My updated Thyroid Test Results

[Me1157]

Hiya,

I'm currently taking 2.5 grains of amour thyroid, looking at thee results, do you think it could do with being increased to 3 grains a day? I have hashimotos.

Inflammation CRP HS X 7.94 mg/L (Range: 0 - 5)

Iron Status

Ferritin X 167.0 ug/L (Range: 13 - 150)

Vitamins

Folate - Serum 13.68 ug/L (Range: > 3.89)

Vitamin B12 - Active 77.7 pmol/L (Range: 37.5 - 150)

Vitamin D 78 nmol/L <25 Deficient 25 - <50 Insufficient50 - 75 Adequate

>75 - 200 Optimal (Range: 50 - 200)

Thyroid Hormones

TSH X <0.005 mU/L (Range: 0.27 - 4.2)

Free T3 4.61 pmol/L (Range: 3.1 - 6.8)

Free Thyroxine 14.7 pmol/L (Range: 12 - 22)

Autoimmunity

Thyroglobulin Antibodies 16 IU/mL (Range: < 115)

Thyroid Peroxidase Antibodies <9.0 IU/mL (Range: < 34)I'm not sure if the inflamation is high due to seasonal allergies. I have been having some aches and pains in my joints recently. I am on an anti-amflamitory diet. I haven't been doing regular exercises lately, I've been off track and not felt like it.

I eat red meat about once every couple of weeks. I eat a lot of vegan meals, fish and some chicken and turkey. I am gluten free. I did the low fat diet ( due to my partners health issues and to also hopefully bring my ferritin levels down), seems not to have worked. I don't take iron suppliments and try and minimise leafy greens and that seems to have helped bring my ferritin levels down. I do take a high quality B complex and yet my folate levels are still low. Your input and suggestions would be welcome.

Here's the blood results from medichecks, taken fasting with 12 hours since my last dose of meds and I stopped my suppliments a couple of weeks before. The only meds I take are thyroid and at this time of the year fexofenadine hydrochloride for my seasonal allergies. The other allergy meds make me drowsy regardless of what they say on the label.

Thank you in advance, your opinions and advice would be appreciated.

[pennyannie]

Hello there :

With NDT you dose to the relief of symptoms and not a blood test which was designed to be used for dosing and medicating Big Pharmas T3 and T4 medications.

Your T3 looks low to me and so if this were me I'd be planning to continue increasing slowly on 1/4 grain increments until symptoms eased.

Your inflammation is high, which could explain your high ferritin :

I'd be looking to increase folate to around 20 : active B12 75+ and vitamin D to around 100:

I don't know about diets though read ' dieting ' can inhibit conversion of T4 into T3 ??

Has your T3 increased from your bench mark readings prior to starting NDT. ?

[Me1157 in reply to pennyannie]

Hi Penny, Thank you for your help. I've been back on NDT - since mid January - My TSH is exactly the same, my free t3 was in jan 5.59 and now only 4.61 (Range: 3.1 - 6.8). Free thyroxine was 13.8 and now slightly higher at 14.7 (Range: 12 - 22). Perhaps I misled you with the term iet...I should have said eating plan as the only things I'm restricting is fat, processed carbs and red meat.

[pennyannie in reply to Me1157]

You have had RAI ablation for Graves Disease if my memory serves me right : ??

Ignore the TSH - once on any form of thyroid hormone replacement this TSH reading means diddly squat.

You haven't a thyroid as your HPT axis, on which this reading relies, your Hypothalamus / Pituitary / Thyroid feed back loop is now broken as your T for thyroid isn't there any longer and the loop not connected.

So your T3 has gone down - what were you taking in January to get a T3 reading of 5.59 and what has changed since January - could you be doing too much too soon ?

As far as I'm aware we need good fats for optimal conversion and no dieting per se - please search and reread GreyGoose's comments on this subject.

[Me1157 in reply to pennyannie]

Thx Pennyannie,

Yes I have had RAI back in 1979 at Scott and White in Temple Tx. They were some of the pioneers in this barbaric treatment that as a young 21 year old, I fell victim too and never been 100% since.

Last year I was on Levothyroxine most of the time, as i had decided to give the GP and the NHS endo a chance....won't do it again, unless they can get me NDT. Over Xmas ( I think) I was on the NDT from Thailand and I wasn't feeling great on it either. I'm usually quick to respond to changes in meds. I've been on that now for 3.5 months so hoped it would work better for me. Mid January I started back on amour as I've been on that one mostly for the last 19 years and it seem to be the best of a bad bunch. I've always had to really push myself to feel well. None of my tests have ever shown good results. I can't find Grey Goose's comments...are they on a different thread? I am taking a good omega 3 and a vitamin E with all the - tocopherol and tocotrieno in it. Plus my b complex, selenium, probiotics, magnesium, calcium, vitamin D, turmaric etc. Lots of fruit and veggies, low saturated fat and but still doing the odd avocardo and salmon ( perhaps once a week). I can add more fat back in if you guys think it will help? Thank you once again for your help!

[pennyannie in reply to Me1157]

OK - so the drop in T3 is due to switching from a T3/T4 combo back to Armour:

I didn't know after RAI ablation that you could have Hashimoto's as I would have thought, if the treatment deemed a success your gland has been fully disabled.

I think it's worth increasing the Armour by 1/4 grains and see if that helps, though it reads as though you never found a dose of NDT that worked well for you anyway.

Well, there is no specific post to find just general comments though we do know that dieting does compromise conversion and we need to eat clean, from fresh and need a balanced diet including good fats.

Exercising will use up your T3 more quickly, and when without a thyroid I find there's no guarantee that energy is easily replenished - if I overdo things - I can get payback lasting for a few days - and taking more NDT is not the solution and for me, I 've just had to accept a " different " normal.

[Me1157]

Thank you so much for your help. I'll try adding 1/4 grain more as you suggested and see if it comes closer to me feeling more like myself