CRP is high, this is a non-specific inflammation marker.
Ferritin is high, this can be high due to inflammation and as your CRP is high I expect it's likely that inflammation has caused this high ferritin level.
Show these to your GP and hopefully he will investigate and try to find the source of the inflammation. If you had an infection at the time of the test this would explain it.
Testing magnesium is unreliable unless it's a red cell magnesium test although I'm just wondering if you take a magnesium supplement.
Cortisol is a bit high for the time your test was done, I'll ask Hidden to comment when she's around, she's very good with serum cortisol tests.
Vit D: 49nmol/L
As you can see this is in the "insufficient" category.
The Vit D Society and Grassroots Health recommend a level of 100-150nmol/L, with a recent blog post on Grassroots Health mentioning a study which recommends over 125nmol/L.
If you wish to improve your leven then to reach the recommended level from your current level, you could supplement with 5,000iu D3 daily. Retest in 3 months.
Once you've reached the recommended level then a maintenance dose will be needed to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. This can be done with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:
Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3. You will have to buy these yourself.
D3 aids absorption of calcium from food and Vit K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc. 90-100mcg K2-MK7 is enough for up to 10,000iu D3.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking D3 as tablets/capsules/softgels, no necessity if using an oral spray.
For D3 I like Doctor's Best D3 softgels, they are an oil based very small softgel which contains just two ingredients - D3 and extra virgin olive oil, a good quality, nice clean supplement which is budget friendly. Some people like BetterYou oral spray but this contains a lot of excipients and works out more expensive.
For Vit K2-MK7 I like Vitabay or Vegavero brands which contain the correct form of K2-MK7 - the "All Trans" form rather than the "Cis" form. The All Trans form is the bioactive form, a bit like methylfolate is the bioactive form of folic acid.
If looking for a combined D3/K2 supplement, this one has 3,000iu D3 and 50mcg K2-MK7. The company has told me the K2-MK7 is the Trans form
Magnesium helps D3 to work. We need magnesium so that the body utilises D3, it's required to convert Vit D into it's active form, and large doses of D3 can induce depletion of magnesium. So it's important we ensure we take magnesium when supplementing with D3.
Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds if taking magnesium as tablets/capsules, no necessity if using topical forms of magnesium.
This is rather 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."
Many people with B12 in the 300s have been found to have B12 deficiency and need B12 injections. Do you have any signs of B12 deficiency – check here:
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.
Folate: 4.85nmol/L
This suggests folate deficiency and you should discuss this with your GP who should provide a course of folic acid. See
◦Serum folate of less than 7 nmol/L (3 micrograms/L) is used as a guide to indicate folate deficiency.
It is important not to start the folic acid until further testing of B12 has been carried out and B12 injections or supplements started.
TSH: 2.8 (0.27-4.20)
FT4: 16.3 (12-22)
FT3: 4.91 (3.1-6.8)
A normal healthy person generally would have a TSH level no more than 2, often arund 1, with FT4 around mid-range-ish. Unfortunately none of us are tested in health for a baseline so we don't know what is normal for us. Your TSH may be slightly high, your FT4 is 43% through range. I think if you optimise all your nutrients then you might find your thyroid results will be in a better place. Currently they don't suggest hypothyroidism, your GP will class them as euthyroid (normal).
Thyroid antibodies are currently low and don't suggest autoimmune thyroid disease (Hashimoto's); however, antibodies do fluctuate and another test may show a different level.
Your cortisol is slightly on the high side but not too bad, are you on an oestrogen contraceptive pill, HRT or Biotin (found in some supplements) these can give an elevated result. Have you gained weight, have insomnia, easily bruise, high BP or have a round full face?
I'm sorry to hear that. Maybe have a look at Cushing's syndrome, hopefully you won't have it but it might be worth getting it checked out. Sadly many GP's don't know a lot about it so you might have to fight. Ideally you want the am cortisol repeated, a 24 hour urine test & a Dexamethasone suppression test. Although this brochure is Dutch it does give a good explanation of Cushing's syndrome. I'm also happy to help you more as I've had the condition. adrenals.eu/wp-content/uplo...
Looking back 8 years ago, your TSH was at around 1.80 ?
So this shows that the remaining part of your thyroid gland is struggling to manage - and you need some help to maintain full thyroid gland hormone production and output.
You are obviously struggling on half a thyroid, and think you would benefit with some support with T4 - Levothyroxine - thyroid hormone replacement.
The thyroid is a major gland, and likened to the body's engine, as it controls our physical, mental, emotional, psychological and spiritual well being, including our inner central heating system and our metabolism.
It is essential to keep your core strength strong and solid for good health.
When hypothyroid extracting key, essential vitamins and minerals from food becomes challenging as metabolism is slowed , digestion slower and likely bowel movements not as " regular " as years ago.
The body runs on T3 and not T4 and the body converts T4 into T3 as and when it needs it throughout a 24 hour cycle.
It is low T3 that causes the symptoms of hypothyroidism, one of which is a slower than " normal for you " metabolism, just as a high T3 may give you symptoms of over active, one of which is a faster metabolism.
No thyroid hormone replacement works well until your vitamins and minerals, especially those of ferritin, folate, B12 and vitamin D are maintain at optimal levels.
Conversion of T4 into T3 can also be compromised by inflammation, and physiological stress ( emotional or physical ) depression, dieting and ageing.
I find I feel at my best with a ferritin at around 100: folate at around 20 : B12 serum 500 + and a vitamin D at around 100 :
In primary care you likely are being monitored yearly on just your TSH blood test result which isn't going to help you get acknowledgement as you are " in the range " and seen as ok.
The computer doesn't know your history nor your current health status and a TSH seen in isolation is so limited it's hardly worth the effort of the analysis.
Hi PennyannieThankyou for your response, I’m waiting for my appointment at ENT which I’m unsure how long that could be given the current situation, I’m hoping that once I get to see someone that they will be able to check my thyroid health ect and give me some medication. For now I’m concentrating on trying to get my vitamin levels up in the hope that it will help me feel a bit better.
Hi Pennyannie No ENT as I’ve got a red sore throat which I’ve had since last summer and the doctor couldn’t find anything wrong so referred me, I’ve had pain in my thyroid area a slightly husky voice when I talk for a while, and I did have pain that radiates up to my ear which at the moment I’ve not suffered with for a while, I assume this is all to do with thyroid but could also be larynx so the sooner I get seen the better really
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