recent bloods
Thyroid peroxidase Ab - 12 pmu
Serum T4- 24 pmd/L
TSH 0.05
T3 5.5 pmo/L
25-OH vitaminD 60.6 nnol/l
Calcium 2.33
Albumin 38
Can anyone explain what these all mean
Have also got none alcoholic fatty liver disease - gp says no treatment needed
Have had AF in the past
Thyroid2020
Can you please add the reference ranges for these tests, as ranges vary from lab to lab we need the ranges that come with your results to be able to interpret them.
Also, when did you take last dose of Levo before the test (should be 24 hours before) and do you take a B Complex or biotin or any supplement containing biotin (B7) and if so did you leave it off for 3-7 days before the test?
Last dose of levo 24 hours before bloods done at 8;45am
You need folate, ferritin and B12 levels tested too
What vitamin supplements are you currently taking
Vitamin D needs improving to at least over 75nmol
Vitamin D calcaciferol 800 Units New endo says he thinks it’s absorption which is affected by the Vit D and has been taken off omeprozole as a pump inhibitor med
That’s a tiny dose vitamin D
Suggest you self supplement at higher dose
GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)
mm.wirral.nhs.uk/document_u...
But with Hashimoto’s, improving to around 80nmol or 100nmol by self supplementing may be better
pubmed.ncbi.nlm.nih.gov/218...
vitamindsociety.org/pdf/Vit...
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
Test twice yearly via NHS private testing service when supplementing
Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.
There’s a version made that also contains vitamin K2 Mk7.
One spray = 1000iu
amazon.co.uk/BetterYou-Dlux...
Most thyroid patients need higher dose vitamin D than average…..2000iu or 3000iu daily
Retest in 2-3 months
It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average
Another member recommended this one recently
Vitamin D with k2
amazon.co.uk/Strength-Subli...
Vitamin D and thyroid disease
grassrootshealth.net/blog/t...
Vitamin D may prevent Autoimmune disease
newscientist.com/article/23...
Web links about taking important cofactors - magnesium and Vit K2-MK7
Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine
betterbones.com/bone-nutrit...
medicalnewstoday.com/articl...
livescience.com/61866-magne...
sciencedaily.com/releases/2...
Great article by Dr Malcolm Kendrick on magnesium
drmalcolmkendrick.org/categ...
Vitamin K2 mk7
You mean you were on omeprazole ….and now stopped taking
How long have you been taking PPI
Been on omeporazole for a number of years as I’ve also got diverticula disease and get acid reflux which is awful when it starts. Endo said to change it so on femodotin I think it’s called instead of omeporazole.
Your results are tending to indicate hyperthyroidism. Ask your doctor to check your TSH Receptor Antibodies (TRAb) to see if they are high. These high thyroid hormone levels could cause AF.
jimh111
If you look on Thyroid2020 profile she’s taking levothyroxine…..so not hyperthyroid
Hypothyroid on levothyroxine, possibly poor conversion
(Depending on ranges and when last dose levothyroxine was taken)
I wrongly assumed it was a first time post, apologies. The numbers suggest too much hormone but as it is due to taking levothyroxine there is no need for a TRAb test. It would make sense to lower the levothyroxine dose. Whether some liothyronine in needed would depend on symptoms, it would be useful to have a list of current symptoms.
I think Thyroid2020 is getting poor service from the endocrinologist, she shouldn’t have surgery put off like this. I wonder if minor excursions in the thyroid blood test results are being used as an excuse to delay.
Post 9 months ago
healthunlocked.com/thyroidu...
I recommended you get full thyroid testing
Post 2 months ago
healthunlocked.com/thyroidu...
Some confusion about high TSH ….and dose being reduced
If TSH was high dose levothyroxine should be INCREASED
Very important to test vitamin D, folate, ferritin and B12 at least once year minimum
Recommended on here that all thyroid blood tests early morning, ideally before 9am and last dose levothyroxine 24 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
List of private testing options and money off codes
thyroiduk.org/getting-a-dia...
Medichecks Thyroid plus antibodies and vitamins
medichecks.com/products/adv...
Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins
Was test done early morning, ideally before 9am, and last dose levothyroxine 24 hours before test
Do you always get same brand levothyroxine at each prescription
Yes bloods done pre 9am levothyroxine dose taken 24 hours prior to bloods done.Have been on a variety of levothyroxine meds- plain bottle no brand given by pharmacist (buy in bulk so no labels needed as to branding etc)
Then went to another brand where different dosage the strips in the boxes are different colours -orange, green, pink
Was on teva but having read some of the comments on here got them changed to now the ones with different coloured strips depending on dose 100,50,25mcg
Hot had ferattin or B12 tested that I know of. I will get my gp to test those and see what they come back as was tested for coeliac a few years ago and that was ok.
Endo thinks I’m not absorbing the colcaciferol (medical vitamin d) my gp says it is. Endo asked for that to be changed but gp pharmacist says can’t as no other vitamin d they can replace it with.
Have none alcoholic fatty liver disease - found out at a ultrasound scan I had couple of years ago and gp said nothing needs to be done. It is worrying as have read a lot about uncontrolled thyroid /endocrine issues that can affect lots of body tissues and organs.
Endo asked for that to be changed but gp pharmacist says can’t as no other vitamin d they can replace it with.
Just buy your own. Better You vitamin D mouth spray is good as is absorbed in mouth….avoids poor gut function. NHS won’t pay for it deemed “too expensive “
NAFLD
nhs.uk/conditions/non-alcoh...
healthline.com/health/fatty...
healthline.com/health/fatty...
Don’t go too extreme on cutting carbs. Just the beige ones
And thyroid patients need to avoid soya
Also
pubmed.ncbi.nlm.nih.gov/328...
Conclusions: This current national wide cohort study suggests that PPI use was associated with an increased risk of fatty liver disease compared with non-use of PPIs. Clinicians should consider fatty liver as a potential risk when prescribing PPI.
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