I am being treated for atrial fibrillation and would be really pleased to reverse it hopefully by looking at my results posted below. Also would a magnesium supplement be a good idea? And if so what dose daily. Thanking you for your help.
CRP HS. 3.45 (range <5)
Ferritin 67.30 (13-150)
Folate serum 4.66ug/L (>3.89
Vit B12 active 119.000 (>37.5)
Vit D 108.00nmol/L
TSH 0.01mIU/L (0.27-4.2)
Free T3 4.45pmol/L (3.1-6.8)
Free thyroxine 14.600 pool/L (12-22)
Thyroglobulin antibodies 19.100 kIU/L (<115)
Thyroid peroxidase antibodies 54.40 kIU/L <34)
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Ann-Simpson
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I am being treated for atrial fibrillation and would be really pleased to reverse it hopefully by looking at my results posted below. Also would a magnesium supplement be a good idea? And if so what dose daily.
You might be interested in this website for people with AF, I've not looked round the whole site but this page is particularly about magnesium:
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.
Daily dose will be on the pack but as a general rule it's about 350-450mg.
As for your nutrient levels, you don't say if you're taking any supplements but general comment is:
Ferritin 67.30 (13-150)
Ferritin is recommended to be half way through range so that's 82 with that range, however some experts say that the optimal ferritin level for thyroid function is between 90-110 ng/ml.
You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet
Don't consider taking an iron supplement unless you do an iron panel, if you already have a decent level of serum iron and a good saturation percentage then taking iron tablets can push your iron level even higher, too much iron is as bad as too little.
Folate serum 4.66ug/L (>3.89
Assuming that this is Medichecks or Thriva then the range is 3.89-19.45 and folate is recommended to be at least half way through range so yours is low. Eating folate rich foods might help, also a good quality B Complex such as Thorne Basic B or Igennus Super B will help raise your level. A dose of 400mcg daily is suggested to be a safe dose and it helped raise my level from bottom of range to top of range in 2.5 months - I used Thorne Basic B. B Complex is suggested rather than just a folate supplement as it keeps all the B vitamins in balance.
Vit B12 active 119.000 (>37.5)
The range is 37.5-188 and over 100 is considered to be a good level. The B Complex will contain B12 and you certainly don't need a large dose of that so out of the two suggested brands Thorne at the suggested dose of 1 capsule daily gives 400mcg methylfolate and 400mcg methylcobalamin B12. The Igennus at the suggested dose of 2 tablets gives 400mcg methylfolate and 900mcg methylcobalamin. Out of the two the Thorne seems to be the better choice.
Vit D 108.00nmol/L
The Vit D Society and Grassroots Health recommend a level of 100-150nmol/L so your level comes within that range. It wouldn't hurt to aim for the upper end, similarly you may be happy to leave it as it is. If you do supplement with D3 then there are important cofactors that are needed when taking it - magnesium and Vit K2-MK7.
As for your thyroid results, you don't say what thyroid meds you are taking.
TSH 0.01mIU/L (0.27-4.2)
Free T3 4.45pmol/L (3.1-6.8)
Free thyroxine 14.600 pool/L (12-22)
I would suggest that your FT4 and FT3 are both too low, with FT4 being only 26% through range and FT3 being just 36.49% through range. I expect you're on Levo plus T3 in which case when on combination hormone replacement we are all different as to where we need our FT4, some are fine with it low like yours, others need it higher in range and in balance with FT3 (I am on combo meds and need both FT4 and FT3 to be balanced at around 60-70% through range, but that isn't where everyone needs it). So you might need to experiment, you may need to increase Levo which will raise FT4 and depending on how much natural conversion you have will also raise FT3. You may need to increase T3. It's a lot of trial and error. Don't increase both at the same time, you need to know which one is helping so you need to increase separately and give a few weeks for levels to stabilise before changing again.
Thyroglobulin antibodies 19.100 kIU/L (<115)
Thyroid peroxidase antibodies 54.40 kIU/L <34)
Your TPO antibodies are raised and I expect you know this is Hashi's and that possibly a gluten free diet may help.
Thank you for your very detailed reply. I take 100mcgs T4 and 18mcgs T3. I am seeing my consultant tomorrow and would like to i crease the T3 first personally. So could you just confirm which b complex I should try? And what is the best way to add magnesium. Have read the article and will go on the forum tomorrow. All such good information thank you very much. Ann
So could you just confirm which b complex I should try?
As mentioned above, I think Thorne Basic B would be the better choice as it has the 400mcg methylfolate that is appropriate for your low Folate level but has a lower amount of B12 which would be more suitable for you as you already have a decent Active B12 level.
And what is the best way to add magnesium.
Choose the form of magnesium best suited to your needs, take the dose that is on the pack, as it tends to be calming it's probably best to take it in the evening, take it 4 hours away from thyroid meds.
Well I have been to the consultant and he tells me that to help stop the fibrillation I need to take less T3 which is not what I wanted to hear. Why is it that some advice is to take more medication and some to take less. I am to have more blood tests in a month and he wants to see the TSH come up a bit. I also talked with him about taking some magnesium and he didn’t really seem to think there would be much advantage! Not sure what to make of it all.should I be finding a more youthful modern consultant mine is more mature than some will be! Any thoughts Ann
If you are taking T3 then you are unlikely to be able to raise your TSH, it lowers, even suppresses TSH, that's just what it does. If your T3 is prescribed then the prescribing doctor should know this, if he doesn't then what's he doing prescribing something he doesn't know much about?
Most doctors, however high they rank, tend to know little to nothing about nutrients so I wouldn't expect him to know much about magnesium.
If the consultant is an endo then I'm afraid, due to personal experience, I have zero respect for them so I wouldn't be able to say if a younger model would be any better than a mature one.
Thank you. So if an Endo is not the right person to whom should I be going for advice. He was the person who prescribed the T4/T3 combination. I think I had COVID a year ago after which the fribrilation set in. Now I have to wait a month and have more tests done and then he will advice me again. All takes forever. But the fribilation makes me feel VERY tired all the while.
An endo should be the right person to see for your thyroid condition but most of them are diabetes specialists and know very little about treating thyroid.
Who is in charge of your treatment of Atrial Fibrilation? I would have thought a Cardiologist is the specialist you would need to see. My brother has AF (but no thyroid condition) and I think his is being treated by his GP, I can't be sure whether or not he was referred to Cardiology.
I am seeing a cardiologist and have a monitor to track the fibrillation and also stenosis of the aortic valve so there is quite a lot going on! I am also waiting for a hip replacement . Wondering if the fibrillation is made worse by any particular brand of thyroxine. I think I always used to have Mercury pharmacy but have changed chemists lately on moving house and I see the last packet was aristo. It is really hard to hold one’s thought when with the consultant as they don’t really have a discussion and there is quite a lot of looking at the watch! That makes me uneasy. And when I came out I had only been with him 20 minutes which I don’t think is too long for a private consultation at huge expense. All very frustrating Ann
It would be worth looking at the Patient Information Leaflet of any brands that you've used, they can be found online. I've just read the Aristo PIL and I think it's the most comprehensive one I've seen.
I've never seen a private endo but did see a private lung consultant as the NHS wait was too long for the state I was in. I can't remember exactly how much I paid but it would have been between £200-£250 max. I was with him for an hour, he was lovely and agreed to transfer me to his NHS list after that. When/if I need to be referred back to him I see him at the outreach clinic at our cottage hospital rather than the main hospital which is 50-60 miles away, he is just as lovely and always running late because he is so chatty with his patients. I wish all doctors were like him.
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