Test Results - Help Please

[Tristy]

Hi all,

Following on from my post a few days ago I have now had test results back and your help would be much appreciated:

Ferritin- 202.0 ug/L (Range: 13 - 150)

Folate - 8.23 ug/L (Range: > 3.89)

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

Vitamin D - 119 nmol/L (Range: 50 - 200)

TSH - 6.43 mU/L (Range: 0.27 - 4.2)

T3 - 3.42 pmol/L 16.7 pmol/L Range: (3.1 - 6.8)

T4 - (Range: 12 - 22)

SlowDragon I have increased my T4 to 100mcg per day and TSH looks as if it’s coming down from last results. Should I be concerned re high B12 and Ferritin or is this linked to the low thyroid hormones? I’m wondering if these are causing the nausea. Your help on these results would be much appreciated. Thank you

[SlowDragon Administrator]

No Ft4 result?

Previous post

healthunlocked.com/thyroidu....

Not really sure why you stopped levothyroxine at all ….definitely don’t do that in future

Retest 6-8 weeks after get back on 100mcg levothyroxine everyday

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

What vitamin supplements are you currently taking

Remember to stop taking any vitamin supplements that contain biotin a week before blood test

[Tristy in reply to SlowDragon]

Thanks SlowDragon

Sorry T4 - 16.7 (Range: 12 - 22)

I don’t know why I stopped taking the tablets either - I felt so unwell with the bug I had I think I took them some days and not others but a huge lesson learnt there! I won’t do that again.

Taking Better You vit D spray 3000 daily with k2. I was taking b12 5000 sublingual but only restarted taking that recently. I was also taking Thorne Basic B but haven’t taken that for a while. I should probably restart that but the nausea is stopping me.

I really want to add the 6.25mcg T3 to the T4 I’m taking as T3 really helped before but I don’t want to push it. Do you think I could try it?

[SlowDragon Administrator in reply to Tristy]

I would probably get use to levothyroxine at 100mcg for couple weeks…..then consider increasing levothyroxine to 112.5mcg

get back on vitamin B complex as soon as you can

Nausea likely low stomach acid due to being so under medicated

[Tristy in reply to SlowDragon]

Thanks SlowDragon.I did think of the low stomach acid and bought some Thorne Biogest containing Betaine Hcl. Do you think it’s worth trying them to keep nausea at bay? I have upset stomach too. Can low stomach acid cause that?

[SlowDragon Administrator in reply to Tristy]

You have Hashimoto’s don’t you (high thyroid antibodies)

Have you had coeliac blood test

Are you on strictly gluten free diet

If not, likely to benefit from this ….but test for coeliac BEFORE cutting gluten out

Only 5% of Hashimoto’s patients are diagnosed as coeliac, but a further 80% find strictly gluten free diet helps or is essential

Don’t assume you have low stomach acid ….do the burp test

How to test your stomach acid levels

healthygut.com/articles/3-t...

[Tristy in reply to SlowDragon]

SlowDragon - I have been on the increased dose of 112.5mcg for nearly a couple of weeks now. How long would you leave it before increasing it to 125mcg? (original dose was 125mcg T4 plus 12.5mcg T3 before I stupidly became complacent about taking it with stomach bug). Back on B complex, selenium, vit D and K. Thanks SlowDragon.

[Tristy]

Yes I have hashimotos and have been on a strict gluten-free diet for last 4 years and find it essential.

I will do the burp test before taking the Biogest.

Many thanks SlowDragon, you’ve been a great help.