Advanced Thyroid Function Blood Test results in... - Thyroid UK

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Advanced Thyroid Function Blood Test results in - Any advice very welcome.

colin_q profile image
6 Replies

Medichecks Date 21/7/21

Inflammation

CRP HS 2.7 mg/l (Range: 0 - 5)

Iron Status

Ferritin 67ug/L (Range 30 - 400)

Vitamins

Folate - Serum !Sample error

Vitamin B12 - Active 222pmo/L (Range: 25.1 - 165) **

Vitamin D 71 nmol/L (Range: 50 - 200)

Thyroid Hormones

TSH 7.73 mIU/L (Range: 0.27 - 4.2) **

Free T3 4.5 pmol/L (Range: 3.1 - 6.8)

Free Thyroxine 14.4 pmol/l (Range: 12 - 22)

Autoimmunity

Thyroglobulin Antibodies 13.4 IU/mL (Range: 0 - 115)

Thyroid Peroxidase Antibodies 11.6 IU/mL (Range: 0 - 34)

Of course there was a doctor's overview the ** indicate a comment from the doctor.

Earlier posts have all my previous data, please know if any more data would help.

Thank you

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SlowDragon profile image
SlowDragonAdministrator

So this is second test with TSH over 5

See GP to be started on levothyroxine

See flow chart on top of page 2

gp-update.co.uk/Latest-Upda...

colin_q profile image
colin_q in reply to SlowDragon

Very much appreciate your help and support, thank you and will do.

SeasideSusie profile image
SeasideSusieRemembering

colin_1

Inflammation

CRP HS 2.7 mg/l (Range: 0 - 5)

This has come down considerably from a month ago when it was 9.5. Obviously the lower the better.

Iron Status

Ferritin 67ug/L (Range 30 - 400)

This is better than last time, quite a decent increase. humanbean and radd covered your iron panel last time so there's nothing to add about that.

Vitamins

Folate - Serum !Sample error

Vitamin B12 - Active 222pmo/L (Range: 25.1 - 165) **

Are you supplementing? If so you should lower your dose, you'd be better staying in range.

Vitamin D 71 nmol/L (Range: 50 - 200)

This would be better higher. 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 3,000-4,000iu D3 daily.

Retest after 3 months.

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:

vitamindtest.org.uk/

Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3. You will have to buy these yourself.

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, and large doses of D3 can induce depletion of magnesium. 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.

naturalnews.com/046401_magn...

drjockers.com/best-magnesiu...

Thyroid Hormones

TSH 7.73 mIU/L (Range: 0.27 - 4.2) **

Free T3 4.5 pmol/L (Range: 3.1 - 6.8)

Free Thyroxine 14.4 pmol/l (Range: 12 - 22)

Obviously still classed as subclinical but if you show your GP these results you can show him that your TSH is climbing, emphasise any symptoms that you have and how it affects your life and ask for a trial of Levo.

Autoimmunity

Thyroglobulin Antibodies 13.4 IU/mL (Range: 0 - 115)

Thyroid Peroxidase Antibodies 11.6 IU/mL (Range: 0 - 34)

Both low in range an these results do not suggest autoimmune thyroid disease (Hashimoto's).

colin_q profile image
colin_q in reply to SeasideSusie

Thank you very much for your help and support and will take it all onboard... 😀

SlowDragon profile image
SlowDragonAdministrator

TSH level miu/L [0.3 - 4.20]

5.5 (10/12/2020),

6.6 (24/07/2020),

6.6 (22/01/2020),

4.7 (05/06/2019)

Serum free T4 level pmol/L [12.0 - 22.0]

13.9 (10/12/2020),

13.9 (24/07/2020),

13.9 (22/01/2020),

12.7 (05/06/2019)

So in Aug 2020 After 2nd TSH result over 5 your GP could/should have been started on you levothyroxine

As both thyroid antibodies are negative ask GP for ultrasound scan of thyroid.

Or test privately £150

20% of Hashimoto's patients never have raised antibodies

healthunlocked.com/thyroidu...

Paul Robson on atrophied thyroid - especially if no TPO antibodies

paulrobinsonthyroid.com/cou...

colin_q profile image
colin_q in reply to SlowDragon

My plan is to approach my GP armed with my results thus far, preparing right now 👍

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