Hi... are the following results ok? (Not on any Medication)
TSH - 2.31 mIU/l (range 0.7-4.2)
FT3 - 5.8 pmol/l (range 3.1-6.8)
FT4 - 13.4 pmol/l (12-24)
Antibodies - 12.3 kIU/l (range under 35)
Hi... are the following results ok? (Not on any Medication)
TSH - 2.31 mIU/l (range 0.7-4.2)
FT3 - 5.8 pmol/l (range 3.1-6.8)
FT4 - 13.4 pmol/l (12-24)
Antibodies - 12.3 kIU/l (range under 35)
Do you experience any symptoms?
A few symptoms but not sure if they’re thyroid related to be honest. Fatigue, headaches, floaters and blurred vision (been to opticians and doctors), dizziness sometimes. My vitamin d and folate is low so wondering if it’s that but just wanted to check whether my thyroid was fine
Juju3219
A normal healthy person would usually have a TSH no higher than 2, often around 1, with FT4 around mid-range-ish. However, that is a generalisation and none of us know what our "normal" is in health because we are never tested for a baseline.
It would be worth you doing a vitamin panel to include Vit D, B12, Folate and Ferritin as low levels or deficiencies can have symptoms whi h overlap with symptoms of hypothyroidism. Fatigue can be low Ferritin, dizziness can be low B12 for example.
How recent were your Vit D and Folate checked, what were the results/reference ranges/units of measurement? Are you supplementing?
I had them tested this week along side my thyroid from Thriva. My results were
Ferritin - 45 ug/l
Active B12 - 91 pmol/l
Folate - 6 nmol/l
Vitamin D - 39 nmol/l
I wonder if my thyroid results are telling me I’m on my way to having hyperthyroidism?
Juju3219
I wonder if my thyroid results are telling me I’m on my way to having hyperthyroidism?
No. If that were the case your TSH would very low, below range, and your FT4 would be high, over range.
Your Active B12 is pretty good.
Folate, Vit D and Ferritin are low, what are your plans for improving them?
Apologises I meant hypothyroid!!
I’m not sure to be honest. Need to wrap my head around it all! Don’t want to do anything wrong and make myself feel worse.
My diet isn’t good and I have stomach issues but I’m breastfeeding still so I think that’s probably contributed towards it
Juju3219
You can improve your Folate level by eating Folate rich foods and supplementing with a good quality bioavailable B Complex such as Thorne Basic B or Igennus Super B. Remember to leave off B Complex for 7 days before any blood test due to it containing Biotin, this is because if Biotin is used in the testing procedure (which most labs do) then it can give false results. Take B Complex 2 hours away from thyroid meds and no later than lunchtime.
Ferritin can be improved by eating iron rich foods, in particular liver (maximum 200g per week due to its high Vit A content), or liver pate, black pudding, etc. Taking iron tablets is not recommended unless you have an iron panel to see if you are iron deficient and a full blood count to see if you are anaemic and then your GP should prescribe and monitor you regularly.
Vit D is recommended to be 100-150nmol according to the Vit D Society and Grassroots Health. To achieve this you could take 5000iu D3 daily for 3 months then retest. Once you've reached the recommended level you will need to find your maintenance dose by trial and error then test twice a year to ensure that you stay within the recommended range.
There are important cofactors needed when taking D3 - Vit K2-mk7 and magnesium.
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 tissue where it can be deposited and cause problems.
Magnesium helps the body convert D3 into it's usable form.
Vit D and magnesium should be taken 4 hours away from thyroid meds.
Vit D and K2-mk7 are both fat soluble and need to be taken with dietary fat at different times of the day unless both supplements are oil based.
Your thyroid results do suggest the possibility of future hypothyroidism. I would retest in 3 months to see if your TSH has risen and your FT4 fallen.
When doing thyroid tests we advise:
* Test no later than 9am. This is because TSH is highest early morning and lowers throughout the day. You need the highest possible TSH for a diagnosis.
* Nothing to eat or drink except water before the test. This is because eating can lower TSH and coffee affects TSH (as can other caffeine containing drinks).
As you had Thriva test, presumably you also had thyroglobulin antibodies tested?
Low vitamin D obviously needs improving and GP should prescribe 1600iu everyday for 6 months
NHS Guidelines on dose vitamin D required
ouh.nhs.uk/osteoporosis/use...
Vitamin D
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...
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
amazon.co.uk/BetterYou-Dlux...
It’s trial and error what dose we need,
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-...
Web links about taking important cofactors - magnesium and Vit K2-MK7
Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine
betterbones.com/bone-nutrit...
medicalnewstoday.com/articl...
livescience.com/61866-magne...
sciencedaily.com/releases/2...
Vitamin K2 mk7
betterbones.com/bone-nutrit...
healthline.com/nutrition/vi...
Presumably health visitor has explained about vitamin drops for breastfed babies
That’s great thank you so much!