My Mum's Blood Test Results.: Hi there! So some... - Thyroid UK

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My Mum's Blood Test Results.

kendrewaddams profile image
12 Replies

Hi there!

So some background - my Mum's had thyroid issues, ME/CFS for 15 years, and has been largely bedridden for the past 2/3 years.

She's on 200mcg of levothyroxine.

She's been routinely dismissed over the past several years by her doctors, at one point she had a T3 test which she was told was in 'normal range', which this latest test show isn't the case.

Her CRP seems very high, which could be linked to a recent bacterial infection, but I'm not sure.

Her Vit D is low, as she's not been as diligent with her supplements as she could be, but that's being remedied.

Any help is hugely appreciated. I want to go into her GP appointment with her with as much ammo as possible.

Thank you!

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SlowDragon profile image
SlowDragonAdministrator

Her results show terrible conversion of Ft4 to ft3

Low vitamins won’t be helping

First step is to improve low vitamin levels

Vitamin D is far, far too low.

Aiming to improve to at least around 80nmol and around 100nmol maybe better

B12 and folate need work

Ferritin could be better at least over 70

But highly Likely to need addition of small doses of T3 prescribed alongside levothyroxine

She needs to see thyroid specialist endocrinologist who will prescribe T3

Has she had coeliac blood test done

Is she on absolutely strictly gluten free diet?

Or dairy free diet

Email Thyroid UK for list of recommend thyroid specialist endocrinologists who will prescribe T3

NHS and Private

tukadmin@thyroiduk.org

Meanwhile working on improving low vitamin levels

kendrewaddams profile image
kendrewaddams in reply to SlowDragon

Thanks so much for all the info especially vitamin info! Will look into what I need to get today.

She had a celiac test some years ago and it came back negative.

At present she still eats gluten and dairy.

SlowDragon profile image
SlowDragonAdministrator in reply to kendrewaddams

So try her on absolutely strictly gluten free diet initially

Dairy free is much harder

kendrewaddams profile image
kendrewaddams in reply to SlowDragon

Thanks very much. Have ordered the vitamins you recommended.

SlowDragon profile image
SlowDragonAdministrator in reply to kendrewaddams

Sent you private message too

See “Chat”

humanbean profile image
humanbean in reply to kendrewaddams

She had a celiac test some years ago and it came back negative.

I had a negative coeliac test in 2010. As a result I didn't think I needed to give up gluten. However, in 2015, in desperation, I decided to give it a try. And the results were amazing.

I think everyone with thyroid disease of any kind should at least give going gluten-free a thorough try.

kendrewaddams profile image
kendrewaddams in reply to humanbean

I've had a conversation with her about it , but I will talk to her about gluten free. Thank you.

SlowDragon profile image
SlowDragonAdministrator

Low vitamin D obviously needs improving and GP should prescribe 1600iu everyday for 6 months

But that’s likely an inadequate dose

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...

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 she will need on going maintenance dose to keep it there.

Test twice yearly via NHS test options

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

vitamind4all.org/letter.pdf

SlowDragon profile image
SlowDragonAdministrator

Low folate and B12supplementing 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

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Low B12 symptoms

b12deficiency.info/signs-an...

With B12 result below 500, recommended to be taking a B12 supplement as well as a B Complex (to balance all the B vitamins) initially for first 2-4 months, then once your serum B12 is over 500 (or Active B12 level has reached 70), stop the B12 and just carry on with the B Complex.

B12 sublingual lozenges

amazon.co.uk/Jarrow-Methylc...

cytoplan.co.uk/shop-by-prod...

healthunlocked.com/thyroidu...

Only add one supplement at a time and then wait at least 10 days to assess results before adding another

SlowDragon profile image
SlowDragonAdministrator

Very high CRP needs investigation by GP

JAmanda profile image
JAmanda

Looks like the perfect case for a trial of T3- clearly she's not converting well.

pennyannie profile image
pennyannie

Hello kendrewaddams

Well, if there was ever a need to reassess someone's thyroid hormone treatment - you mum should be one of the one's at the front of the queue.

Just another thought :

The accepted conversion ratio when on T4 - Levothyroxine only is 1 / 3.50 - 4.50 : T3 / T4 with most people preferring to come in at around 4 or under:

So to find the conversion ratio when on T4 only you simply divide the T3 into the T4 and Mum 's ratio is coming in at around 7.70 : somethings clearly is not ok and Mum can't function on such a low level of T3.

It isT3 that is the master and most important number :

Too low a level of T3 and you have the debilitating symptoms of hypothyroidism and conversely at the other end of the same stick too high a T3 and you may have the debilitating symptoms of hyperthyroid.

No one wants to be at either end of this stick, as both ends are horrible, and what we all need is a level of T3 high enough to restore our physical, emotional, mental, psychological and spiritual well being.

T4 is a storage hormone and needs to be converted by the body into T3 - which is the active hormone that the body runs on and is said to be about 4 times more powerful than T4 with the average person needing to utilise around 50 T3 daily just to function.

There can be varous reasons why the body isn't able to convert the T4 and these need investigating.

If her surgery just run the basic yearly TSH thyroid function test, which does seem to be all that happens in primary care, this TSH result will not be outside of the reference range and so considered ok - and needing no further blood analysis by the laboratory.

Which makes a mockery of the current thyroid function test which we all know - but which the medical profession seem oblivious to - I wonder why ?

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