ago

Folate and B12 extremely low

Have you been supplementing ever since?

If not, likely still extremely low

No vitamin D test

Ft3 was far too low. Only 15% through range

When adequately treated/good conversion Ft3 should be minimum 60% through range

Poor conversion of Ft4 to ft3 is common when vitamins are too low