Could anyone advise on these results please :) ?

[Toscatilly]

I managed to see a private end and got prescribed Lio (T3) about two years ago. It changed everything for me - no longer so exhausted and cold and foggy thinking. Prior to this I had been taking 150 mcg Levo daily, now I take 100 levy and 20 mcg Lio. All good until latest blood tests . Now Doctor wants to speak to me and I would like to be armed with some info ! I feel pretty good, tired again more than I was, but not enough to think it isn't usual stress of work, and slight weight gain . Not however like I did two years ago. I attach the lab result - would be very grateful of any thoughts / info

Tosca

[SlowDragon Administrator]

Was test done early morning, ideally before 9am and last dose levothyroxine 24 hours before test

Do you normally split your T3 into 2 or 3 doses spread through the day

On day before test ALWAYS split T3 into 2 or ideally 3 doses taking last 1/3rd approx 8-12 hours before test

Do you always get same brand levothyroxine and T3 at each prescription

When were vitamin D, folate, ferritin and B12 last tested

What vitamin supplements are you currently taking

Do you have autoimmune thyroid disease and are you on strictly gluten free diet

Have you had Covid?

[Toscatilly in reply to SlowDragon]

Hello ! Thank you for your fast reply

So, I took the Live the night before and the T3 first thing in morning (6am) - my test was at 2pm. I had wanted to split the T3 as the endo had said that better to divide it, but the tablets I get (always same make) are tiny little things like a sweetex size , so if I try to break it into pieces I lose much it to dust!

Take Vit D supplement. I dont think I have autoimmune thyroid disease - would I be told this? Im not on a gluten free diet.

I also had a further set of bloods (picture attached)

I havent had covid ( I have had all jabs). Many thanks for your help

T

Further results

[SlowDragon Administrator in reply to Toscatilly]

Recommend a sharp craft scalpel to cut T3 into 1/2 or 1/4’s my.rs-online.com/web/p/scal...

Damp finger to pick up any crumbs

Or request endocrinologist prescribe 2 x 10mcg tablets

(Morningside healthcare brand only)

Looking at your first posts 3 years ago

Results

Ferritin - 290 ug/L (Range 13-150) NB I do not eat red meat, nor am I taking iron supplements

Folate serum 3.28 ug/L (>3.89)

Vit B12 - active 54.400 pool?l (37.5-188)

TSH 0.607 (0.27 - 4.2)

Free T3 3.82 (3.1 - 6.8)

Free Thyroxine 17.400 pmol/L (12-22)

Thyroglobin Antibodies <10 klU/L (<115)

Thyroid Peroxidase antibodies 49.4 kl/U/L (<34)

High TPO antibodies confirms autoimmune thyroid disease

healthunlocked.com/thyroidu......

As advised by SeasideSusie then

Folate and B12 were too low

Optimal vitamin levels are

Vitamin D at least around 80nmol minimum

Serum B12 at least over 500

Active B12 at least over 70 minimum

Folate at least half way through range (at least over 10)

Ferritin is often high due to inflammation of Hashimoto’s

You need to retest vitamin D , folate, ferritin and B12 at least once a year

Are you vegetarian or vegan?

[Toscatilly in reply to SlowDragon]

Im not vegetarian or vegan, but I rarely if ever eat red meat - mostly fish and shellfish. It seems I should therefore obtain further blood tests, my T3 certainly much higher but T4 much lower than before. Its frustrating as apart from the hot flushes / hormonal situation which has gone on for years, I feel ok.

I do drink kefir water and take inulin as well as the Vit D tablet.

I suspect the doctor will want to lower the T3 so I havent rushed to make the appointment..

Ill get further bloods so I can go equipped :). Meanwhile have ordered a scalpel - many thanks for that.

T

[SlowDragon Administrator in reply to Toscatilly]

Personally I find it essential to split T3 as 10mcg waking, 5mcg mid afternoon and 5mcg at bedtime

I now also split my levothyroxine and take at same times

[Toscatilly]

Thank you so much SlowDragon. I have had my scalpel delivered and spent a useful 30mins cutting tablets in half ! I did try thirds but that was beyond my hand eye coordination 😂