Please can you advise where to purchase a good quality Vit B and how much should I take given the results.
I took another blood test after being on 50mg Levo for 4 weeks so my doctor will review in another month. As too early ( I asked for my vit D to be tested)
My previous results for TSH (DDM) was 6.32 miU/L 0.27-4.20mIU/L
My doctor won’t test T3 on next test. What should I be insisting on ?
Thank you for any direction. 🙏🏻
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Nambo
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Please can you advise where to purchase a good quality Vit B and how much should I take given the results.
I think a typo and you mean Vit D
The Vit D Society and Grassroots Health recommend a level of 100-150nmol/L.
To reach the recommended level from your current level, you could supplement with 4,000-5,000iu D3 daily.
Retest after 3 months.
I've always had great success with Doctor's Best D3 softgels. They are a small, easy to swallow softgel. They contain no excipients, just D3 and extra virgin olive oil.
I use Google to search for the best price.
If you want the 180 serving size then Ebay seems to be the cheapest at the moment
It's also worth checking out Dolphin Fitness and BigVits but check their postage charge.
Once you've reached the recommended level then a maintenance dose will be needed to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. This can be done with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:
You can continue with the 5,000iu softgels if you have any left but you'd need to reduce the number of days you take it. Or buy the smaller dose size.
Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3.
D3 aids absorption of calcium from food and Vit K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking D3 as tablets/capsules/softgels, no necessity if using an oral spray.
For Vit K2-MK7 I like Vitabay or Vegavero brands which contain the correct form of K2-MK7 - the "All Trans" form rather than the "Cis" form. The All Trans form is the bioactive form, a bit like methylfolate is the bioactive form of folic acid.
Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.
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.
My doctor won’t test T3 on next test. What should I be insisting on ?
The full thyroid panel is TSH, FT4 and FT3. TSH is not a thyroid hormone, it's a signal from the pituitary. The thyroid hormones are FT4 and FT3 so really these should be used to base dose adjustment on, not TSH.
Vit D, B12, Folate and Ferritin should also be checked as these are often low with Hypo patients.
If your GP wont do all the tests then you could do one with one of our private recommended labs.
Don't forget the other two, the cofactors, but don't start them all at once, space them out two weeks apart and if there's any adverse reaction to anything you'll know what caused it.
TSH is flagged in red and marked to discuss at medication review. Your GP wont be happy with a below range TSH, they like to see it within the reference range, he may want to reduce your dose of Levo. However, although TSH is useful for diagnosing hypothyroidism, once on thyroid hormone replacement it isn't important, it's the FT4 and FT3 that are important. This is why it's essential to test FT4 and FT3 as well because those are the thyroid hormones, the TSH is not. Don't let your GP lower your dose of Levo unless he tests FT4 plus FT3.
However, you do have Hashi's and, again, it's essential to test FT4 and FT3 because with Hashi's you get fluctuations in hormone levels (and symptoms) with the Hashi's activity as you can swing from hypo to hyper and back to hypo. Here is some information which would be good to familiarise yourself with before you discuss this result with your GP:
Most doctors dismiss antibodies as being of no importance and know little or nothing about Hashi's and how it affects the patient, test results and symptoms. You need to read, learn, understand and help yourself where Hashi's is concerned.
Some members have found that adopting a strict gluten free diet can help, although there is no guarantee.
Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks.
You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Supplementing with selenium l-selenomethionine 200mcg daily is said to help reduce the antibodies, as can keeping TSH suppressed.
Hashi's and gut absorption problems tend to go hand in hand and can very often result in low nutrient levels or deficiencies so it's essential to keep an eye on levels of Vit D, B12, Folate and Ferritin.
As you are a newbie to Hypothyroidism, have a look around ThyroidUK's main website (this is their forum), there is a lot of useful information there:
FT4 is going in the right direction, increasing from 11.44% through range to now being 53.33% through range. Many Hypo patients find that FT4 in the upper part of the range (maybe around 70%) better than mid-range, there is room to improve your level. With FT4 only mid-range your FT3 is unlikely to be in the upper part of it's range.
Of course, we are all individuals and have our own "sweet spot" so need to find that, also whether or not we have symptoms is important.
I can’t express how grateful I am for you sharing your knowledge on matters that are so over whelming for me. You have put things into layman’s terms …. I feel I can ask with confidence results to include T4 and T3 for next time
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