Hello! Hoping someone can help me understand high cortisol results and possible next steps, alongside thyroid results from a Blue Horizon blood test - thanks!
For context I was diagnosed with Hashimotos 5 months ago and am currently on 50 mg Levo , but feeling unwell, fatigued, joint point - so decided to do a private test to see if any other underlying issues at hand:
Cortisol hormone (blood test)
562 at 8 am (Range for 6am - 10 am 113-456)
- 24 hour saliva test recommended
Magnesium 1.09
(Range 0.7-1.0)
Vitamin D 59
(Range 50-175)
Serum folate 16.6
(Range 8.83- 60.8)
antibody TPO - 309
( range < 34)
TSH 3.91 - on 50mg Levo
(Range 0.27-4.20)
Hoping to increase to 75 in new year but need to get blood test with GP before this
T4 and T3 in middle of UK normal ranges, as was B12 results so seemed ok.
Thanks
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Mfjames
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This confirms autoimmune thyroid disease aka Hashimoto’s
Hashimoto's frequently affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function 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.
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