Any comments on slightly high haemoglobin in relation to other numbers in this report

[musicaljune]

She’s now on 75mcg of levo and her thyroid function is improving. I’ve read that Hashi hypos benefit from ferritin being high, ditto all nutrients, so are her folate and B12 a little compromised?

Test done according to protocol advised here.

[SlowDragon Administrator]

When was dose increased?

After these test results in July

Which brand of levothyroxine is she currently taking

Bloods should be retested 6-8 weeks after each dose increase

How old is this person and approx how much do they weigh in kilo

Yes B12 and folate too low

No vitamin D result either

What vitamin supplements is she taking

High cholesterol is linked to being hypothyroid and will improve

Low GFR and poor kidney function similarly will improve as dose levothyroxine is increased

[musicaljune in reply to SlowDragon]

Thank you SlowDragon.

After this test in July she was given only 25mcg of levo which I explained was a very low dose. She then retested after about 7 weeks on 25 and immediately increased to 50 of her own volition after the test. However, after speaking to her GP a couple of weeks ago she increased again to 75. I know her thyroid function has improved but I don’t have the numbers.

The results I posted are the July ones which were before levo prescription and purely to ask the question about haemoglobin but in answer to your questions she’s now down to 68kg after losing 4lbs which she can’t attribute to levo as she’s also made some dietary changes. I don’t know exact age but she’s late 50s and post menopausal.

Don’t know the brand of levo and she takes no supplements.

Thanks again.

[SlowDragon Administrator in reply to musicaljune]

She needs full thyroid and vitamin testing 6-8 weeks after each dose increase

all thyroid blood tests early morning, ideally just 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

bluehorizonbloodtests.co.uk...

If she can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk

Only do private testing early Monday or Tuesday morning. Watch out for postal strikes, probably want to pay for guaranteed 24 hours delivery 

[musicaljune in reply to SlowDragon]

Thank you SlowDragon, all this she knows as I’ve quoted you to her a few times!

Any thoughts on her high haemoglobin though? That was the real question. Her ferritin isn’t dire at about 54% through the range but she’s aware that a little higher may bring some benefits.

[SlowDragon Administrator in reply to musicaljune]

Haemoglobin only just over range

Most likely cause is dehydration

verywellhealth.com/high-hem...

[musicaljune]

Thank you for your thoughts and the link. Will pass it on.