Got my full panel results back: healthunlocked... - Thyroid UK

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Got my full panel results back

Jefner profile image
7 Replies

healthunlocked.com/thyroidu...

ok guys just received my results. Before testing I split dose my 10mcg T3 into two doses, 5mcg late morning with my T4 and 5mcg around 10hrs before I tested. T3 still showing very low as per usual. Very pleased a year later my antibodies are still low. Very surprised my VitD is showing so low because I did a spot test in June and it was much higher although I don't get that much sun. Can't provide last D results at moment as I can't access them due to the Lab changing things and now passworded which I never set so have put a call out to them to tell me again. Think I might recheck that again on another spot test before I start supplementing again.

I have to send my results over to my GP and then we are to have another consultation on what to do. She is fully aware that I converse with you guys and your great knowledge so I will be informing her of your recommendations to put some changes in place. I may also upping my HRT patch with a bit extra estrogen as the patch I have been on for a long time isn't giving me adequate levels from last blood test to help that much but I just bumbled on with the same dose as consulting with a meno specialist and trialing other stuff I gave up.

OK folks, what's my next move?

Sample Dated : 14/09/2022 9:30 AM

Sample Received : 16/09/2022 11:06 AM

Result Reported : 17/09/2022 1:46 AM

CRP 0.52 <5.0 mg/L

Ferritin 101.0 13 - 150 ug/L

Magnesium 0.91 0.66 - 0.99 mmol/L

Cortisol (Random) 235.0 6am - 10am 166 - 507 nmol/L New range

TSH L 0.04 0.27 - 4.20 mU/L New range & unit

T4 Total 124.0 66 - 181 nmol/L

Free T4 18.3 12.0 - 22.0 pmol/L

Free T3 3.89 3.1 - 6.8 pmol/L New range

Ant-Thyroidperoxidase abs H 48 <34 IU/mL New units

Anti-Thyroglobulin Abs 56 <115 IU/mL New units

Vitamin D (25 OH) 60 Optimal 75-200 nmol/L (Adequate 50-<75 - Insufficient 25 -<50

Deficient <25

Vitamin B12 H 704 145 - 569 pmol/L

Serum Folate 35.20 8.83 - 60.8 nmol/L

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Jefner
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SlowDragon profile image
SlowDragonAdministrator

most thyroid patients need to supplement vitamin D continuously to maintain optimal vitamin D levels

Perhaps higher dose in winter than summer

Suggest next step is to increase T3 to 3 x 5mcg per day …..at approx 8 hours intervals

What vitamin supplements are you currently taking

Are you on strictly gluten free diet or dairy free diet

Jefner profile image
Jefner in reply to SlowDragon

thanks for the reply. I can't really fit in 3 x 5mcg doses a day as I currently don't get up until around 1pm as I changed my sleeping pattern due to all the building noise next door. I usually set my alarm for around 10am, take my Levo and 10mcg and go back to sleep until lunchtime. Last week or so I have started to add an extra 5mcg which I usually take in the evening.

I know my T3 levels are always low but I am not sure whether T3 actually suits me to be honest. They say that it's more how you feel rather than figures. I wonder whether my Functional Nutritionist was right when she said the T3 might be fueling my anxiety as I read up on the site effects of it and I have so many symptoms, although several on the list are from anxiety.

I remember upping my dose of T3 around 2-3yrs ago and when tested it went over range and I never actually felt better or worse.

From this article I have MANY of the side effects symptoms and also MANY on the overdose list. I really don't know what to do anymore I really don't. I just want rid of this anxiety and it just won't go

mayoclinic.org/drugs-supple...

Jefner profile image
Jefner in reply to SlowDragon

SlowDragon I have been messing with my T3 ie. changing it to split doses but missing a couple of days and doses to see if it affected my anxiety levels and initially I noticed when I hadn't taken it my anxiety wasn't quite so bad but I think I have done more damage than good tbh as I may be experiencing withdrawal symptoms.

Reason I did that was because I remember, back in 2018 before I started it, my Endo said that introducing T3 would be a delicate process because of worsening my anxiety levels even more despite knowing that I didn't convert very well and my very high cortisol levels at that time, so he never put me on it. I think I only went on it on recommendations from users on this site when I sought help.

I have had a couple of stressful days especially with having to go to the dentist which I fear so I am feeling the aftermath of fatigue and more anxiety, mental confusion because of how much I worried about it.

I really don't know what to do. I just can't help thinking T3 doesn't suit me because of initially feeling slightly better when I missed the odd dose.

I really NEED SOME HELP AND GUIDANCE PLEASE, I am in a hell of a bad state at the moment, I am so frightened and want to jump off a bridge right now and be done with it

SlowDragon profile image
SlowDragonAdministrator in reply to Jefner

Sorry to hear you are feeling so anxious

Anxiety is extremely common hypothyroid symptom

Your Ft3 is incredibly low. Personally I think you likely need more, not less

But if you can’t tolerate it …..ween off it

Down to 5mcg initially…..wait 3-4 weeks then once use to only 5mcg ….just stop T3

See GP, explain how desperate you feel

GP could prescribe propranolol……10mg 3 or 4 x per day

Yes it affects thyroid levels…. it slows uptake and conversion rate of Ft4 to Ft3……but it makes an inadequate dose levothyroxine/T3 go further

I was on propranolol 20 years ….amazing for completely stopping anxiety

For me the catalyst to eventually getting off propranolol and anxiety no Longer a problem….was absolutely strictly gluten free diet…but doesn’t work for everyone

Meanwhile Ask for referral to psychiatrist…..who can also prescribe T3

Jefner profile image
Jefner in reply to SlowDragon

I am trying to wean off my propanolol as it doesn't help my anxiety ie. the mental symptoms. Only my Diazepam seems to help that. I am waiting on a consultation with my GP to look at increasing my T3 slightly to see if it makes any difference but I have missed a few doses here and there and anxiety today is so bad which makes me think I am in withdrawal. I don't really know whether it works for me or not tbh which is why I tried staying off it for a couple of days and noticed my anxiety was slightly less. So by missing those doses I am now paying for it.

i was assessed for therapy but refused last year despite being suicidal and admitting myself into hospital, was thinking private but not even sure they can help me.

If I try adding a bit more t3 and still don't feel the benefits then I don't see the need to take it, if it's not helping me. I have been completely gluten free for a few years now but has made no difference except for lowering my antibodies.

If it wasn't for the debilitating anxiety (which I have had on and off for most of my life) I could function. I just don't know the route cause of it

SlowDragon profile image
SlowDragonAdministrator in reply to Jefner

How much propranolol were you taking

Was it a single slow release dose or multiple doses per day

Jefner profile image
Jefner

jusdt a single dose of 20mg . Had it before many years ago and just really helped some of the physical symptoms but NOT the mental ones. Sick of taking tablets, I rattle that much now.

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