Overactive thyroid

[Durrow]

I have had over active thyroid with

15 years.

My endo took me off 10mg neomercozole on December 20th.

Felt ok for few months but have been tired/low mood/irritable/sleeping bad.

Bloods from yesterday

TSH-0.6

T4-16

T3-5

Folate/ferritin/vit b/vit d/protein etc all in limits

Appreciate any advice

[SeasideSusie Remembering]

Durrow

Please add reference ranges for your thyroid test results so that members can interpret them, ranges vary from lab to lab so without ranges results are pretty meaningless.

Also, please post your results and ranges for nutrients, just saying

Folate/ferritin/vit b/vit d/protein etc all in limits

doesn't tell us anything, nutrient levels need to be optimal, being "in limits" could mean they are at the bottom of the range which would be no good to anyone.

Please also add units of measurement for Vit D and B12 (which I assume Vit B is).

[Durrow in reply to SeasideSusie]

TSH limits 0.3 to 4.2-result 0.6T3 limits 3-6.8 result 5

T4 limits 12-22 result 16

B12 limits 197-771 result 326

IFCC limits 20-42 results 36

Ferritin 30-400 result 176

Folate 3-27 result 10

Protein 60/80 result 72

ALT 5-41 result 24

Vit D result 126 target greater than 50

Thanks for help

[SeasideSusie Remembering in reply to Durrow]

Durrow

I am and always have been hypOthyroid so have no personal experience of hyperactive and Carbimazole.

However, your results

TSH: 0.63 (0.3 to 4.2)

FT4: 16 (12-22)

FT3: 5 (3-6.8)

currently show "euthyroid" with TSH near the low end of range, FT4 at 40% through range and FT3 at 52.63% through range. Low T3 is what causes symptoms and yours isn't too bad. If you were hypothyroid and treated with Levothyroxine then we might say there's room to increase dose to get FT4 and FT3 higher in range.

B12: 326 (197-771)

I think the unit of measurement for this test is either pg/ml or ng/L (they are both the same). Please correct me if I'm wrong.

If so then your result is low. According to an extract from the book, "Could it be B12?" by Sally M. Pacholok:

"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".

"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."

Do you have any signs of B12 deficiency – check here:

b12deficiency.info/signs-an...

b12d.org/submit/document?id=46

If you do then list them to discuss with your GP and ask for testing for B12 deficiency and Pernicious Anaemia. Do not take any B12 supplements or folic acid/folate/B Complex supplements before further testing of B12 as this will mask signs of B12 deficiency and skew results.

If you do not have any signs or symptoms then you can self supplement to improve this level. My suggestion would be to take a sublingual methylcobalamin (B12) lozenge alongside a good quality B Complex which keeps all the B vitamins balance.

When I used B12 I used this one:

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

as it contains 2 active forms of B12.

Just use one bottle of this which should hopefully bring your level up and once you've reached over 500pg/ml or ng/L then you can stop the B12 and just continue with the B Complex.

Folate 3-27 result 10

Folate is recommended to be at least half way through it's range which would be 15 plus with that range.

The B Complex recommended to accompany the sublingual B12 will help raise your folate level. Also you can make sure you eat lots of folate rich foods.

My choice for B Complex is Thorne Basic B. If you look for another brand then look for the words "bioavailable" or "bioactive" and ensure it contains methylcobalamin not cyanocobalamin, and methylfolate not folic acid. Avoid any that also contain Vit C as this keeps the body from using the B12 in the supplement. Vit C and B12 should be kept 2 hours apart.

When taking a B Complex we should leave this off for 3-7 days before any blood test because it contains biotin and this gives false results when biotin is used in the testing procedure (which most labs do).

Optimising these two nutrients may help.

Ferritin 30-400 result 176

Are you male or female? That is a male range.

Ferritin is recommended to be half way through range although some experts say that the optimal level for thyroid function is 90-110ug/L, and I've also seen that a good level for females is 130 and for males is 150.

I think whichever way you look at it your ferritin doesn't appear to be a problem.

Was Vit D tested?

IFCC limits 20-42 results 36

Protein 60/80 result 72

ALT 5-41 result 24

I have no knowledge of these tests but they all seem to sit nicely within their range so I wouldn't assume there are any problems with them.

[Durrow]

Thanks so muchVit d was 126 v target greater than 50