I did a blood test last week the results just came.they are as the attached image.
As Most of you I feel tired,lack of energy take ages to perform a task. Very bad muscles pain and body aches, no libido,hair falling a lot dry skin brittle nails braking a lot,lack of concentration and very distracted....
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Verde1
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Yes notice now. Sorry about the screenshot didn't help...the test was taken at 8:30am after fasting since 9pm and not taken levotyroxine (100mcg) since 24 h.
* No biotin, B Complex or any supplement containing biotin (B7) for 3-7 days before the test
TSH: 0.65 (can't read reference range)
FT4: 14.9 (9-20.05)
TSH is good, FT4 is 53% through range.
FT4 might be better higher but you have no FT3 result and that one is the most important. Low T3 causes symptoms so it's important to know our FT3 level, it tells us more than the other two results.
Vit D: 27.9ng/ml
This is low and is recommended to be between 40-60ng/ml. This could well be the cause of your muscle aches and pains.
You might want to check out a recent post that I wrote about Vit D and supplementing:
The Vit D Council, the Vit D Society and Grassroots Health all recommend a level of 40-60ng/ml, with a recent blog post on Grassroots Health mentioning a study which recommends over 50ng/ml.
So now you look at how much is needed to reach 50ng/ml and you'll see that they suggest 3,700iu per day.
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. This can be done with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:
Doctors don't know, because they're not taught much about nutrients, but 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.
I have no idea what the first three tests in your report are, I don't know the language.
Thank you for your reply, I did a screenshot of the results to post here to remove my details as you advise. I am Portuguese the language is Portuguese. I did the yest as you advise here took in the morning 8:30 without food and without take my levotyroxine (100mcg) i weight 59kg. As you suggest I am taking more than the rates you advise for my weight. Was taking as prescribed by doctors 125mcg one day and 100mcg other day. But I introduce food alternative cucumber smooth what is helping me. First test is creatinine , second is aspartate aminotransferase(AST),the other is alamine aminotransferase. Usually I have iron and ferritin low, but introduce beetroot on my diet and seems level is in range now, you advise slightly higherm have to have more🤔. My doctor said no action totake neither the one in UK, neither the one in Portugal, the last one suggest I get sun, hard here in UK, special working at a desk.Thank you will follow carefull your suggestion. Go buy the vit.suplement.
As you suggest I am taking more than the rates you advise for my weight.
No, that's not me, I don't think dose should be by weight and I never suggest it, I believe we need what we need to feel well. The dose by weight has come about in the new UK gudelines as a starter dose for someone newly diagnosed and then to be adjusted according to the patient's needs.
The aim of a hypo patient on Levo only, generally, is for TSH to be 1 or below with FT4 and FT3 in the upper part of their reference ranges, if that is where you feel well.
The symptons you list suggest undermedication, your FT4 suggests you could be undermedicated but on the other hand it could be the right level for you. The all important FT3 is missing and that's the clue. I expect it's low and that's what's causing your symptoms.
I have no knowledge of the other tests but they're all in range and haven't been flagged.
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