Advice request - Results

[Sami-M]

Following on from my last post Re emergency hospital visit, I have now upped the dose back to the regular 150 Levo I was on prior to hospital and now retested, results below:

14 July 2021

TSH 0.005 (0.27-4.2)

FT3 3.56 (2.00-4.4) pg/mL

FT4 1.91 (0.93-1.7) ng/dL

FT3 : 65 % through range

FT4 : 127.27 %through range

Prior to ending up in emergency, when I was actually in need of an increase, as thankfully pointed out by greygoose the range then was:

FT3 : 70.81% through range

FT4 : 133.81% through range

I’m now looking to increase dose from 150 to 175 Levo ? I feel I’m under medicated as I was prior to hospital visit. Also contemplating adding T3 again, but that route will take a little more time, but I think possible to line that up for future. Any suggestions gratefully received, thanking you.

I’m totally gluten free for over a year. Does anybody know whether both antibodies in time ultimately become negative ?

Anti TPO 265 iU/ml Range < 5.6

Anti TBG 5.47 iU/ml Range < 4.11

Vitamin B12 426 (187-883) pg/ml

Vitamin D 41.35 (ng/ml)

Folate 10.5 ng/mL (3.1-20.5)

SlowDragon did point out Metformin can lower B12 and folate. I’ve recently stopped Metformin and just started topping up on Methylcobalamin injections, 3 times a week.

[humanbean]

It's important to note the units of measurement for vitamin D.

Optimal for vitamin D is usually given as :

100 - 150 nmol/L which is equivalent to 40 - 60 ng/mL

This is a useful calculator for supplementing vitamin D in anyone whose level is below optimal.

grassrootshealth.net/projec...

[humanbean]

Vitamin D 41.35 (ng/ml)

Vitamin B12 426 (187-883) pg/ml

Folate 10.5 ng/mL (3.1-20.5)

Your vitamin D is already at the low end of optimal. You might feel better with it a bit higher - or you might not. Personally, I feel okay at the low end of optimal but I know others feel better at higher levels. The only thing you can do is experiment.

Are you taking vitamin K2 and magnesium? Good levels of vitamin D raise the amount of calcium absorbed from the diet. Vitamin K2 and magnesium are supposed to allow the body to put any extra calcium in bones and teeth, rather than it ending up lining the arteries.

There are many, many posts on the subject of magnesium and vitamin K2 on this forum, so do a search for more info.

Vitamin B12 - You can read @SeasideSusie's excellent advice on optimal B12 levels in the first reply to this thread :

healthunlocked.com/thyroidu...

Personally I aim to keep my own B12 at roughly 1000 or even a bit over, which is over the range, but B12 isn't poisonous. It is the only nutrient I am happy to have over the range because it eliminates my "teenage" spots and almost eliminates my lifelong eczema. Note that I was a teenager decades ago but had spots almost all my life from puberty onwards until I raised my B12.

Folate - Optimal for folate is in the upper half of the range, which is approximately 12 - 20 with the range you've given. For info on choosing folate supplements :

chriskresser.com/folate-vs-...

[humanbean]

The same advice I gave above would apply to you.

A good supplement for B12 is methylcobalamin which is an active form of B12. You can buy it from supplement sites and places like Amazon.

SeasideSusie, whose advice on nutrients is always worth paying attention to, likes this B12 supplement :

cytoplan.co.uk/vitamin-b12-...

Adenosylcobalamin is another form of active B12.