First bloods for a long while...: Hi all, Any... - Thyroid UK

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First bloods for a long while...

dinkyoodle profile image
3 Replies

Hi all,

Any thoughts on my recent bloods before I start supplementing. I do have FBC results too if relevant.

TSH 1.94 (0.35-4.94mu/L)

Folate 5.9 (2.7-15ug/L)

Serum B12 186 (187-883ng/L)

Ferritin 43 (23-300ug/L)

Vit D 28 (50-120nmol/L)

Unfortunately, I think I've taken my eye off the ball this last couple of years 😔

Shame it wasn't full thyroid bloods but it was an early, fasted test with no Levo for 24hrs. I take 125mcg daily and that's it currently but know I need to start supplementing. I am gluten free and good varied diet.

Many thanks 😊

Edit* to add FBC

Total white cell 3.3 (4.0-10.0)

RBC 4.45 (3.8-4.8)

Haemaglobin est 127 (120-150)

Haematocrit 0.38 (0.36-0.46)

MCV 85 (83-101)

MCH 28.6 (27.0-32.0)

Platelet 231 (150-410)

Neutrophils 1.45 (2-7)

Lymphocytes 1.46 (1-3)

Monocyte 0.28 (0.2-1)

Eosinophil 0.09 (0.02-0.05)

Basophil 0.02 (0-0.10)

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dinkyoodle
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3 Replies
SlowDragon profile image
SlowDragonAdministrator

Are you vegetarian or vegan?

Are these results done by GP

Can you add FBC results

Ferritin very low

You need to get full testing for Pernicious Anaemia before starting any B vitamins

B12 is deficient

Vitamin D is virtually deficient

GP should prescribe LOADING dose vitamin D

NHS Guidelines on dose vitamin D required

ouh.nhs.uk/osteoporosis/use...

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...

Have you had coeliac blood test done

Or are you already on strictly gluten free diet

Thyroid

Just testing TSH is completely inadequate

Was test done early morning

all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

dinkyoodle profile image
dinkyoodle in reply to SlowDragon

I've added FBC in original post.

I have had previous coeliac test which was negative. I'm Gluten free to try and support thyroid. Not veggie- I eat loads of eggs (daily), red meat a few times a week and lots of veg/nuts/seeds.The bloods were done by the GP.

How would I increase ferritin?

Thanks for details of private bloods.

SlowDragon profile image
SlowDragonAdministrator in reply to dinkyoodle

Make appointment with GP

They should prescribe vitamin D

Likely to need LOADING B12 injections….several injections close together before get every 2-3 months

Low ferritin

cks.nice.org.uk/topics/anae...

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

List of iron rich foods

dailyiron.net

Links about iron and ferritin

irondisorders.org/too-littl...

davidg170.sg-host.com/wp-co...

Great in-depth article on low ferritin

oatext.com/iron-deficiency-...

drhedberg.com/ferritin-hypo...

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.

Thyroid disease is as much about optimising vitamins as thyroid hormones

healthunlocked.com/thyroidu...

restartmed.com/hypothyroidi...

Post discussing just how long it can take to raise low ferritin

healthunlocked.com/thyroidu...

Never supplement iron without doing full iron panel test for anaemia first and repeat test 3-4 times year if supplementing

Medichecks iron panel test

medichecks.com/products/iro...

Low Iron and low thyroid link

healthunlocked.com/thyroidu...

Posts discussing why important to do full iron panel test

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Chicken livers if iron is good, but ferritin low

healthunlocked.com/thyroidu...

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