Hello everyone. I would appreciate your advice on my daughters thyroid and vit results plse. She is 26 years old and was told she had poly cystic ovaries but then just left to deal with it. All her hormones are normal which tells us this is not the case. Her symptoms are no periods for six years, brittle and frizzy hair, mood swings, fatigue, unable to sleep, unable to make decisions i. e brain fog, low mood and struggling with weight as she is gaining weight easily. Does exercise a lot
TSH 0.99 (0.27-4.2)
Free t3 4.53 (3.1-6.8)
Free thyroxine 13.8 (12-22)
Folate 10.25 > 3.89
Vit b12. 75.8 > 37.5
Vit d 47.3 (50-175)
Ferritin 105 (13-150)
Crp 1.07(<5)
Thyroglobulin antibodies 10.4 (<115)
Thyroid peroxidase antibodies <9 (<34)
Thankyou any help would be appreciated
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Wilky21
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A normal healthy person would have a TSH of no more than 2, often nearer 1, with FT4 around mid-range-ish. Her FT4 is on the lowish side, but that may be her "normal", none of us are tested when we are well for a baseline so don't know what's normal for us.
If those were my results, I'd retest in 3 months and see if there's any change.
Did she do her test as we always advise:
* Blood draw no later than 9am. This is because TSH is highest early morning and lowers throughout the day. If looking for a diagnosis of hypothyroidism, an increase in dose of Levo or to avoid a reduction then we need the highest possible TSH
* Nothing to eat or drink except water before the blood draw. This is because eating can lower TSH and coffee can affect TSH.
* If taking thyroid hormone replacement, last dose of Levo should be 24 hours before blood draw, if taking NDT or T3 then last dose should be 8-12 hours before blood draw. Adjust timing the day before if necessary. This avoids measuring hormone levels at their peak after ingestion of hormone replacement. Take your thyroid meds after the blood draw. Taking your dose too close to the blood draw will give false high results, leaving any longer gap will give false low results.
* If you take Biotin or a B Complex containing Biotin (B7), leave this off for 7 days before any blood test. This is because if Biotin is used in the testing procedure it can give false results (most labs use biotin).
These are patient to patient tips which we don't discuss with phlebotomists or doctors.
Thyroid antibodies nice and low which don't suggest autoimmune thyroid disease (Hashi's).
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Vit b12. 75.8 > 37.5
This is on the lowish side. Below 70 would suggest testing for B12 deficiency and I'd be looking to keep mine over 100.
Folate 10.25 > 3.89
Not too bad. The range is actually 3.89-19.45 and it's recommended folate is at least half way through range so that would around 12+ with that range.
If those were my results I'd be taking a good quality, bioavailable B Complex such as Thorne Basic B or Igennus Super B which will raise both. At the recommended dose of 2 tablets, Igennus has more B12 than Thorne and the same amount of Folate.
Leave off the B Complex for 7 days before any blood tests.
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Vit d 47.3 (50-175)
This is in the insufficiency category. The Vit D Society and Grassroots Health recommend a level of 100-150nmol/L.
To reach the recommended level from your current level, she could supplement with 5,000iu D3 daily.
Retest after 3 months.
Once she's reached the recommended level then she'll need a maintenance dose to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. She can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:
Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3.
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 tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking D3 as tablets/capsules/softgels, no necessity if using an oral spray.
I like Doctor's Best D3 softgels and Vegavero or Vitabay K2-MK7.
Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.
Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds if taking magnesium as tablets/capsules, no necessity if using topical forms of magnesium.
Don't start all supplements at once. Start with one, give it a week or two and if no adverse reaction then add the next one. Again, wait a week or two and if no adverse reaction add the next one. Continue like this. If you do have any adverse reaction then you will know what caused it.
Hello seaside Suzie. Thankyou for your reply. She is not currently taking any levo as has not been diagnosed. Docs as usual have only done TSH so I wanted her to do a full check on Medichecks. if she improves her vit d and b12 will her t4 improve. She also has a low pulse of 46. Thank you
if she improves her vit d and b12 will her t4 improve
I can't say, it's a case of do it and see what happens.
She also has a low pulse of 46.
Has she spoken to her GP about this? It is classed as Bradycardia although a resting heart rate slower than 60 beats a minute is normal for some people, particularly healthy young adults and trained athletes.
Those of us who take thyroid hormones know that we feel best when our FT3 and FT4 are at the top of the range, likewise with vitamin levels.
Because your daughters tests show her to be (just) within normal range, does not mean it is normal at all. !
I was walking in your daughters shoes for years, with my GP telling me my results were normal (while bottom of range with high TSH). I only got treatment by paying to see a private endocrinologist. Afterwards my GP was obliged to continue that treatment.
The way each individual Area Health Authority decides what is 'normal', is by sampling the blood of the people in their area who have not been referred for thyroid related problems.
What is considered normal by each AHA is totally dependant upon the number of poeple who have undiagnosed thyroid insufficiency in each area. It's a lottery!
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