levels , thyroid & iron , blood tests, cramps p... - Thyroid UK

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levels , thyroid & iron , blood tests, cramps pain etc.. advice please

MrsClanger profile image
8 Replies

hi guys , ive had some tests done recently with gp as im getting a lot of pain and severe cramping in my hands. hes sent me for xrays to investigate oesteo arthritis .

blood tests come back normal so im guessing no sign of arthritis , but not sure if what he tested relats to that .. my cholestorol is slightly raised, so referral to nurse to have what will be a confused conversation as i follow a plant based low carb no sugar , the only fat i eat is in nuts olive oil . Please see my last post for diet change , since april ive been eating a restructed diet avoiding lectins carbs and feel good on it. My weight is currently around 8 st 8 and i feel im finally back to where i sh-*ould be metabolically, i can eat well, and energy levels have been good until recently when i had a very stressful situation to deal with , so have been very tired the last month.

my worry is the cramping in my hands , its severe very painful, if its not arthritis, could it be a deficiency ? .. or do i need to increase my t3 or levo dose.?

ive been self medicating with t 3 for about 9 months now and still feeling like im on the right amount , have had some severe stress lately and cannot cope with the cold weather so maybe this is affecting me, but dont understand why my t3 and t4 levels seem to be going down still..

Can someone please advise if my iron B12 and folate levels as it says no action but % is low, if any one can advice explain id much appreciate

b12 is 664 ( ref 197-771)

folate > 20 ( ref 1.90 - 25.00)

serum ferritin 51 ref 13 - 150)

! iron & transferrin index no action

serum iron level 12.5( ref 5.80 -34.50)

transferrin level 3( ref 2.00 - 3.60)

serum tansferrin % saturation 17% ( ref 25.00 - 45.00%)

I cant copy the document for all the tests, but all are within range, tho many on the low side of normal.

flagged are white cell count is just below normal. alkaline phosphatase and inorganic phosphate are both a bit high.

my t3 has gone down 1.00 and t4 down 4.7 , since 3 months ago yet ive been taking the exact same amount . Why is it going down ?

T3 = 3.7 ( ref 3.10 - 6.80 )

T4 = 14 ( ref 11.10-22)

TSH = 0.01 ( 0.27-4.20 )

compare to approx 3 months ago .. i had been on t3 about 7 months.

TSH 0.01

T4 18.7 ( ref 12-22)

T3 4.6 ( ref 3.1 - 6.8 )

( i wait 24 hrs from last levo/t3 dose before having the blood test, done first thing fasting and no b vits for 3 days before on both blood tests )

Previous results on Levo over a year ago , just to compare .. this was just before i reduced the dose, and started t3, and i was feeling awful.

( 100/100/125 mcg 3 day cycle )

TSH 0.01

T4 21.9 ( ref 12-22)

T3 5.6 ( ref 3.1 - 6.8 )

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MrsClanger profile image
MrsClanger
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8 Replies
humanbean profile image
humanbean

Did you know that fat is one of the essential micronutrients? Your body can't make it so you have to eat it. The cell walls in the body and brain need fat to be made properly.

Whether your sore hands are caused by too little fat, I don't know, but it might be a possibility.

en.wikipedia.org/wiki/Nutri...

"Fats consist of a glycerin molecule with three fatty acids attached. Fatty acid molecules contain a -COOH group attached to unbranched hydrocarbon chains connected by single bonds alone (saturated fatty acids) or by both double and single bonds (unsaturated fatty acids). Fats are needed for construction and maintenance of cell membranes, to maintain a stable body temperature, and to sustain the health of skin and hair. Because the body does not manufacture certain fatty acids (termed essential fatty acids), they must be obtained through one's diet."

...

folate > 20 ( ref 1.90 - 25.00)

Do you take folic acid? Or methylfolate? If you haven't read this link you should do :

chriskresser.com/folate-vs-...

Common causes of sore muscles and joints are low mineral levels : iron, magnesium, potassium, sodium, possibly selenium.

serum ferritin 51 ref 13 - 150) 28% of the way through the range

! iron & transferrin index no action

serum iron level 12.5( ref 5.80 -34.50) 23% of the way through the range

transferrin level 3( ref 2.00 - 3.60) 62% of the way through the range

serum transferrin % saturation 17% ( ref 25.00 - 45.00%)

Optimal iron/ferritin results : rt3-adrenals.org/Iron_test_...

Optimal ferritin is mid-range or a bit higher e.g. around 90 - 110. Yours is far too low.

Optimal serum iron is 55% - 70% of the way through the range, higher end of that for men. e.g. around 21.6 - 25.9. Yours is too low.

Transferrin saturation % - optimal is 35% - 45%, yours is too low.

If you want to know about iron supplements available without prescription, take a look at this post I wrote for another member :

healthunlocked.com/thyroidu...

MrsClanger profile image
MrsClanger in reply to humanbean

Hi humanbean thank you fir all the info, I really appreciate all the math help as I struggle to work this stuff out

I've bern taking a suppliment called Gentle Iron Bisglycinate 14mg, it says to not to exceed one tablet daily. I was taking it regularly but have been slack over the last month or so though as I've bern under a lot of stress and misplaced the bottle, so i think I really need to just get back on track.

Do you think the amount of what I'm taking is correct if I remember to take it daily?.. I'm thinking if I try be sure to take everything, the b vits have vit c but maybe I need to add some natural vit c,?

I could get my other minerals checked, but I think sodium was on the high side of normal, I add pink hymalayan salt to everything, as the cardiologist suggested this when I kept having bouts of bradycardia, . So maybe I need to really focus on getting back on track.. Then check again in a month or so?

MrsClanger profile image
MrsClanger in reply to humanbean

I have the Igennus Super B-Complex - High Strength B Vitamins with folate, B6 & B12 Plus Vitamin C..

.. Again.. I was taking one a day but been slack lately. I'll start again and re test in a month or so..

Is this the correct dose and form of Folate?..

I'll try increase intake of iron rich veg.

MrsClanger profile image
MrsClanger in reply to humanbean

Other suppliments I usually take..Igennus Neurobalance, Zinc Picolinate, Magnesium Citrate & Vitamin B6 Supplement

I take this in the evening with calcium and vit D.

So it's taken well away from the iron and b complex that I usually take at around 1 pm.. 4 hrs after taking the levo & t3

MrsClanger profile image
MrsClanger in reply to humanbean

With the fats, I've been trying to increase healthy fats in my diet, I eat half to one avocado every day, and a tablespoon of tahini, and one tablespoon of olive oil. This is every day without fail. I eat nuts too, I think my level of healthy fats is quite high.?

SlowDragon profile image
SlowDragonAdministrator

Leaving 24 hours between last dose T3 and test is too long and result is false low

On day before blood test you need to split T3 dose into 2 or 3 smaller doses, taking last 1/2 or 1/3rd approx 8-12 hours before blood test

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

Do you always get same brand levothyroxine and same brand T3 at each prescription

Ferritin obviously needs work

On plant based diet likely to need to supplement virtually continuously to maintain optimal iron and ferritin

If taking iron supplements, essential to regularly retest full iron panel 3-4 times a year

Medichecks one

medichecks.com/products/iro...

MrsClanger profile image
MrsClanger in reply to SlowDragon

Hi slowdragon. Thank you for the reply, I totally forgot about the different advice on dosing the T 3 before taking the blood test, so will do this next time abd get another thyroid test done.

radd profile image
radd

MrsClanger,

Iron is too low & needs supplementing, evidenced by ferritin at 27% through range, iron at 23% and T/S (transferrin saturation) at 17%. T/S is a calculation of other iron results & should be between 35 - 45%. Anything less than 20% indicates iron deficiency.

ALP could be high due to reduced GFR (inadequate kidney filtering function due to low FT3) or bodies skewed use or deficiencies in calcium/Vit D. Vit D helps both to work towards good bone health. Have you had Vit D tested? Also Vit D needs fat to be better absorbed and all usually work better with slightly higher FT3 levels.

Assume those results are for the 'frees', ie FT4 & FT3. Thyroid hormones are bound to carrier proteins in the blood stream (ie TBG, albumin, etc). These are influenced by other factors such as other hormonal change (particularly oestrogen dominance), diet, exercise, other meds. High levels can bind too much so reducing 'free' levels.

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