Try again

[jodes86baldwin]

These are my results from blood test 6 weeks after my thyroxine increase.

Any advice welcome.

Bloods were done early morning and no meds for 24hrs

[SlowDragon Administrator]

Ft4 and Ft3 much improved

Refuse to reduce dose (if GP kicks up about low TSH)

Vitamin D too low

What vitamin supplements are you currently taking

Aiming for vitamin D at least around 80nmol

[jodes86baldwin in reply to SlowDragon]

I dont take any vit d at the moment as I didn't know what dose to buy. GP wants to keep me on the new dose and is doing bloods again on the 28th

[SlowDragon Administrator in reply to jodes86baldwin]

GP should prescribe 1600iu everyday for 6 months

NHS Guidelines on dose vitamin D required

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

GP will often only prescribe to bring vitamin D levels to 50nmol. CCG 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...

Suggest you take 3 sprays per day and retest in 3-4 months

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...

[ellie2211 in reply to SlowDragon]

Does vit d Cause gut issues? I had severe vit d deficiency (12) and was started on 50,000 d2 weekly ...i noticed improvements immediately (less constipation) but i also noticed that I am horribly bloated theses days ....is it the vit d?

[SlowDragon Administrator in reply to ellie2211]

Suggest you start a post of your own, with your thyroid history, dose etc

Low vitamin D extremely common with thyroid disease, especially autoimmune thyroid disease also called Hashimoto’s

Gut issues very common too, due to low stomach acid, leading to bloating, poor nutrient absorption, low vitamin levels and gluten intolerance

[SlowDragon Administrator in reply to jodes86baldwin]

What about folate, ferritin and B12

These need testing at least once a year

[jodes86baldwin in reply to SlowDragon]

I asked for those to be tested ghe nose said she can't test those cause they cost to much.. I am going to pay for private ones when finances are better.

Rather than gey gp to give vit f can u just buy it?

[SlowDragon Administrator in reply to jodes86baldwin]

Yes …gave you link above

amazon.co.uk/BetterYou-Dlux...

One spray = 1000iu

Suggest you start with 3 sprays per day

At least an hour away from levothyroxine

[jodes86baldwin in reply to SlowDragon]

Is there a tablet? I can't use sprays

[SlowDragon Administrator in reply to jodes86baldwin]

SeasideSusie recommends a vitamin D gel tablet

She might pop along with info

Any tablets or gels Must be minimum minimum 4 hours away from levothyroxine

[jodes86baldwin in reply to SlowDragon]

I always take my vid d in morning on an empty tummy then my levo in the evening

[SlowDragon Administrator in reply to jodes86baldwin]

Vitamin D should be with food, ideally a high fat meal, as helps absorption

[jodes86baldwin in reply to SlowDragon]

Thats fine I can switch it around. I'll get some ordered thank you for your help

[SeasideSusie Remembering in reply to jodes86baldwin]

Tablets are the least absorbed of oral Vit D supplements. I have always done very well on Doctors Best softgels, no excipients, good quality, budget friendly.

Vegavero or Vitabay for Vit K2-mk7.

[jodes86baldwin in reply to SeasideSusie]

Amazing thank you

[Charlie-Farley]

Good progress jodes!

Just push back at any discussion of ‘normal’ or ‘in range’ because if it’s a toss up of making the bloods look good or feeling well- feeling well takes priority!

Oooo dare I say your GP might have a bit of a clue regards your TSH result not being the most important consideration 🤔 don’t be lulled though.

Where one sits in a ‘range’ is critical and sometimes in order to feel well, we sit outside. Always be guided by your symptoms. I talk about ranges and normal in my profile (I’ve made some funny analogies that exemplify the issues).