Ambulance called, please help explain blood test results

[Abi-Abster]

Hi,

I'm hypothyroid (self-prescribe additional T3 with help of this forum) and have been taking thyroid meds for around 25 years. Currently I take I take 125mcg T4 and 18.75mcg T3 in the morning, and 18.75mcg T3 in the evening.

I also have ME, Fibromyalgia, Guillain-Barré and have had Long COVID since March 2020 (coming up to 15 months).

I had a funny turn on Thursday where I was slipping in and out of consciousness and had to call the paramedics. My vital stats were fine. This also happened 3 years ago pre-COVID, then I spent a night in hospital but they couldn't find anything wrong with me, so this time I decided to stay at home.

I've been super-breathless since I contracted COVID, and my heart has been hurting since then (COVID gave me inflammation of the heart). I haven't taken any anti-inflammatories since May 2020.

I'm coeliac and haven't eaten gluten in 25yrs. I'm not vegetarian, and have been eating lots of iron-rich foods. I haven't regularly been losing tons of blood as I haven't had my period in months, due to being on The Pill back-to-back to treat the perimenopause. However, I think from my results below my iron levels are low?

Can anyone please tell me what it all means? I want to make sure my unsympathetic GP doesn't blame the T3 for any of the results below. I don't believe it's causing the breathlessness or heart pain, as these symptoms began with COVID last year, and I've been taking T3 for about 4 years now. But she's always eager to blame everything on my self-medicating T3!

I took all the usual precautions before my blood test and didn't take any supplements for more than the week leading up to my test.

EDIT: I don't take any steroids, and haven't done for years.

Many thanks in advance for your input

Result listed *below* each test name:

AST u/L

30

5 – 40

Total Protein g/L

73

60 – 80

Albumin g/L

42

35-50

ALP u/L – low-ish?

60

20 -150

Calcium mmol/L

2.36

Adjusted Calcium mmol/L

2.32

2.2 – 2.6

Globulin g/L

31

20 – 35

Phosphate mmol/L – low-ish?

0.99

0.8-1.5

C-Reactive Protein mg/L – low-ish?

1

0 - 5

Full Blood Count

Haemoglobin g/L

131

120 – 150

White Cell Count 10*9/L – low-ish?

6.4

4 – 10

Platelets 10*9/L

247

150 – 410

RBC 10*12/L

4.4

3.8 – 4.8

HCT L/L - very low??

0.37

0.36 – 0.46

MCV fl – v low?

85

83 – 101

MCH pg

29.9

27 – 32

MCHC g/L – *def high

: blood test noted this*

352

315 – 345

RDW %CV – *def low

: blood test noted this*

11.5

11.6 – 14

Neutrophils 10*/L

3.7

2 – 7

Lymphocytes 10*9/L

2.1

1 – 3

Monocytes 10*9L

0.4

0.2 – 1

Eosinophils 10*9L

0.2

0.02 – 0.5

Basophils 10*9L – v low??

0

0 – 0.1

Absolute NRBC 10*9L – v low??

0

0 – 0.09

Liver Function

:

Total Bilirubin mol/L – low-ish?

7

2 – 21

ALT u/L - high

39

5 – 40

Serum Folate g/L – low-ish? B12 & Folic Acid

9

3 – 20

Vitamin B12 Ng/L

326

180 – 640

I know this list hasn't got any thyroid results in it, but I seem to remember good vitamin levels were essential for thyroid function/ thyroid meds to work best.

Thanks so much for your thoughts,

Abi.

[Hidden]

Have you been on long term steroids at all?

[Abi-Abster in reply to Hidden]

No. None.

And thank you 🙂

[SlowDragon Administrator]

What vitamin supplements are you currently taking

As a coeliac you will very likely need ongoing continuous su

No vitamin D result

Do you supplement magnesium and vitamin K2 as well as vitamin D

Yes B12 and folate low

Are you currently taking any B vitamins ?

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

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

endocrinenews.endocrine.org...

Low B12 symptoms

b12deficiency.info/signs-an...

With serum B12 result below 500, (Or active B12 below 70) 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...

[SlowDragon Administrator]

High MCHC

verywellhealth.com/mean-cel...