hi, i was on yesterday and am following up with full results of last bloods
my levo seems to be made by a company called Almus
29-1 TSH 0.48 MU/L
15-1
B12 546 NG/L
FOLATE 6.4 UG/L
ALBUMIN 47 G/L
ALKALINE PHOSPHATASE 63 IU/L
CALCIUM (cor. for albumin) - 2.25 mmol/l
C-REACTIVE PROTEIN - 1 MG/L
FERRITIN - 232 UG/L
TPO - 281 IU/ML
TSH - 0.84 MU/L
VIT D - 58 NMOL/L
Then back to 10th october for
Free t4 - 20.2 PMOL/L
Can you please add ranges (figures in brackets after each result)
TSH 0.48 MU/L (0.27 - 4.2)
B12 546 NG/L (179)
FOLATE 6.4 UG/L (3.9 - 20)
ALBUMIN 47 G/L (35-50)
ALKALINE PHOSPHATASE 63 IU/L (30 - 130)
CALCIUM (cor. for albumin) - 2.25 mmol/l ( 2.05 - 2.55)
C-REACTIVE PROTEIN - 1 MG/L (5.0)
FERRITIN - 232 UG/L (30 - 400)
TPO - 281 IU/ML (34)
VIT D - 58 NMOL/L (59)
Free t4 - 20.2 PMOL/L (12 - 22)
So folate and vitamin D are low
Ferritin is fine
Ft4 is high in range.
Was test done early morning and last dose levothyroxine 24 hours before test?
Obviously no Ft3, so you can’t see how well you are converting Ft4 to Ft3
to be honest being back in october I simply can't remember, probably i did take levo before because i didnt know that bit of info back then.
Just testing TSH is completely inadequate You need TSH, Ft4 and Ft3 tested
Many U.K. patients forced to get full thyroid testing privately
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 you tests?
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...
Vitamin D is too low at 58nmol
What vitamin supplements are you currently taking
Aiming to improve vitamin D to at least around 80nmol and around 100nmol maybe better
GP will often only prescribe to bring vitamin D 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...
NHS Guidelines on dose vitamin D required
ouh.nhs.uk/osteoporosis/use...
But with Hashimoto’s, 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, with hashimoto’s 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...
Vitamin D and Covid
Notice how much vitamin D many of these medics are taking
Folate is on low side too
supplementing a good quality daily vitamin B complex, one with folate in (not folic acid) may be beneficial.
This can help keep all B vitamins in balance and will help improve B12 levels too
Difference between folate and folic acid
chriskresser.com/folate-vs-...
Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.
thyroidpharmacist.com/artic...
B vitamins best taken after breakfast
Igennus Super B is good quality and cheap vitamin B complex. Contains folate. Full dose is two tablets per day. Many/most people may only need one tablet per day. Certainly only start on one per day (or even half tablet per day for first couple of weeks)
Or Thorne Basic B is another option that contain folate, but is large capsule
IMPORTANT If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
Going strictly gluten free may significantly reduce anxiety and panic issues
Other things to help improve gut function
Daily probiotic
Fermented foods like sauerkraut, kimchi and kefir
Only add one supplement at a time or make one dietary change at a time ...otherwise you don’t know what’s helpful and what isn’t
Waiting 10-14 days after adding one supplement, before adding another
thanks for all the advice, i have purchased the igennus b complex and already have vit d liquid drops, just have to get magnesium and i'll have everything i think
Suggest you get TSH, Ft4 and Ft3 tested via Monitor My Health 6-8 weeks after adding last vitamin supplement
Then consider trying strictly gluten free, if not already on it.
Only do private testing early Monday or Tuesday morning and ideally post back via tracked 24 hour postal service
Come back with new post once you get results
Magnesium best taken afternoon or evening. Must be four hours away from levothyroxine
Calm vitality magnesium powder is cheap and easy to use. Good if tend to suffer from constipation
Igennus do magnesium supplements too
ok, all sounds good.. and thanks again, I have much to consider and a few things to change
Strictly gluten free diet likely to reduce anxiety
Obviously you are likely under medicated and on too low a dose levothyroxine
Definitely do bloods BEFORE considering adding propranolol
Propranolol lowers magnesium levels
My Thyroid test results
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Latest blood results following request for increased dose
New here and need some help with my results
Understanding my results
