Private Blood Results

[Katherine0121]

Having received my blood results I intend to present these to my GP, in the hopes we can start to understand why I have been feeling so poorly over recents months/weeks.

Would appreciate any input as to what questions I should be asking.

Many Thanks

[fuchsia-pink]

Are you on thyroid meds, Katherine? If so, you need a dose increase, as TSH is too high (once on thyroid meds it should be less than 2 and probably less than 1) and thyroid hormones are both very low - free T4 a feeble 13% through range and free T3 is 17.8%: you really need both to be a good 2/3 through range. Ask for an extra 25 mcg a day.

Vit D is clearly awful - GP should prescribe a loading dose. Ask for folate to be tested too as the Medichecks test didn't work. Are you supplementing B12?

[Katherine0121 in reply to fuchsia-pink]

Thank you for your reply. I’m currently on 150mg of Levo and iron tablets. I’m not taking any B12 supplements, given my current lack of energy/fatigue I was very surprised to find this was high.

[SlowDragon Administrator]

Was test done early morning and last dose levothyroxine 24 hours before test

Thyroid levels

FT4: 13.3 pmol/l (Range 12 - 22) 13.00%

FT3: 3.76 pmol/l (Range 3.1 - 6.8) 17.84%

Helpful calculator for working out percentage through range

thyroid.dopiaza.org

These results show you are very under medicated

When adequately treated on just levothyroxine Ft4 and Ft3 will be at least 50% through range

How much levothyroxine are you currently taking

Which brand of levothyroxine

Request 25mcg dose increase in levothyroxine

Have you had coeliac blood test done

Or are you already on strictly gluten free diet

[SlowDragon Administrator]

Clearly vitamin D is deficient

Have you been taking any vitamin D?

GP should prescribe LOADING dose

That’s 300,000iu in total over 6-8 weeks and retest level at end of the course

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 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...

But with Hashimoto’s, improving to around 80nmol or 100nmol by self supplementing may be better

pubmed.ncbi.nlm.nih.gov/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Test twice yearly via NHS private testing service when supplementing

vitamindtest.org.uk

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...

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...

Vitamin D may prevent Autoimmune disease

newscientist.com/article/23...

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...

[Katherine0121 in reply to SlowDragon]

Thank you again every so much for all the links, so very helpful.

[Hidden]

A pity the cortisol result couldn't be done as it haemolysed might be worth doing it again between 8-9am.

[Katherine0121 in reply to Hidden]

Thank you for your reply, I shall request my GP repeats this test. How does Cortisol impact on Thyroid health please?

[SlowDragon Administrator in reply to Katherine0121]

Adrenals try to compensate for lack of thyroid hormones. Initially this frequently results in high cortisol levels, eventually adrenals can get burnt out and cortisol levels start to drop