Many Bloods Out of Range

[biowarrior]

I've posted a few times these last year and a half my health issues came back. Shout out to SlowDragon who really helped me get back to feeling good and gave me a lot of hope that things can be good again.

Unfortunately I've completely crashed, since I had some exams and have been very fatigued for the last 5 weeks.

My bloods are all over the place, and I'm not sure how to interpret them.

I am on 1.5 grains NDT, 75mcg T4 taken in the morning. The Thyroid-S NDT expired in October 2020, (I am trying to get more).

This blood draw was done about 22 hours later. I have had an iron deficiency before I started upping my thyroid so been taking iron on and off before the blood test as well as a B complex, and vitamin D 1000 iu. I am a 26 year old male who is also on TRT.

I dont really understand my results at all, theres too many things that could be making me feel tired/weak. I've stopped iron, and b12 supplementation. I know you are not supposed to supplement them the days before but I think I probably was. So I'm not sure if this is a false high or Ive been poisoning myself with iron supplements. Is my thyroid low, or is the reduced T4 because its 24 hours after the medicine? Any help/expertise interpreting these would be appreciated.

TSH 0.29 mIU/L. (0.27 - 4.2)

Free T3 4.7 (3.1-6.8)

Free Thyroxine 13.6 (12-22)

Iron 47.1 umol/L. 10.6 - 28.3

Ferritin 92 ug/L. (30 - 400)

TIBC 67% (41-77)

Magnesium - Serum 1 mmol/L (0.6 - 1)

Folate - Serum 14 ug/L ( > 2.9)

Vitamin B12 - Active. 224 (25.1-165)

Vitamin D 68 (50-200)

Bilirubin 48 umol/L (0 - 20) I have Gilberts apparently, but this is the highest its been.

ALP 39 (40-129)

Globulin (Protiein - Albumin) 17g/L (19 - 35) R

Creatinine 111 (66-105) I have some kidney problems which is what I thought was causing all my issues.

Total Cholesterol 5.4 mmol/L. (< 5)

LDL Cholesterol 3.6 mmol/L ≤ 3 R

Non HDL Cholesterol 4.1 mmol/L < 3.9 R

[humanbean]

If you're taking iron I would suggest stopping it immediately. Your ferritin isn't dramatically high but your serum iron is. There are various possible reasons for high iron with unremarkable or low ferritin, and they can't be fixed with more iron.

I wrote this thread you may find interesting :

healthunlocked.com/thyroidu...

[biowarrior in reply to humanbean]

So you don't think it could be a false positive from recent iron supplementation?

That's scary about the first patient, and maybe that is what I was doing, and why Ive been especially ill. I've been supplementing 20mg biglycinate on and off for quite a while, and also taking floridax. Perhaps because I switched to NDT 3 months ago so my T3 has been higher (probably above 5), when before it was really low stopping the iron absorbing

[biowarrior in reply to biowarrior]

My ferritin was 30 , T3 was 3.4. so I started supplementing. Ferritin went to 60 T3 about 3.7 after a month. I stopped supplementing a month after that and it dropped to 49, T3 still low.

So then I started again, but I also went on NDT and got my thyroid T3 to be about 5.5, and kept taking at least the Floridax and sometimes the biglycinate

[Gophe]

Hi. I have Gilbert's as well but am female. The doctors say it's nothing to really worry about, but after reading about it, I see that it does affect your liver's ability to process certain meds and supplements. For example, it looks like people with Gilbert's shouldn't take paracetamol. Vitamin A is also hard to process as are some other things.

So I just wanted to flag that for you.