New labs. Same symptoms.

[Meanbeannyc]

Any advice? Increase T3?

FT4: 1.35 (0.76-1.41)

FT3: 2.1 (2.2-4)

TSH: 0.761.

112/5.

[SlowDragon Administrator]

Can’t see any recent vitamin results

Ferritin and vitamin D far too low 6 months ago

No B12 or folate results

We need optimal vitamin levels when on levothyroxine and/or T3

How much levothyroxine and T3 are you currently taking

Was test done as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test.

Did you split T3 and take last 1/2 or 1/3rd of daily approx 8-12 hours before test

[Meanbeannyc in reply to SlowDragon]

112/5.

I take the whole 5 at once.

[SlowDragon Administrator in reply to Meanbeannyc]

Suggest adding 2nd 5mcg dose 10-12 hours after first

Retest in 6-8 weeks time and include vitamin test too

Make sure you take 2nd dose T3 8-12 hours before test

[Meanbeannyc in reply to SlowDragon]

I have alll updated vitamins. I will post now

[Meanbeannyc in reply to SlowDragon]

Vit D: 21 (20-50)

B12: 555 (211-911)

Folate: 15.3 (normal >5.4)

Ferritin: 46 (8-252)

[SlowDragon Administrator in reply to Meanbeannyc]

Odd range for vitamin D Is vitamin D units ng/ml or nmol

Ferritin looks low

Are you male or female

Vegetarian or vegan?

[Meanbeannyc in reply to SlowDragon]

“Ng/ml” is the unit used for measurement.

I am female.

Not vegetarian or vegan, by far!

[SlowDragon Administrator in reply to Meanbeannyc]

So vitamin D …looking to improve to at least 35ng/ml and around 40ng/ml (100nmol)

Are you currently taking any vitamin D supplements

[SlowDragon Administrator in reply to Meanbeannyc]

Ferritin is on low side

Ferritin at 30 is deficient

Ask your Doctor for full iron panel test for anaemia

[Meanbeannyc in reply to SlowDragon]

Idk how to get iron up without overdosing. I don’t really trust many doctors.

[Lalatoot]

Yes increase either by adding 5mcg to current dose or by adding a 2nd 5mcg dose.

[humanbean]

Vit D: 21 (20-50)

You can work out the ideal dose you need to raise your vitamin D with this calculator :

grassrootshealth.net/projec...

I tried it, and assumed that you weighed 140 lbs and didn't take any vitamin D supplements at all. The results I got back are :

All suggested intake amounts are based on a weight of 140 lbs

Maintenance Dose

To achieve the desired serum level within approximately 3 months, a supplementation amount of

3,000 IU* (75 mcg) per day (this includes your current intake amount)

will be sufficient for 50% of people to achieve the desired serum level of 40 ng/ml

or

4,000 IU* (100 mcg) per day (this includes your current intake amount)

will be sufficient for 90% of people to achieve the desired serum level of 40 ng/ml.

Loading Dose

To quickly achieve the desired serum level within days†, a dose of

25,000 IU (625 mcg) per day can be taken for 5 days, followed by the above maintenance dose.

*Values rounded to the nearest 1,000 IU and are capped at a maximum of 10,000 IU/day.

†This calculation is based on published data by van Groningen et al., Eur J Endocrinol., 2010

Hundreds of peer-reviewed scientific studies have documented the well-established safety of single 'loading' doses of vitamin D to get levels up quickly (1-26). Loading doses ranging from 100,000 IU to 600,000 IU have been shown to rapidly increase vitamin D levels, but fail to sustain levels longer than 2-3 months. Larger doses induce more rapid breakdown of vitamin D (1-2). Therefore, the customized loading dose has been divided into doses of 25,000 IU over a number of days to achieve the initial increase in vitamin D levels. The maintenance dose is your custom daily dose recommended to achieve and sustain the desired levels of vitamin D.

The best form of vitamin D to take is Vitamin D3, which comes in a gel or vegan capsule with nothing in it except vitamin D3 and oil. There are a few people who do not tolerate vitamin D3 supplements. You could read all this link and try some of the suggested solutions :

drjockers.com/vitamin-d-res...

[Meanbeannyc in reply to humanbean]

Been taking approx 2000iu D3/K2 daily in an oral liquid solution. It’s the most I can tolerate without vomiting. Will have vitamin D drawn in a few weeksTo see progress !