Correlation between iron deficiency anaemia and... - Thyroid UK

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Correlation between iron deficiency anaemia and thyroid cancer?

DanzNan profile image
8 Replies

Hello

After a chest CT performed to confirm COPD, which also showed a nodule on thee right side of my thyroid, I've had the result of a thyroid ultrasound today which showed several benign cysts and a 24mm U3 nodule on the right side of my thyroid. I have been put on the fast track referral for suspected head and neck cancer.

For the last 2 years I've been treated for iron deficiency anaemia requiring regular blood tests and blood and iron transfusions. It was first thought the internal haemorrhaging was due to taking Clopidigrel, a blood thinner prescribed following a TIA in February 2019. The Clopidigrel was stopped and for 12 months haemoglobin and associated levels remained in normal range. In May this year, I became breathless and tired and a blood test showed an Hb level of 64. After 3 blood transfusions and 2 of iron, I have been well since May. I hope to be given the green light to restart Clopidigrel, especially with the reported blood clot adverse events from Covid-19 vaccine.

Is there any correlation between thyroid cancer and iron deficient anaemia?

I've spend the last 60+ years with no medical issues, but since early 2019 have been diagnosed with so many conditions its getting quite scary.

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DanzNan
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SlowDragon profile image
SlowDragonAdministrator

Low vitamins strongly linked to being hypothyroid due to LOW stomach acid, this leads to poor nutrient absorption and low vitamin levels

Low vitamins especially linked to autoimmune thyroid disease, (Hashimoto’s) and nodules more common with Hashimoto’s

Also more common to have lower stomach acid as we get older

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested.

Also EXTREMELY important to test vitamin D, folate, ferritin and B12

Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test

bluehorizonbloodtests.co.uk...

Thriva Thyroid plus antibodies and vitamins By DIY fingerpick test

thriva.co/tests/thyroid-test

If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk

If TPO or TG thyroid antibodies are high this is usually due to Hashimoto’s (commonly known in UK as autoimmune thyroid disease).

About 90% of all primary hypothyroidism in Uk is due to Hashimoto’s.

Low vitamin levels are particularly common with Hashimoto’s. Gluten intolerance is often a hidden issue to.

Link about thyroid blood tests

thyroiduk.org/getting-a-dia...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

List of hypothyroid symptoms

thyroiduk.org/if-you-are-un...

DanzNan profile image
DanzNan in reply toSlowDragon

Thank you for replying. It's interesting you mention low vitamins and lower stomach acid, as I have been prescribed Vitamin D for the last 12 weeks following the results of the last blood test in May, and have just moved to the daily maintenance dose.I had a gastroscopy about 2 years ago which showed, among other things, that I had a hiatus hernia and gastric reflux. I am taking Omeprazole for the latter.

I also have had no symptoms of either hyper- or hypo-thyroidism.

My GP has requested for me to attend the local Cancer unit for a FNA, and I'm waiting to receive details for this.

Thanks again.

SlowDragon profile image
SlowDragonAdministrator in reply toDanzNan

Symptoms of LOW stomach acid are virtually identical to high stomach acid, but requires very different treatment

Low stomach acid can be an extremely common hypothyroid issue

Thousands of posts on here about low stomach acid

healthunlocked.com/search/p...

Web links re low stomach acid and reflux and hypothyroidism

nutritionjersey.com/high-or...

articles.mercola.com/sites/...

thyroidpharmacist.com/artic...

stopthethyroidmadness.com/s...

healthygut.com/articles/3-t...

naturalendocrinesolutions.c...

meraki-nutrition.co.uk/indi...

huffingtonpost.co.uk/laura-...

lispine.com/blog/10-telling...

Protect your teeth if using ACV with mother

healthunlocked.com/thyroidu...

Ppi

Omeprazole will tend lower vitamin levels even further, especially B12 and magnesium

gov.uk/drug-safety-update/p...

webmd.com/heartburn-gerd/ne...

pharmacytimes.com/publicati...

PPI and increased risk T2 diabetes

gut.bmj.com/content/early/2...

DanzNan profile image
DanzNan in reply toSlowDragon

HiThanks for details of these and subsequent research papers on the link between iron deficiency anaemia and PPI use. I've forwarded these to my GP for her consideration and hopefully we can discuss whether a change in medication is required.

SlowDragon profile image
SlowDragonAdministrator in reply toDanzNan

You need full thyroid testing

thyroid antibodies for autoimmune thyroid disease

TPO and TG antibodies

TSH

Ft3

Ft4

Folate and B12 too

Always test thyroid levels as early as possible in morning before eating or drinking anything other than water

If TPO or TG thyroid antibodies are high this is usually due to Hashimoto’s (commonly known in UK as autoimmune thyroid disease).

About 90% of all primary hypothyroidism in Uk is due to Hashimoto’s.

Low vitamin levels are particularly common with Hashimoto’s due to LOW STOMACH ACID.

Virtually identical symptoms to high stomach acid

Gluten intolerance is often a hidden issue too

Link about thyroid blood tests

thyroiduk.org/getting-a-dia...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

List of hypothyroid symptoms

thyroiduk.org/if-you-are-un...

SlowDragon profile image
SlowDragonAdministrator in reply toDanzNan

Lots of research suggests low iron can result from PPI use too

SlowDragon profile image
SlowDragonAdministrator in reply toDanzNan

If iron deficiency started soon after starting PPI …..

Iron Deficiency and PPI

medpagetoday.com/resource-c...

futurity.org/anemia-proton-...

onlinelibrary.wiley.com/doi...

sciencedirect.com/science/a...

SlowDragon profile image
SlowDragonAdministrator

mayoclinic.org/diseases-con...

Chronic inflammation of the thyroid. Hashimoto's disease, a thyroid disorder, can cause thyroid inflammation and result in enlarged nodules. This often is associated with hypothyroidism.

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