Results

[Geegee777]

Hi, here are my recent blood results:

I supplement vit d, which I shall now reduce.

I was on 100mg of thyroxine, as from the day after my blood test I am now on 75mg, my GP did this without consulting me.

Any advice will be most welcome.

Kind regards, ROWENNA 🌸🍀🌸🍀🌸

[SeasideSusie Remembering]

Geegee777

GP should not have reduced your dose of Levo. Your FT4 was only 47% through range and FT3 only 20.54%, what on earth was GP thinking? You need to see a different GP, this one is only look g at TSH.

Why reduce Vit D dose? The recommended level is 100-150nmol according to the Vit D Society and Grassroots Health, you are a long way from that.

Folate too low although B12 high. What B vits do you take?

[Geegee777 in reply to SeasideSusie]

Hi, thanks for your reply, I don't supplement anything else, just vit d oral spray, 2 pumps =6000 per day

[SeasideSusie Remembering in reply to Geegee777]

Geegee777

So you don't need to reduce your dose of Vit D until you reach the target level, then you find your maintenance dose to keep it there.

Are you taking magnesium and Vit K2-mk7, both are important cofactors when taking Vit D.

You need to improve your Folate level, eating Folate rich foods and a good, bioavailable B Complex should do that, eg Thorne Basic B. However, your B12 is high so choose one with 400mcg methylfolate but not too high a dose of methylcobalamin (B12).

Magnesium should be taken 4 hours away from thyroid meds.

As B Complex contains Biotin, it should be left off for 7 days before any blood tests, including thyroid, as when biotin is used in the testing procedure (as most labs do) then it can give false results.

[Geegee777 in reply to SeasideSusie]

I have magnesium, which I will start taking tomorrow. I'll up my vit d dose for a while.

I'll look into b complex supplement, I don't understand why my b12 is so high though.

I'll request a different GP too

[Gingernut44 in reply to Geegee777]

Are you using the Better You Vit D spray with the red label ? if so, two sprays are only giving you 2,000

[Geegee777 in reply to Gingernut44]

OMG, I thought it was 3000 per spray, didn't read the small print, thankyou for notifying me... No wonder my vit d results aren't up to much. 💐💐💐

[Gingernut44 in reply to Geegee777]

It’s an easy mistake to make and many people have made it 😊

[Geegee777 in reply to Gingernut44]

I think I'll get a higher dose spray next time, or even softgels

[Geegee777 in reply to SeasideSusie]

Hi, I've requested to speak to a gp at my surgery who specifies in thyroid. ( Via telephone call) I read out my results and ranges, which she discussed one by one stating that everything is perfectly fine and within range, even though I stated that my FT4 and FT3 are at the lower end and I'd be happier if they where higher, she repeatedly stated that everything was fine.

So, I will continue to supplement vit d, k2 and magnesium, have another medicheck test and take it from there.

[SeasideSusie Remembering in reply to Geegee777]

Geegee777

For a GP who specialises in thyroid then she is still very ignorant of how hypothyroidism is treated and what the aim of treatment is. As I said, she is going by TSH only and totally disregarding your actual thyroid hormone levels.

The test results you have shown above are on 100mcg Levo which has achieved an FT4 of only 47% through range and FT3 only 20.54%. What does she think a reduction in dose is going to do to those levels? Both your FT4 and FT3 will lower and you will become symptomatic. The lower your FT3 goes the more symptomatic you will become. T3 is the active hormone which every cell in our bodies need. Low T3 causes symptoms.

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine (the professional magazine for doctors):

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l. In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l. This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l).*"

*He recently confirmed, during a public meeting, that this applies to Free T3 as well as Total T3.

You can obtain a copy of the article by emailing Dionne at

[e-mail]

print it and highlight question 6 to show your doctor.

[Geegee777 in reply to SeasideSusie]

Thankyou, I shall follow your advice, it'll be interesting to see if anything changes her opinion.I may change surgery.