I have Hashimotos and thyroid levels are stable and good. Take Levothyroxine, Atorvostatin, Vitamin D, Selenium, Omega 3, Magnesium, Boron, K2 and probiotic.
Pre diabetic level 44.3. Range <42mmol, Was on Folic acid and iron but now levels are fine.
So due to above symptoms mainly but also muscle / joint pain Endo suggested doing Coeliac antibody test, nerve conduction study, a.m. cortisol and a trial of trans dermal oestrogen.
So.. my Nan and twin sister has had breast cancer so no oestrogen for me. Go said do other tests before nerve conduction tests.
Here are results
Cortisol ref range 133-537 nmol/L Mine 626
Coeliac test range 0.00-4.90kU/L Mine 0.5
B12 range 197.00-771.00ng/L Mine 849
Photo with full blood count also.
Previous eGFRcreatinine (CKD-EPI) range 90-120mL Mine 79.6 GP said at this level ok though
GP has booked to appointment to speak about results but not till 18th so any information you can give me would be great.
Thanks Lesley
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Fluffyone
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Food will not affect your cholesterol levels. Cholesterol is made in the liver and needed to produce hormones. The brain is made up of lots of cholesterol too. How is your T3 level ?
For full Thyroid evaluation you need TSH, FT4 and FT3 tested.
Also EXTREMELY important to REGULARLY test vitamin D, folate, ferritin and B12
Many Hashimoto’s patients need to supplement continuously to maintain OPTIMAL vitamin levels
How much vitamin D are you currently taking
When were levels last tested
High B12 without supplementing can be misleading.....
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .
Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Is this how you do your tests?
Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins
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
Your coeliac test was negative so can immediately try strictly gluten free diet
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
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.
Do you always get bloods tested as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test
If you have an underactive thyroid (hypothyroidism), treatment may be delayed until this problem is treated. This is because having an underactive thyroid can lead to an increased cholesterol level, and treating hypothyroidism may cause your cholesterol level to decrease, without the need for statins. Statins are also more likely to cause muscle damage in people with an underactive thyroid.
High cortisol common when under medicated as adrenals try to compensate for lack of thyroid hormones
Taking statins is a very bad idea. Your cholesterol level has nothing to do with what you eat, but everything to do with your FT3 level. And, your cholesterol level is saying that your FT3 level is too low for you! Whatever any endo might think!
As Marz says, cholesterol is made in the liver, and the liver adjusts the amount it makes to tie in with what you eat, so that the level is always constant. But, when T3 is low, the body cannot process and eliminate cholesterol correctly, and it tends to build up in the blood. Statins are not, and never have been, recommended for hypos, and it has been well established that they do nothing for women. So, assuming that you are a hypo woman, your doctor should never have prescribed them!
Also, quite apart from that, even if they did lower your cholesterol, there's no point. Cholesterol is a red herring. It does not cause heart attacks or strokes - being hypo and taking statins is far more likely to cause those! Cholesterol does you no harm, no matter what its level. So, no point in risking all the side-effects of statins - low sex hormones, muscle aches, diabetes, higher risk of breast cancer - to try and lower it. It's even said that those with higher levels of cholesterol live longer!
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