I had my bloodwork done yesterday morning. I did it like is suggested here . Early morning, no biotin for a week, sober.
I have been on levo for 6 months. Was on 25mcg for a few months, now i am on 75mcg. Still feel tired. Hairloss started at 50mcg. TPO levels were around 500 in March so they are going down. It looks like my conversion is not going well. I think?
Iron 77 (40-150)
Transferine 2.7 (2-4)
Ferritine 44 (15-150)
B12 597 (191-663)
Folate >20 (3.9-20)
Vit D 33 (20-60)
TPO 133 (<34)
TSH 1.58 (0.27-4.2)
FT4 19.6 (12-22)
FT3 3.91 (3.10-6.8)
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Sofie007
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It looks like my conversion is not going well. I think?
You are correct, poor conversion. FT4 is 76% through range whilst FT3 is only 21.89% through range. However, this wont be helping:
Ferritine 44 (15-150)
This is a very poor result. Ferritin is recommended to be half way through range although some experts say the optimal ferritin level for thyroid function is 90-110ug/L.
Hairloss started at 50mcg.
Your hairloss could be down to your ferritin level. See
According to some experts, ferritin levels of at least 40 ng/ml are required to stop hair loss, while levels of at least 70 ng/ml are needed for hair regrowth.
Iron 77 (40-150) =
Transferine 2.7 (2-4)
When looking at iron panel results we often refer to the following:
Serum iron: 55 to 70% of the range, higher end for men - yours is 33.64% through range
Saturation: optimal is 35 to 45%, higher end for men - there is no result for this
Transferrin: Low in range indicates lack of capacity for additional iron, High in range indicates body's need for supplemental iron - yours is 35% through range so less than half way
Your iron panel shows low in range serum iron which may suggest supplementing, but your transferrin is 35% through range which is at the lower end and doesn't suggest supplementing. As is often the case with an iron panel, the results are conflicting.
However, your ferritin definitely needs addressing. You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet
Presumable the unit of measurement is ng/ml? In which case the Vit D Council, Vit D Society and Grassroots Health all recommend a level of 40-60ng/ml with a recent blog post on Grassroots Health recommending at least 50ng/ml.
You might want to check out a recent post that I wrote about Vit D and supplementing:
and you can check out the link to how to work out the dose you need to increase your current level to the recommended level.
Your current level is 33ng/ml
On the Vit D Council's website you would scroll down to the 4th table
My level is between 30-40 ng/ml
So now you look at how much is needed to reach 50ng/ml and you'll see that they suggest 2,500iu per day.
So it would be a good idea to supplement and retest after 3 months.
Once you've reached the recommended level then a maintenance dose will be needed to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range.
There are important cofactors needed when taking D3. You will have to buy these yourself.
D3 aids absorption of calcium from food and Vit K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc. 90-100mcg K2-MK7 is enough for up to 10,000iu D3.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking D3 as tablets/capsules/softgels, no necessity if using an oral spray.
For D3 I like Doctor's Best D3 softgels, they are an oil based very small softgel which contains just two ingredients - D3 and extra virgin olive oil, a good quality, nice clean supplement which is budget friendly. Some people like BetterYou oral spray but this contains a lot of excipients and works out more expensive.
For Vit K2-MK7 my suggestions are Vitabay, Vegavero or Vitamaze brands which all contain the correct form of K2-MK7 - the "All Trans" form rather than the "Cis" form. The All Trans form is the bioactive form, a bit like methylfolate is the bioactive form of folic acid.
Vitabay and Vegavero are either tablets or capsules.
Vitabay does do an oil based liquid.
Vitamaze is an oil based liquid.
With the oil based liquids the are xx amount of K2-MK7 per drop so you just take the appropriate amount of drops.
They are all imported German brands, you can find them on Amazon although they do go out of stock from time to time. I get what I can when I need to restock. If the tablet or capsule form is only in 200mcg dose at the time I take those on alternate days.
If looking for a combined D3/K2 supplement, this one has 3,000iu D3 and 50mcg K2-MK7. The K2-MK7 is the All-Trans form
Magnesium should be taken 4 hours away from thyroid meds and as it tends to be calming it's best taken in the evening. Vit D should also be taken 4 hours away from thyroid meds. Vit K2-MK7 should be taken 2 hours away from thyroid meds. Don't take D3 and K2 at the same time unless both are oil based supplements, they both are fat soluble vitamins which require their own fat to be absorbed otherwise they will compete for the fat.
Nutrients should be optimised before considering the addition of T3.
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