Had my latest results from MMH and my Tsh has gone up and t3 and t4 down August I was told to drop down to 100mgs of thyroxine was previously on 125mg one day and 150 the next day so am confused now August Tsh was 1.81 range 0.27 to 4..2 T4 was 22.5 range 12 to 22 and T3 was 4.3 range 3.1 to 6.8
Now Tsh is 3.03 range 0.27 to 4.2
T4 is 20.5 range 12 to 22
T3 is 4 range 3.1 to 6.8
Any advice appreciated
Levothyroxine was reduced 6 weeks ago down to 100mg and still same brand
Added Nhs results from yesterday
Thyroid function test
Serum TSH level 5.2 mIU/L [0.3 - 5.5]
Serum free T4 level 20 pmol/L [10.0 - 22.0]
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Pen1966
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Have amended to say levo reduced to 100mgs 6 weeks ago down to 100mg on same brand now as before test done before 8.30 no food or drink and no biotin etc 3 weeks before test
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
Thyroid disease is as much about optimising vitamins as thyroid hormones
Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing. It’s possible to have low ferritin but high iron
Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule)
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a B12 supplement as well as a B Complex (to balance all the B vitamins) initially for first 2-4 months.
once your serum B12 is over 500 (or Active B12 level has reached 70), unless vegetarian or vegan stop the B12 and just carry on with the B Complex.
if vegetarian or vegan likely to need to carry on separate B12 supplements….unless on B12 injections
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Blood test results 
My latest thyroid test results
Help with results please
