Hi Please can someone have a look at my results and let me know their thoughts please. I'm about to start fertility treatment again soon so want everything to be optimal.
TSH 0.08 (r 0.27 - 4.2)
Free T3 6.2 (3.1 - 6.8)
Free thyroxine 21.5 (r12 -22)
CRP HS 0.78 (r 0-5)
Ferratin 77.7 (r13 -150)
Folate 19.23 (r3.89)
B12 107 (r 37.5 -188)
Vit d 64.2 (r 50 -200)
Thyroglobin anti bodies 272 (r 115)
Peroxidase antibodies 291 (r34)
Please edit to add lab ranges - these vary from lab to lab so we need yours x
Done thankyou x
LouBoo85
They look good. How do you feel?
Of course, having Hashi's, they're likely to fluctuate as I'm sure you know.
Your Vit D could be better. 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.
Thankyou. Well i felt crap after Christmas and went back to dairy n gluton free n feel much better now n my the has come right down. Medi checks have said I'm over active now...what do u think? Balancing act all the time haha
Ignore them! You are ONLY over-medicated when free T3 is over-range - yours is nice and high but not over [and you can't switch from under to over-active, just over-medicated] x
Thankyou so you think im ok to continue on the medication i am on?
yes 
LouBoo85
Medi checks have said I'm over active now...what do u think?
Tosh! You have an underactive thyroid, you can't possibly sudden develop an overactive thyroid. But, you have Hashi's and can swing into a temporary "false hyper" phase or be overmedicated. But it's not even that.
What those doctor's comments actually mean is
"Your TSH is suppressed and because we doctors are all taught that TSH is the only result we should take notice of then we are going to say you are overactive because we haven't been taught that the actual thyroid hormones - FT4 and FT3 - are the most important results, and we don't know the difference between overactive and overmedicated in hypothyroidism or a Hashi's swing."
TSH is a signal from the pituitary to tell the thyroid to make hormone if it detects there's not enough, in which case the TSH will be high. When taking replacement thyroid hormone (Levo), and particularly when taking enough to give results in the upper part of the ranges like yours, the TSH stays low (unless undermedicated).
So your FT4 and FT3 are well up into their ranges so your pituitary is satisfied, doesn't need to signal the pituitary so the TSH is low. Why doctors aren't taught, or don't seem to understand this is beyond me.
[Sorry, I have my ranty head on today!]
Tip - when ordering any private test, make sure you don't ask for doctor's comments. If you want proper interpretation of your results then post them on here 😊.
Haha thankyou! So do you think im over medicated or can i continue as i am for now?
Your results are in range. You are not overmedicated. If your FT3 was over range then that would be classed as overmedicated. If you feel well on that dose then don't change anything.
One important question - when did you take your last dose of thyroid meds before the test? When testing we always advise:
* Blood draw no later than 9am. This is because TSH is highest early morning and lowers throughout the day. If looking for a diagnosis of hypothyroidism, an increase in dose of Levo or to avoid a reduction then we need the highest possible TSH
* Nothing to eat or drink except water before the blood draw. This is because eating can lower TSH and coffee can affect TSH.
* If taking thyroid hormone replacement, last dose of Levo should be 24 hours before blood draw, if taking NDT or T3 then last dose should be 8-12 hours before blood draw. Adjust timing the day before if necessary. This avoids measuring hormone levels at their peak after ingestion of hormone replacement. Take your thyroid meds after the blood draw. Taking your dose too close to the blood draw will give false high results, leaving any longer gap will give false low results.
* If you take Biotin or a B Complex containing Biotin (B7), leave this off for 7 days before any blood test. This is because if Biotin is used in the testing procedure it can give false results (most labs use biotin).
These are patient to patient tips which we don't discuss with phlebotomists or doctors.
If this is how you did your test, all appears to be well.
Thankyou, i already take a vit d tablet everyday. Should u dbl up or do you think i need better quality vit d?
What brand do you take and what dose?
Do you take D3's important cofactors - magnesium and Vit K2-MK7?
I just take a wilko's bit d and no i don't take the others u mentioned.
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. One spray = 1000iu
amazon.co.uk/BetterYou-Dlux...
Test twice yearly via NHS private testing service when supplementing
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...
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...
Thankyou so much for this! So helpful 😁
LouBoo85
I just take a wilko's bit d
Whichever dose you take, and they seem to make 12.5mcg and 25mcg (500iu and 1,000iu), it wont be enough to raise your level. It might just about be a maintenance dose for someone with a good level already if you took the 25mcg ones.
With a level of 64.2nmol/L you'd be looking at around 3,000-4,000iu D3 daily then retest in 3 months to check your level to see if you need to adjust dose.
Also, they are tablets which is the least absorbable form of Vit D, and the 25mcg ones say they contain calcium carbonate and we shouldn't take calcium unless tested and found to be deficient.
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. Personally I keep excipients to a minimum, we often need to take a few supplements plus our medication and excipients all add up and can cause some people problems.
I need quite a high maintenance dose of 5,000iu x 6 days a week. I can get 360 softgels for £16.99 which lasts me over 12 months. Some people like BetterYou oral spray but this contains a lot of excipients and works out more expensive.
Taking Vit D will aid absorption of calcium from food so this is where we need Vit K2-MK7 as this directs 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 calcification of arteries and kidney stones, etc. 90-100mcg K2-MK7 is enough for up to 10,000iu D3.
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. Sometimes found on Amazon or Ebay or direct from the manufacturer in Germany.
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
natureprovides.com/collecti...
It may also be available on Amazon
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.
naturalnews.com/046401_magn...
drjockers.com/best-magnesiu...
So i need vit d and a k2 and a d3? Never heard of them so forgive my ignorance haha
D3 is the supplement you need to raise your Vit D level.
Vit K2-MK7 and magnesium are cofactors needed when taking D3.
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