Help with blood results please

[RobinC21]

Hi everyone,

I started treatment with Levothyroxine in January and reached a dose of 100mcg about 6 months ago. I tested at the end of May and had a suppressed TSH (0.05) range 0.55-0.78 and T3 was 4.9 (range 3.5-6.5) .

I have been getting increasing attacks of fatigue recently and discovered that my iron was low. I completely crash for around 1-2 days after a couple of busy days at work.

I also asked my GP to test my thyroid to check if the dose was correct and she only tested the TSH which had gone up a bit. So I have done a self test and these are the results.

TSH 1.02 (0.27-4.2)

fT4 16.1 (12-22)

fT3 3.64 (3.1-6.8)

B12 820 (211-911)

Folate 19.87 (3.38-23.9)

Ferritin 23 (10-291)

Vit D 68 (50-274)

My GP has started me on iron but would probably but isn’t very helpful re my thyroid!

Is there any reason why I might need more thyroxine now when I was ok before? Could it be because I’m more active now?!

Should I increase to 125mcg?

I’m taking supplements and of magnesium, vit D, b12, folate selenium and now iron too.

Thanks for your help

A

[fuchsia-pink]

Yes, I would. Your free T4 is a not-great 41% through range and free T3 is feeble at just under 14%.

Don't worry if an increase suppresses your TSH again - this isn't anything to worry about once you are on levo: where in range free T4 and free T3 are matters much more x

[JAmanda in reply to fuchsia-pink]

Me too.

[greygoose]

How far away from levo do you take your supplements?

Magnesium, vit D and iron should be at least four hours away, and the rest at least two hours.

[SlowDragon Administrator]

What vitamin supplements are you currently taking

Vitamin D is also too low

GP will often only prescribe to bring vitamin D levels to 50nmol.

Some CCG areas will prescribe to bring levels to 75nmol or even 80nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

But improving to around 80nmol or 100nmol by self supplementing may be better

pubmed.ncbi.nlm.nih.gov/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Test twice yearly via NHS private testing service when supplementing

vitamindtest.org.uk

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,

Vitamin D and thyroid disease

grassrootshealth.net/blog/t...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...