My serum ferritin is high 191g/l (normal range 6-81) since at least October 2021, the first time it was tested.
Serum alkaline phosphatase low since 2015. Test not repeated since Nov 2021.
Serum triglycerides, Serum ALT level high since 2019. Tests not repeated since Nov 2021.
I have high cholesterol and has been increasing since 2016.
I am a coeliac.
I’ve had the bloods taken at the GP 4 times since October, Serum Ferritin high each time. GP said to keep repeating the test but has not got in touch since last result on 19 May.
I saw a private consultant in November who advised to get my TSH below 1, which it was back in May, but it’s now increased to 1.2.
However I don’t feel 100% even when TSH was below 1, but I don’t know what my next steps would be. Can anyone offer some advice?
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Kook22
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Please add reference ranges for your thyroid tests, ranges vary from lab to lab so we can't tell you if you are undermedicated until we see the ranges that came with your results.
If a patient reports persistent symptoms when switching between different levothyroxine tablet formulations, consider consistently prescribing a specific product known to be well tolerated by the patient. If symptoms or poor control of thyroid function persist (despite adhering to a specific product), consider prescribing levothyroxine in an oral solution formulation.
Physicians should: 1) alert patients that preparations may be switched at the pharmacy; 2) encourage patients to ask to remain on the same preparation at every pharmacy refill; and 3) make sure patients understand the need to have their TSH retested and the potential for dosing readjusted every time their LT4 preparation is switched (18).
Vitamin D obviously needs retesting
I take 100ug of Vitamin D, each day,
Do you mean 1000iu vitamin D?
Might not be high enough dose
Do you supplement magnesium?
Folate not brilliant
A daily good quality vitamin B complex with folate in (not folic acid)
This can help keep all B vitamins in balance and will help improve B12 levels too
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
Thanks for the reply. I've just checked the Serum ferritin and it shows normal range 6 - 81ug/L, possibly a typo above as I put g/l. Those links are useful, and I should look at my diet.
I've never seen a range of 6 - 81 with any units of measurement. A common range for ferritin for females in the UK is around 13 - 150. Other ranges I've seen are 13 - 400. Some people have quoted ranges with a top of range of 220 or 300. But a top of range of under 100 would be a first. I'm sure that somewhere there must have been a mistake, but I don't know where.
If it is the wrong lab, they'll surely know what labs it could have been. And if the numbers are getting scrambled between them and the GP, that is a vitally important issue which could have life-threatening implications (if it is more widespread than just your ferritin test/reference interval).
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What should I do about my thyroid test results - is it high?
Advice needed. Am I am hypo? And if I am what treatment should I have?
Am I overmedicated? Advice sought please
What’s my next step here?
