125 from 100 they gave me Teva for 25 but as it was an effort to get it did not want to cause a fuss but the 100 is always same mercury pharma, yes 26 hours prior to test, I have been taking B12 it ran out a few days ago so I thought I would wait until I got results, they took nearly a week to get results postage was bad. I have better u Vitamin D with K I do sometimes forget, sorry! Not strictly gluten, hardly eat bread but occasional dessert as is my weakness.I eat meat and fish a lot and nuts thought I had fair diet. Not had panel as no chance of seeing doctor, when I get prescription though I do have option to write a note so will try that. What can I do to improve Folate, I eat yogurt regularly.
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
In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency
Look at increasing iron rich foods in diet
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
Have you had coeliac blood test done while eating high levels of gluten
approx 5% with Hashimoto's are coeliac, but a further 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal
Before considering trial on gluten free diet ideally you would get coeliac blood test done FIRST just to rule it out
If you test positive for coeliac, will need to remain on gluten rich diet until endoscopy (officially 6 weeks wait)
If result is negative can consider trialing strictly gluten free diet for 3-6 months. Likely to see benefits. Can take many months for brain fog to lift.
If no obvious improvement, reintroduce gluten see if symptoms get worse.
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
I was going to write before results as wondered if it was Teva that causes upset stomach (gastro) or if I was taking too much so no mention that I was overmedicating due to high T4?
Improving low vitamin levels and strictly gluten free diet may help conversion rate ….reducing high Ft4 and making Ft4 and Ft3 more balanced
Some people are fine with Ft4 over range.
Others aren’t
(I couldn’t tolerate Ft4 that high)
Reducing levothyroxine dose would reduce high Ft4, but would also reduce Ft3
If improving low vitamin levels and strictly gluten free diet and always same brand levothyroxine doesn’t reduce Ft4/ increase Ft3 you may need slightly less Levothyroxine and possibly the addition of T3 prescribed alongside levothyroxine
Thank you so outcome much the same really when you say you couldn't tolerate high t4 in what way, it is difficult cause I am not sure how I am supposed to feel as not felt right for such a long time but thought it cant be just old age for me to feel so weak in a lot of ways
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