Full thyroid check done privately.

[Wendyrmn66]

Recently had a full advanced thyroid check.

Would appreciate any advice please.

Ive screen shot results.

[SlowDragon Administrator]

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

Ft4 70% through range Ft3 only 47% through range

Helpful calculator for working out percentage through range

chorobytarczycy.eu/kalkulator

So like many Hashimoto’s patients you have poor conversion of Ft4 to Ft3

Looking at previous post

A) work out which brand levothyroxine suits you best and always get same brand

Get GP to specify brand on all future prescriptions

B) get coeliac blood test done before trialing absolutely strictly gluten free diet

High ferritin.

Are you post menopause?

High ferritin often after menopause and/or inflammation of Hashimoto’s

GP should do full iron panel test to see if iron is also high - in case of hemochromatosis

What vitamin supplements are you currently taking

Vitamin D, folate and B12 might benefit from slight improvement

[Wendyrmn66 in reply to SlowDragon]

Hi there slowdragon

Thanks for reply so quick. Much appreciated.

Yes im post menopause. Been 3 years now since last cycle. Im on hrt patches.

Yes i took test 7.30 am. One of my nurse colleagues took sample. It was exactly 24 hours after dose.

Tried to get same brand but pharmacy cant get them. I should perhaps half the 100mcg to get 150mcg. They're not enteric coated so should be ok. Dont know why didnt think of this before

🙄Ive been taking Boots skin hair and nails for 2 years since hair and nails awful. Im devastated.

Just started taking D3 again as gp told me i dont need once levels normal...that word again.

And omega 3 but read that's not good!

I dont take B12 but sometimes i takes Vit B strong for trigeminal neuralgia when that flares up.

Im bamboozled

Nightmare getting appt at GP.

Im already cutting gluten now. Trying to cut dairy well lactose at least 😪 and booze big no no now.

Cheers

Wendy

[SlowDragon Administrator in reply to Wendyrmn66]

That Boots hair and nail supplement likely contains biotin

Essential to stop taking any supplements that contain biotin a week before all blood tests as biotin can falsely affect test results

Get full iron panel test see what iron levels are

Medichecks offer one

medichecks.com/products/iro...

Likely to need addition of T3 prescribed alongside levothyroxine to improve Ft3

Very common for conversion of Ft4 to Ft3 to get worse after menopause and the longer we are on levothyroxine

Getting vitamins optimal important first

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function. There’s a version made that also contains vitamin K2 Mk7

amazon.co.uk/BetterYou-Dlux...

It’s trial and error what dose we need, with hashimoto’s we frequently need higher dose than average

Vitamin D and thyroid disease

grassrootshealth.net/blog/t...

Low folate and low B12

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid) may be beneficial.

This can help keep all B vitamins in balance and will help improve B12 levels too

Difference between folate and folic acid

chriskresser.com/folate-vs-...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.

thyroidpharmacist.com/artic...

B vitamins best taken after breakfast

Thorne Basic B or Jarrow B Right are recommended options that contains folate, but both are large capsules. (You can tip powder out if can’t swallow capsule)

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Gluten free diet needs to be absolutely strictly gluten free to be effective

Email Thyroid UK for list of recommend thyroid specialist endocrinologists who will prescribe T3 or NDT ...NHS and Private

[e-mail]

Roughly where in U.K. are you

Some endocrinologist are still doing consultations on zoom, so distance no object

[Wendyrmn66 in reply to SlowDragon]

Thanks for that..phew!I did stop boots vit 7 days prior. Medichecks gave me a list therefore my results must be pretty accurate.

I will get that VitD+K spray. Its 3for2 atm boots.

I dont think im absorbing nutrients into my system as my nails dont grow at all. Not know anything like it 😔

Do you think my stomach is the fault of this? Leaky gut?? Inflammation? I get a lot of pressure in my abdomen.

I will contact TUK and get diet sheet and list of endos.

I live in the North East.

Thank you so much your such a star!

[SlowDragon Administrator in reply to Wendyrmn66]

Low FT3 results in low stomach acid and slow gut motility/function

[SlowDragon Administrator in reply to Wendyrmn66]

HRT frequently means need increase in levothyroxine and/or conversion Ft4 to Ft3 possibly get worse

[Wendyrmn66 in reply to SlowDragon]

Hi SlowDragonIt just gets more and more complicated.

Called GP this morning and cant get appt as now given first come first served basis.

Think im going to go private and see a dietician at work.

Thank you for your sound advice i truly appreciate it

😇