Poor. Are you addressing this as it's higher than last time? I know it's not easy to raise ferritin, I've been trying for a long time!
Folate -Serum. 19.32 ug/L (>3.89)
Good.
Vitamin B12 active >150. (37.5-150)
Too high to measure. You can drop the separate B12 supplement. Just continue with Thorne Basic B to maintain your B12 and folate levels.
Vitamin D 70nmol/L. (50-200)
Still needs work. How much D3 are you taking?
If you're aiming for the level recommended by the Vit D Council, Vit D Society and Grassroots Health (100-150nmol/L) then you're looking at 3,500-4,000iu D3 daily. If your level isn't improving much with your current supplement then consider an alternative, or maybe you're just not taking enough.
TSH 0.16mu/L (-0.27-4.2)
Free T3. 4.12 pmol/L (3.1-6.8)
Free Thyroxine 16.4 pmol/L (12-22)
FT4 = 44% through range and FT3 = 27.57% through range. These levels, ad your fatigue, suggest you need an increase in your dose of Levo. 25mcgt now, retest in 6-8 weeks. GP may not be happy to raise due to your TSH level, you'll have to emphasise your symptoms and that FT4/FT3 are the thyroid hormones and they are quite poor. Maybe quote Dr Toft:
Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine (the professional magazine for doctors):
"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l. In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l. This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l).*"
*He confirmed, during a talk he gave to The Thyroid Trust, that this applies to Free T3 as well as Total T3 and this is when on Levo only. You can hear this at 1 hour 19 mins to 1 hour 21 minutes in this video of that talk youtu.be/HYhYAVyKzhw
You can obtain a copy of the article by emailing ThyroidUK:
tukadmin@thyroiduk.org
print it and highlight question 6 to show your doctor.
Thyroglobulin antibodies 12 iu/mL (<1115)
Thyroid Peroxidase antibodies 481 iu/mL (-<34)
Raised TPO confirms your Hashi's and will fluctuate.
Thanks for this I have been working on ferritin but I am vegetarian but have started having a smoothie with spinach everyday only recently. Will stop B12.
Vitamin D I increased it in July from. 800 to 3000 so may need more ? Will take advice and discuss increase in thyroxin
Vitamin D I increased it in July from. 800 to 3000 so may need more ?
In that case it's coming on nicely. As we're approaching winter you could increase to 4,000 if you wish, then retest in April (do this anyway), that will then tell you whether you need to adjust dose for the summer months.
Yes, no point in retesting antibodies because you know you have Hashi's, that wont change now regardless of level of antibodies. Obviously you'll need to do a full thyroid/vitamin panel occasionally (I do it once a year) and it will be included, but if you just want TSH, FT3 and FT4 then the cheapest way is Monitor My Health, £26.10 with code :
Monitor My Health only do fingerprick tests. If you prefer venous blood draw then check out Medichecks and Blue Horizon, they offer both with most thyroid tests but you pay extra for venous blood draw (unless you have a friend who is a nurse!).
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