Medichecks results, can someone take a look please.

[lucylocks]

Hi

I have just got my results back, concerned about below Folate and low in range Active B12,

also FT3 looks a bit low.

I take 125mcg. levothyroxine.

I have been having a break from all supplements.

TSH - 0.01 miu/L range 0.27 - 4.2

Free T3 - 4.5 pmol/L range 3.1 - 6.8

Free T4 - 19.1 pmol/L range 12 - 22

Thyroglobulin - 27.8 iu/m range 0 - 115

Thyroid Peroxidase Antibodies - 28.5 iu/ml range 0 - 34

CPR HS - 2.2 mg/L range 0 - 5

Ferritin - 90 ug/L range 13 - 150

Folate - 2.7 ug/L range 2.9 - 14.5

Active B12 - 41 pmol/L range 25.1 - 165

Vitamin D 62 nmol/ range 50 - 200

Present symptoms are fatigue, palpitations, anxiety, shoulder, and thigh pain eczema, hives, and constipation.

Any advice gratefully received.

Thank you.

[JAmanda]

I feel better with higher T3. Can you ask for a trial?

[lucylocks in reply to JAmanda]

Thank you.

[SeasideSusie Remembering]

Lucylocks

I have been having a break from all supplements.

Why?

What were you taking, and the dose?

What were your results that made you decide to stop your supplements?

To be honest, you're in a bit of a pickle now.

Active B12 - 41 pmol/L range 25.1 - 165

Active B12 below 70 suggests testing for B12 deficiency. Check out this link for signs and symptoms of B12 deficiency and you will find some of your symptoms there:

b12deficiency.info/signs-an...

You should ask your GP to test for B12 deficiency and pernicious anaemia before restarting either B12 or folate supplement. You might need B12 injections.

Folate - 2.7 ug/L range 2.9 - 14.5

Below 3ug/L is folate deficiency. You need to speak to your GP who may prescribe folic acid.

Vitamin D 62 nmol/ range 50 - 200

The Vit D Society and Grassroots Health recommend a level of 100-150nmol.

Your dire nutrient levels have possibly affected the conversion of T4 to T3, you have a decent level of FT4 at 71% through range but your FT3 is only 38%through range.

[lucylocks in reply to SeasideSusie]

Thank you for your reply,

I stopped supplements because I started getting hives and wondered if any of them were causing them, but I am still getting them so it was obviously not them.

I thought I would get everything tested before starting them again.

I was taking 6000iu Vitamin D a daily, and a Thorne B complex 12

I will speak to my G.P regarding the results, will they take notice of private results I wonder.

[SeasideSusie Remembering in reply to lucylocks]

I will speak to my G.P regarding the results, will they take notice of private results I wonder.

If GP wont accept results (some do, some don't) then invite him to do his own. Your B12 and Folate can't really be argued with.

Viapath at St. Thomas' Hospital recommends testing for B12 deficiency when Active B12 level is less than 70

Reference range:

>70*; * between 25-70 referred for MMA

See viapath.co.uk/our-tests/act...

Vit D you will have to sort out yourself as it's in the "sufficiency" category. A daily dose of 4,000iu D3 should be OK, along with D3's important cofactors magnesium and Vit K2-mk7. Retest after 3months, adjust dose if necessary.

Once recommended level has been reached you will need a maintenance dose which you will have to find by trial and error, it may be 2,000iu per day, maybe more, maybe less, maybe more in winter than summer. Retest twice a year to ensure that you are within the recommended range.

[lucylocks in reply to SeasideSusie]

Thank you,

I will print off the info. from viapath to show Doctor along with my results.

I do have some concern regarding Vitamin K2 as I have read it can cause blood too clot, do you happen to know anything about this ?

[SeasideSusie Remembering in reply to lucylocks]

I do have some concern regarding Vitamin K2 as I have read it can cause blood too clot, do you happen to know anything about this ?

There are two main forms of vitamin K:

Vitamin K1 (phylloquinone): Found in plant foods like leafy greens.

This is the blood clotting form, the one they give newborn babies to prevent a now rare bleeding disorder called 'vitamin K deficiency bleeding' (or 'haemorrhagic disease of the newborn'.

Vitamin K2 (menaquinone): Found in animal foods (high-fat dairy products from grass-fed cows, egg yolks, as well as liver and other organ meats) and fermented foods such as natto and sauerkraut.

This is the form that directs calcium to bones and teeth and away from soft tissues and arteries.

If you have concerns then you will need to do some research and make up your own mind.

[lucylocks in reply to SeasideSusie]

Thank you.

[SlowDragon Administrator]

Do you always get same brand of levothyroxine

Are you on strictly gluten free diet

Obviously vitamin levels now far too low and will take a while to recover

Improving low vitamin levels can significantly improve symptoms and may help improve conversion rates of Ft4 to ft3

Magnesium supplements can help improve constipation

[lucylocks in reply to SlowDragon]

Many thanks for your reply,

yes I always get Accord levothyroxine now, but it was Activist before, pharmacist said they are the same.

Not completely gluten free, I do try but always seem to slip up.

[magsyh]

Hives can be a sign of low adrenals If I were you get a saliva test x

[lucylocks in reply to magsyh]

HiI never knew that, initially I got them when out in the cold weather, (cold urticaria) but more recently they pop up for no reason, thank you for letting me know, I will look into getting a saliva test.