Help please. Reading a blood test!

[Haze1975]

Endo is also on the phone on Monday for yearly review. As had thyroid cancer. And now taking vitamin D as well now.

alanine aminotransferase level (XaLJx) 12 iu/L [10 - 35]

alkaline phosphatase level (XE2px) 113 iu/L [40 - 150]

total protein level (XE2e9) 82 g/L [64 - 83] albumin level (XE2eA) 41 g/L [35 - 50]. creatinine level (XE2q5) 55 umol/L [50 - 98] GFR calculated abbreviated MDRD (XaK8y) potassium level (XE2pz) 4.1 mmol/L [3.5 - 5.1] urea level (XM0lt) 3.1 mmol/L [2.5 - 6.7] (XE2q0) 139 mmol/L [136 - 145] Serum lipid levels (XE2q7]. cholesterol level (XE2eD) 5.4 mmol/L bilirubin level (44E..) 6 umol/L [0 - 21] globulin level (XE2eB) 41 g/L [20 - 39] triglyceride levels (XE2q9) 2.1 mmol/L [< 10] Urea and electrolytes (X77Wi) HDL cholesterol level (44P5.) 1 mmol/L LDL cholesterol level (44P6.) 3.4 mmol

TSH(XaELV) 0.07 miu/L [0.35 - 4.94] calcium level (XE2q3) 2.24 mmol/L [2.1 - 2.55] free T4 level (XaERr) 17.2 pmol/L [9.01 - 19.05] inorganic phosphate level (XE2q4) 1.2 mmol/L [0.8 - 1.5]

Thank

[Haze1975]

I’m on 150 levothyroxine. And some times feel really I’ll. very cold at night time when I’d come in after work. Takes me a long time to warm up.

Bloods

[penny]

Perhaps if you separated them out, one result to a line, they would be easier to read.

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[SlowDragon Administrator]

Vitamin D is deficient

GP should prescribe 300,000iu vitamin D in total over 6-8 weeks

NHS Guidelines on dose vitamin D required

ouh.nhs.uk/osteoporosis/use...

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...

But on levothyroxine 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

amazon.co.uk/BetterYou-Dlux...

It’s trial and error what dose we need, on levothyroxine 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-...

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...

2 good videos on magnesium

healthunlocked.com/thyroidu...

[SlowDragon Administrator]

There’s no B12, folate or ferritin test results

Request that these are tested as per NHS guidelines

Also absolutely essential to test TSH, Ft4 and Ft3 together

All thyroid tests should be done as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test.

High cholesterol suggests you have poor conversion of levothyroxine (Ft4 ) to active hormone (Ft3)

That’s hardly surprising looking at extremely low vitamin D

Likely to have low folate, B12 and may be ferritin too if Ft3 levels are low

For full Thyroid evaluation you need TSH, FT4 and FT3 plus EXTREMELY important to test vitamin D, folate, ferritin and B12 at least annually

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)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options

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

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Thriva Thyroid plus antibodies and vitamins By DIY fingerpick test

thriva.co/tests/thyroid-test

Thriva also offer just vitamin testing

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

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

monitormyhealth.org.uk/

Also vitamin D available as separate test via MMH

Or alternative Vitamin D NHS postal kit

vitamindtest.org.uk