Hi, Here are my results of my thyroid test, If anyone can let me know if anything is wrong on them I will appreciate it.
I have been on 50mcg for over 12 years with no increase or lowered dose, and my GP will not test me unless I request it.
Thank you for your time
Picture is a bit fuzzy …
Give copy of results to GP
Vitamin D is deficient
GP should prescribe LOADING dose vitamin D
That’s 300,000iu vitamin D over 6-8 weeks and retest results at end
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...
But 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
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,
Vitamin D and thyroid disease
grassrootshealth.net/blog/t...
Vitamin D may prevent Autoimmune disease
newscientist.com/article/23...
Web links about taking cofactors - magnesium and Vit K2-MK7
With heart condition you need to do your own research on wether to take vitamin K2 and magnesium
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...
Great article by Dr Malcolm Kendrick on magnesium
drmalcolmkendrick.org/categ...
Vitamin K2 mk7
betterbones.com/bone-nutrit...
healthline.com/nutrition/vi...
2 good videos on magnesium
Can you type Ft4, Ft3 results…..can’t read clearly enough
Or add a sharper photo
juanitamc
Looks to me like
TSH: 1.00 (0.27-4.20)
FT3: 4.68 (3.1-6.8)
FT4: 15.9 (12-22)
FT4 is only 39% through range, FT3 is around 42% (not quite sure of your FT3 result but can see it starts with 4...). Looks like you would benefit from an increase in your dose of Levo to bring your FT4 higher up in range, most people feel best when it's in the upper part of range.
Besides Vit D deficiency I would mention:
Ferritin: 51.7 (13-150)
This is on the low side and it's recommended to be half way through range, some experts say the optimal ferritin level for thyroid function is 90-100ug/L.
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
bda.uk.com/resource/iron-ri...
everydayhealth.com/pictures...
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.
Folate: 3.9 (>3.89)
As you can see this has barely scraped above the low limit.
Active B12: ?
Can't quite read this but if it's below 70 that suggests testing for B12 deficiency and Pernicious Anaemia. Active B12 is suggested to be 100+
A good quality, bioavailable B Complex can help raise both folate and B12 levels.
Hi Seaside Susie, Thank you so much for your reply.FT3 results is 4.68.
Vitamin B12 it says it's 66.300.
I can't understand why Medichecks hasn't picked up on those?
I can't understand why Medichecks hasn't picked up on those?
Because they're in range and, like most NHS GPs the Medichecks doctors (who would be NHS trained) only look at "in range" and don't really realise that we need "optimal".
Which brand of levothyroxine are you currently taking
Do you always get same brand levothyroxine at each prescription
If yes, which brand
Was test done early morning, before 9am and last dose levothyroxine 24 hours before test
Request 25mcg dose increase in levothyroxine
Initially suggest you only increase by 12.5mcg by cutting 25mcg in half
Having been left very under medicated a very long time you may find it difficult to tolerate full 25mcg dose increase in one go
Meanwhile working on improving low vitamin levels
Vitamin levels are low BECAUSE you are under medicated
Only add one supplement at a time and then wait at least 2 weeks before adding another
Start with vitamin D
Folate and B12 are too low
Likely to benefit from supplementing a good quality daily vitamin B complex, one with folate in (not folic acid) may be beneficial. This can help keep all B vitamins in balance and will help improve B12 levels too
Difference between folate and folic acid
chriskresser.com/folate-vs-...
B vitamins best taken after breakfast
Thorne Basic B or Jarrow B Right are recommended options that contains folate, but both are large capsules. (You can tip powder out if can’t swallow capsule)
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
endo.confex.com/endo/2016en...
endocrinenews.endocrine.org...
Low B12 symptoms
b12deficiency.info/signs-an...
If serum B12 result below 500, (Or active B12 below 70) recommended to be taking a B12 supplement as well as a B Complex (to balance all the B vitamins) initially for first 2-4 months, then once your serum B12 is over 500 (or Active B12 level has reached 70), stop the B12 and just carry on with the B Complex.
B12 sublingual lozenges
amazon.co.uk/Jarrow-Methylc...
cytoplan.co.uk/shop-by-prod...
healthunlocked.com/thyroidu...
Have you had cholesterol levels tested
High cholesterol linked to being under medicated too
Hi SlowDragon, Thank you for taking the time to read my results.
I always get the mercury Pharma brand.I had the test done Before 9.00 am and didn't take my meds for a whole day previous on having the test.
My cholesterol is 4.6
FT4: 15.9 pmol/l (Range 12 - 22)
Ft4 only 39.00% through range
FT3: 4.68 pmol/l (Range 3.1 - 6.8)
Ft3 Only 42.70% through range
Low Ft4 shows you are under medicated and in need of 25mcg dose increase in levothyroxine
Most people when adequately treated will need Ft4 at least 50-60% through range
Low vitamin levels directly linked to low thyroid levels
What’s the range on cholesterol
nhs.uk/conditions/statins/c...
If you have an underactive thyroid (hypothyroidism), treatment may be delayed until this problem is treated. This is because having an underactive thyroid can lead to an increased cholesterol level, and treating hypothyroidism may cause your cholesterol level to decrease, without the need for statins. Statins are also more likely to cause muscle damage in people with an underactive thyroid.
Cholesterol is 4.6
Thank you SlowDragon
Hi juanita, I'll just add that being on such a low dose has probably caused all other deficiencies you have. That's the tragedy of doctors being ignorant about treating hypothyroidism. Beginning with digestion and possibly low stomach acid, it's difficult to breakdown minerals like B12 and amino acids. You could try Betaine HCL with meals. You could supplement the essentials if you haven't already to get your body started on missing nutrients and hope it remembers what to do with them. And I'm sure it will but your body has probably been robbing Peter to pay Paul as they say because survival is key. Your heart needs good amounts of T3 (which you don't appear to have) so I wonder if you REALLY have a heart condition or if it is the consequences of low thyroid.
Since you ordered your own blood tests, I'm assuming you are learning how to manage your condition and that's smart. You CAN help yourself a great deal.
People here are excellent advisors.
Hi Heloise, Thank you for taking the time to reply to me, As you mention I do have a heart problem, I was fitted with a pacemaker on the first Covid lockdown and the doctor did ask me if I had a thyroid problem and told him yes, I guess it's because you say I am under medicated that's probably I had to have the pacemaker fitted.The problem is that my doctor refuses to check me up and will not change my dose as he says it's nothing wrong with it. So I'm stuck
I wish the heart doctor had recommended an increase of thyroid hormone, When he asked if you had a thyroid condition I wonder if he sensed your thyroid wasn't managed well. Your other doctor is only looking at your TSH of 1 and is fearful of lowering it which is a terrible dilemma for you. I think you are converting okay and probably just need an increase in T4.
I've written many responses over the years and called these doctors every derisive name I can think of. To me it is criminal, it is malpractice, it is cruel and because usually the victims are female nothing seems to change. Personally many of us have found a way to get around this. First you could be more aggressive in your request for an increase. If you think changing to a different doctor would help you could ask privately for a recommendation in your area and see if members can help. It can also be possible to obtain T4 online and you could also ask members about that by P M.
I don't know if withholding your dose for 24 hours makes a lot of difference in your results.
Think about it.
"Hi SlowDragon, Thank you for taking the time to read my results.I always get the mercury Pharma brand.I had the test done Before 9.00 am and didn't take my meds for a whole day previous on having the test."
Juanitamc, just wondering why you did not take your meds for a whole day before you tested? Fasting is not required for thyroid labs. And not taking meds the day before can possibly show an inaccurate picture of your levels.
Nhs thyroid test results 
Thyroid results
Thyroid test results, advice, anything!!
thyroid results 
