SlowDragonAdministrator

Please add ranges on these Ft4 and Ft3 results (figures in brackets after each result)

sueoathall in reply to SlowDragon

have added ranges. These are the same results (thyroid) that I posted 8 days ago. Thanks

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SlowDragonAdministrator

Low Folate and B12

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

Rather than just taking folic acid

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)

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.

Which B12 are you currently taking

B12 sublingual lozenges

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

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

sueoathall in reply to SlowDragon

thanks for the info. Im feeling overwhelmed with all this info to be honest. Trying to get my head round it!

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SlowDragonAdministrator in reply to sueoathall

So which B12 are you currently taking

Rather than taking folic acid (which isn’t helping improve your low folate) you may find it better to take a GOOD quality vitamin B complex instead. This contains folate instead of folic acid

Many thyroid patients can process folic acid

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sueoathall in reply to SlowDragon

Natures best . I'll order the amazon ones

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SlowDragonAdministrator

Ferritin is too low

Are you vegetarian or vegan

Never supplement iron without doing full iron panel test for anaemia first

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.

Thyroid disease is as much about optimising vitamins as thyroid hormones

restartmed.com/hypothyroidi...

Post discussing just how long it can take to raise low ferritin

healthunlocked.com/thyroidu...

Post discussing why important to do full iron panel test

healthunlocked.com/thyroidu...

sueoathall in reply to SlowDragon

thank you

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SlowDragonAdministrator in reply to sueoathall

GP very unlikely to agree to full iron panel test as Ferritin is within range

Medichecks do private test

Alternatively......at this stage .........Suggest you just concentrate on increasing iron rich foods in diet

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sueoathall in reply to SlowDragon

thank you, I've ordered a test for thyroid Inc antibodies from medichecks. Have already increased iron rich foods as you suggest. Got fobbed off yesterday re my labyrinthitis!

Not a happy bunny!

Thanks for your help x

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SlowDragonAdministrator

Most hypothyroid patients have LOW stomach acid

Omeprazole is to treat HIGH stomach acid and tends to lower vitamin levels further

Low stomach acid can be a common hypothyroid issue

Thousands of posts on here about low stomach acid

healthunlocked.com/search/p...

Web links re low stomach acid and reflux and hypothyroidism

nutritionjersey.com/high-or...

articles.mercola.com/sites/...

thyroidpharmacist.com/artic...

stopthethyroidmadness.com/s...

healthygut.com/articles/3-t...

naturalendocrinesolutions.c...

Protect your teeth if using ACV with mother

healthunlocked.com/thyroidu...

Ppi and low vitamin levels

pulsetoday.co.uk/clinical/m...

gov.uk/drug-safety-update/p...

SlowDragonAdministrator

Which vitamin D are you using

Many people find vitamin D mouth spray works well as this bypasses poor gut function

Good that you are taking magnesium and Vitamin K2 too

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

Some areas will prescribe to bring levels to 75nmol or even 80nmol

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 with Hashimoto’s, 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-...

Taking too much vitamin D is not a good idea

chriskresser.com/vitamin-d-...

sueoathall in reply to SlowDragon

thanks. Taking natures best D3

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SlowDragonAdministrator in reply to sueoathall

So that’s a tablet, must be four hours away from levothyroxine

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sueoathall in reply to SlowDragon

yes I do that

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SlowDragonAdministrator

Ft4 is 54% through range

Ft3 only 16% through range

Helpful calculator for working out percentage through range

chorobytarczycy.eu/kalkulator

So you have room for small dose increase in levothyroxine

Getting all four vitamins optimal may help improve conversion of Ft4 to Ft3

But likely to need to look at adding small doses of T3 alongside levothyroxine

Email Dionne at Thyroid UK for list of recommend thyroid specialist endocrinologists who will prescribe T3........NHS and Private

tukadmin@thyroiduk.org

The aim of levothyroxine is to increase dose upwards until Ft4 is in top third of range and Ft3 at least half way through range (regardless of how low TSH is) ...important to have optimal vitamin levels too as this helps reduce symptoms and improve how levothyroxine works

Resistant depression can be treated with T3 by psychiatrists

sueoathall

just spent £50 the other day on replenishing my supplements! Now it seems it might be a waste of money. Feeling overwhelmed and depressed as well as lousy cos of labyrinthitis. I will try to look at all these links . Thanks for your time

SlowDragonAdministrator in reply to sueoathall

Use the ones you have, then next time try different ones

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sueoathall in reply to SlowDragon

Really?

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SlowDragonAdministrator in reply to sueoathall

Yes

Look at increasing vitamin D dose a little

Carry on with B12

Increase iron rich foods in diet

Only one change necessary

Change folic acid for Igennus vitamin B complex

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sueoathall in reply to SlowDragon

Great thanks. Have just ordered that. I've ploughed through all your advice and made notes. Thank you so much for all the time you've taken to help me. Its much appreciated x

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