Latest Monitor my Health results please advise my dose was dropped in January from 150mgs to 125mcgs of Levothyroxine in dropping my dose my Ft3 has gone down to 4.9 when 4 weeks ago it was 5.5 also Ft4 levels in Jan were only 22.7 now they are 26.1 whats happening to me. I did test before 9.00am no meds before or coffee only water.
22/02/2022
Please note, TSH is the most important parameter when considering e=cacy of thyroid hormone
replacement. A decision to change treatment is based upon both laboratory test and clinical
considerations and should be made only in consultation with your healthcare provider.
TRIODOTHYRONINE
22/02/2022
4.9 pmol/L
FT3 levels normal (normal range 3.1 - 6.8 pmol/L)
THYROXINE
22/02/2022
26.1 pmol/L
FT4 levels high (normal range 12 - 22 pmol/L)
THYROID STIMULATING HORMONE
22/02/2022
1.22 mu/L
TSH levels normal (normal range 0.27 - 4.2 mU/L)
Overall comment
23/01/2022
Please note, TSH is the most important parameter when considering e=cacy of thyroid hormone
replacement. A decision to change treatment is based upon both laboratory test and clinical
considerations and should be made only in consultation with your healthcare provider.
TRIODOTHYRONINE
23/01/2022
5.5 pmol/L
FT3 levels normal (normal range 3.1 - 6.8 pmol/L)Menu26.
Written by
sunsation1
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This is low. Folate is recommended to be at least half wayt hrough range which would be 14.5 plus with that range. Eating folate rich foods and supplementing with good quality B Complex will help.
Serum ferratin 52ng/L 12-150
This is on the low side, ferritin is recommended to be half way through range so around 81 with that range. You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet
Don't consider taking an iron supplement unless you do an iron panel, if you already have a decent level of serum iron and a good saturation percentage then taking iron tablets can push your iron level even higher, too much iron is as bad as too little.
B12 531ng/L 197-771 (ng/L is the same as pg/ml)
This isn't too bad although 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."
The B Complex will help raise your B12 level as well as folate.
I have used Thorne Basic B for a long time and always been happy. However, it's quite expensive so I have bought some of this one to try when I've finished the last of my Thorne. The amounts of the vitamins are very similar, it's liposomal which is said to absorb better, there are no unnecessary added ingredients and better priced:
If you look at different brands then look for the words "bioavailable" or "bioactive" and ensure they contain methylcobalamin (not cyanocobalamin) and methylfolate (not folic acid). Avoid any that contain Vit C as this stops the body from using the B12. Vit C and B12 need to be taken 2 hours apart.
Also, for regular daily use it's recommended to take no more than 10mg B6 so check that as well.
When taking a B Complex we should leave this off for 3-7 days before any blood test because it contains biotin and this gives false results when biotin is used in the testing procedure (which most labs do).
im vegan so will consider a low dose iron supplement and methyl folate
You would be better doing an iron panel test before taking an iron supplement for the reasons I mentioned above. If you don't do that then I suggest you just increase your iron rich foods for now to see if that helps but I would seriously consider doing an iron panel, Medichecks to a home iron test which includes serum iron, transferrin saturation, TIBC and ferritin.
Don't supplement just methylfolate, you need all the B vitamins to keep them balanced so use a B Complex.
There is plenty of room for your B12 to improve, have another look at what I wrote in my previous reply. If you go for a good quality B Complex like Thorne Basic B then there will be about 400mcg methylcobalamin B12 and about 20% of a B12 supplement is absorbed. That shouldn't take your B12 level too high, even if it did then any excess would be excreted. It's important to keep all the B vitamins balanced.
I too haven't a thyroid and through trial and error I now know i feel at my best with optimal levels of ferritin at around 100 : folate at around 20 : serum B12 at around 500++ - and vitamin D at around 100 :
I can't do cut and paste - so suggest you look at replies from SeasideSusie and SlowDragon on vitamin and minerals supplement and suggestions, and no diubt SD will come along anyway as you replied to her so she will have been notified of your results>
I have just jumped in - as I remember replying to you ages ago:
Come back with new post once you get full iron panel test done
Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing. It’s possible to have low ferritin but high iron (but unlikely if vegan)
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