Hi everyone. I was hoping someone could comment on my latest vitamin and mineral results please? I am currently taking 125mcg levothyroxine and have a blood test this morning at 9am so will post those results later today/tomorrow as still symptomatic. I have added thyroid results below too now. But for now my vitamin and mineral results are as follows.
FT4 97.50%
FT3 59.46%
TSH 0.13 ml/L (0.3-4.5)
FT4 21.7 pmol/L (10-22)
FT3 5.3 pmol/L (3.1-6.8)
Thanks in advance for anyone who takes the time to comment. I really appreciate your advice.
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PS I hope I have used the right ranges from Thriva.
No, unfortunately you haven't. From the coloured bar graphic you only include the green part - both light and dark green and you ignore anything they say about "optimal" or "normal", they are generally nonsense.
Probably the best way is to log into your account where you can find your results with their normal ranges as a pdf using the link in the help page
This isn't too bad although the Vit D Society and Grassroots Health both recommend a level of 100-150nmol/L. Supplementing with 2,000iu D3 may improve your level. Retest in 3 months to check and see if you need to adjust the dose.
There are important cofactors needed when taking D3 - Vit K2-MK7 and magnesium.
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 D3 I like Doctor's Best D3 softgels, they are an oil based very small softgel which contains just two ingredients - D3 and extra virgin olive oil, a good quality, nice clean supplement which is budget friendly. Some people like BetterYou oral spray but this contains a lot of excipients and works out more expensive.
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.
I would take more notice of this result than the Total B12, Active B12 measures the amount of B12 available for the cells to use.
This is a good result.
Folate: 13.5 (8.83-60.8)
This is low. Folate is recommended to be at least half way through range so around 35 plus with that range. Eating folate rich foods may help, as could a good quality, bioavailable B Complex containing methylfolate such as Thorne Basic B.
Iron Panel
Are you supplementing with iron at all? You certainly don't need to.
Serum iron is recommended to be 55%-70% through range with the higher end for men.
Saturation is recommended to be 35%-45% through range, with the higher end for men.
Ferritin is a bit higher than recommended for optimal thyroid function (90-110) but is OK.
I am not supplementing anything at the moment sometimes I take vit E and sometimes a 12 min Magnesium bath. I checked my vit D and active B12 a few months ago and they were as follows:
Vit d - 92.5
Active B12 - 167
I will start vit D as you suggest thank you and I have a vit B complex waiting is it best to take that or an individual folate one?
I was worried about my iron so got the full panel but they seem okay like you say.
My symptoms must be due to my thyroid I will post my thyroid results when I get them later today!
Thanks again for replying with such knowledgeable advice I really appreciate it!
I have a vit B complex waiting is it best to take that or an individual folate one?
I think the B Complex would be better, it keeps all the B vitamins in balance.
Don't start all supplements at once. Start with one, give it a week or two and if no adverse reaction then add the next one. Again, wait a week or two and if no adverse reaction add the next one. Continue like this. If you do have any adverse reaction then you will know what caused it.
Just so that we can interpret your thyroid results accurately, did you take last dose of Levo 24 hours before the blood draw and not eat or drink anything except water before the test?
Yeah I’ve been this morning at 9am for TSH FT4 FT3 after 6 weeks on 125 mcg levothyroxine! The results should come through the nhs app later today. Will I start a new post or add to this one?
Hi I have got my results! TSH 0.13 ml/L (0.3-4.5), FT4 21.7 pmol/L (10-22), FT3 5.3 pmol/L (3.1-6.8) I know it’s short notice but speaking to my endocrinologist at 9:30am! Any advice appreciated please? Thanks in advance
Awww no worries he hasn’t turned up to the appointment so I haven’t spoken to him. I was hoping for an increase by 12.5 mcg not a decrease! What are your thoughts please?
I think he will look at your TSH and, if he's like most doctors, will only adjust dose by that and say it's too low. But if he does look at your FT4 as well, because that's at the top of the range that will very likely cement a decision not to increase dose as it would take FT4 over range.
What you could do is point out that your FT4 is 97% through range and this is only producing an FT3 at 59% through range and as you are symptomatic you believe your FT3 is too low and you may feel better with your FT4 and FT3 more in balance, in which case would he consider a trial of adding T3 to a slightly lower dose of Levo.
My endocrinologist is from the thyroid UK list so I am hoping he will be open to options, or give me options! I really wanted to avoid going down the T3 route as it seems so hard to get right. I’m so worried about this now as I just want to be able to exercise without all the muscle and joint pain which is stopping me! Thanks for your advice 😀
Hey! I’m now speaking to the endocrinologist at 5pm about my results hopefully. I just wondered if there was a link between hypothyroidism and prolonged monthly PMS symptoms? This is something I was hoping to chat to him about later. Thanks in advance of any comments! 😀
Hey I spoke to my endocrinologist. We are reviewing in 2/3 months time and I can email him anytime he says it can take that long for joint and muscle symptoms to ease! So I’m sticking with 125mcg levothyroxine! He said my TSH was fine as detectable! He is speaking to a gynaecologist about my menstrual problems as if related to thyroid they should have resolved! Suppose I will see what comes of the gynaecologist and 2/3 month review and in meantime work on my vit d and folate 🤷♀️thanks for all your help! 😀
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