To my untrained eye the bulk of this didn’t look too bad, my problem why is HB and RBC below range. I’ve had problems with lack of strength and some muscle soreness after a busy week at work, I’ve also just noticed I’ve been borderline anemic for a few years, not that my endo cares he’s all about TSH.
Can anyone shed any light?
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clubby29
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Iron levels are good, but haemoglobin & RBC are under-range.
Do you have Hashi? I have looked in your profile & previous posts and can't tell but your results are classic for anaemia of chronic disease.
This happens when iron levels are good but RBC and/or haemoglobin are low due to issues such as impaired erythropoiesis (production of RBC’s) or an unusually short life of RBC’s.
This is associated with under-lying chronic inflammation which on this forum is usually caused by autoimmune conditions such as Hashimotos with elevated thyroid antibodies, also rheumatoid arthritis, lupus, etc. Research is showing that a constantly high alert immune system (as in Hashi with elevated thyroid antibodies) produces substances that influence the development/storage/transport of iron.
Cytokines are proteins stimulating/inhibiting the immune system and hepcidin (hormone produced in the liver that helps regulate the metabolism/transport of iron) is particularly stimulated by a cytokine known as interleukin-6 (IL-6) which is stimulated by thyroid antibodies in Hashimotos.
An excess of hepcidin causes too much iron to be trapped within cells, so lowering the amount available to produce haemoglobin. Therefore, the treatment is to reduce inflammation by reducing thyroid antibodies.
That's good but there obviously something else driving the inflammation then.
Nightshades? Other health issues? Other meds interfering with thyroid meds? Are thyroid meds optimal? Maybe something like histamine, mould, household dust allergy? Elevated oestrogen? The list is too numerous to mention because it can literally be anything that becomes chronic.
We know we haven't got underlying inflammation because we don't hurt. There are no aches and pains, no swellings and everything just works better.I have pain in my wrists and thumb joints at the moment. Trying to go dairy free but not very successfully 😞
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This explains Anaemia of Chronic Disease but is a little hard going 😬
I, too have been suffering from pain in my wrists and thumb joints. Could you explain in non technical language what you found, or think, was causing this. My own doctors have no idea (done blood tests and xrays)
Carpal tunnel for 6 yrs. I have steroid injections which last about 9 months. But only treated for hypo since last July. So I’m not sure if I’ve been hypo since the start of Carpal Tunnel. Chicken and egg 🤷♀️. I don’t want any more steroid injections so will have the operation soon as symptoms are coming back now. But I suspect CP damage is done.
what was the steroid injection like? I was offered one but turned it down because they said I've have to rest my hands. Impossible!! Was taking 18 painkillers a day start of Jan. Now down to 4 paracetamols a day. The doctors never mentioned carpal tunnel though. How were you diagnosed?
Have you tried the wrists splints at night? It helps. You only have to take it easy after the injections for 48hrs ( no lifting heavy things) . Injections are uncomfortable for a few minutes. Carpal Tunnel is easily diagnosed by a GP. Or yourself. Turn your hands palms up and bend towards yourself/upwards at 90 degree angle. If your fingers go tingly/ numb then you have it🤷♀️Could be something different you have. I’m sure someone would have said CP by now.
It is common to have clusters of certain autoimmune disease & I think my own aches/pains are possibly the beginnings of RA which my sister has alongside her Hashi.
Did your GP test ESR, CRP, etc …. anything indicating any inflammation? Also rheumatoid factors (the attacking proteins) and anti-CCPs ? These are antibodies that don’t diagnosis on their own but indicate a good chance of RA.
The other suggestion is carpel tunnel that is common with Hashi & RA, and I have lost some thumb grip strength, ie difficulties in holding a glass. Carpel tunnel usually becomes more painful at night because there is less movement to keep blood flowing. My aches/pains are worse in the morning and lessen with movement, rotating my wrists, shaking and stretching my hands wide, and flicking my fingers. It is also possible to have both conditions together. Oh joy 🤣.
I’m waiting for an imminent shoulder op after a cycling accident, so can’t think about RA, etc at the moment. Am still in the ‘hoping it will just go away’ stage 😬, and revving up to adopt a very strict anti-inflammatory diet.
Post your labs for members to comment if you wish.
Was referred to a musculoskeletal clinic.They tested for rheumatoid athritis. just negative. they tested for inflammation. only normal amount. nothing to worry about. Nothing on xrays. Doctors have no idea what it is!! Getting better, very gradually.
Hi FT3 6.6. 3.1-6.8. Ft4 18.2 12-22 tsh 0.01Currently no vitamin supplements 150 levo, 20 t3
Strangely I’ve been on same dose for about 18 months but this is by far the highest readings I’ve had, the only thing to change is I no longer split dose my t3.
Izabella Wentz says the ideal ferritin is 90. My doc has told me ideal ferritin is 100. So your ferritin at 158 is a bit high, but not disastrously so.
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Help please! 
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