Could you please look over latest results

[Kh1979]

Hi all, how do my latest results look to you guys? This is after increasing Levo from 75 to 100? Still not feeling great, I have got my Vit D up from 65-110 nmol so still working on that. And am currently getting gp to look into b12 as I have symptoms. Folate, ferritin are optimal & iron ok.

Bloods done 8am before food/drink and Levo thanks to advice on here 😘

Thanks xx

[SlowDragon Administrator]

A month ago vitamin results looked pretty good healthunlocked.com/thyroidu...

Do you have autoimmune thyroid disease also called Hashimoto’s diagnosed by high thyroid antibodies?

Have you had coeliac blood test done

Are you on strictly gluten free diet

[Kh1979 in reply to SlowDragon]

Hashimotos hasn’t ever been mentioned (my doctor isn’t great to be honest) these are the bloods from last year when I was diagnosed.

I’ve never been tested for coeliac and not gluten free.

Will ask gp today about those, looking at latest results do you think my dose of Levo is ok or needs adjusting

Thank you 😘

.

[SlowDragon Administrator in reply to Kh1979]

So very high thyroid antibodies

If you have high antibodies this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).

Hashimoto's frequently affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone working

Poor gut function with Hashimoto’s can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first

healthcheckshop.co.uk/store...?

Assuming test is negative you can immediately go on strictly gluten free diet

(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)

Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

drknews.com/changing-your-d...

restartmed.com/hashimotos-g...

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

ncbi.nlm.nih.gov/pubmed/296...

The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported

ncbi.nlm.nih.gov/pubmed/300...

The obtained results suggest that the gluten-free diet may bring clinical benefits to women with autoimmune thyroid disease

nuclmed.gr/wp/wp-content/up...

In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned

restartmed.com/hashimotos-g...

Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.

[SlowDragon Administrator in reply to Kh1979]

U.K. medics never call autoimmune thyroid disease Hashimoto’s

[SlowDragon Administrator]

Ft4 is 72% through range

So probably don’t want to increase dose at moment

Obviously you need to get TSH, Ft4 and Ft3 tested together

But suggest you trial strictly gluten free diet first (after coeliac blood test done)

Retest thyroid 6-12 weeks after going absolutely strictly gluten free