3 months on NDT: hi,from 3 months I am on NDT... - Thyroid UK

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3 months on NDT

BC99 profile image
BC99
7 Replies

hi,from 3 months I am on NDT

could you please look on my results ?

I am on 2 grain of VitaliThy.

I suplements: B12,D3

my blod test results:

TSH 0.01 (0.27-4.2)

FT3 4.6 ( 3.1-6.8)

FT4 12 (12- 22)

Serum total 25-hydroxy vitamin D level 91 nmol/L;

Vitamin D 50nmol/L indicates adequate Vit D levels

Serum vitamin B12 level > 1999 pg/mL [197.0 - 771.0]; Above high reference limit

Serum folate level > 19.5 ug/L [> 3.0]

Serum ferritin level 81 ug/L [30.0 - 400.0]

ferritin is low but I am sick after iron tablets.

I don't know what else I can do for better results.

and don't understand why FT4 is so low.

thank you 😊😊🙏

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SeasideSusie profile image
SeasideSusieRemembering

BC99

Are you under a practioner/GP/endo for your VitaliThy or self medicating?

TSH 0.01 (0.27-4.2)

FT3 4.6 ( 3.1-6.8)

FT4 12 (12- 22)

don't understand why FT4 is so low

Your FT4 is low because you are taking NDT and it contains T3, the T3 lowers FT4, it's just what it does. Sometimes the ratio of thyroid hormones in NDT is not right for some people (ratio of T4:T3 is usually around 4:1 in NDT) and they are better off with separate synthetic T4 and T3 which enables them to tweak the doses to suit.

How do you feel on this dose? If you feel undermedicated there is room to increase as your FT3 is only 40.54% through range and most people on NDT or any combination thyroid hormone replacement tend to feel best when FT3 is in the upper part of it's range.

Serum vitamin B12 level > 1999 pg/mL [197.0 - 771.0]; Above high reference limit

In what form of supplement is B12? Is it injections for B12 deficiency from your doctor? Or are you taking sublingual tablets because you originally had a lowish level but not actually B12 deficiency?

Serum folate level > 19.5 ug/L [> 3.0]

Are you taking folic acid or a folate/methylfolate supplement?

Serum ferritin level 81 ug/L [30.0 - 400.0]

ferritin is low but I am sick after iron tablets.

That is a very wide range for a female, that's usually the male range, female range is usually 13-150 or 13-300.

Ferritin is normally recommended to be half way through range but I do wonder in this case because, as I said, this is the male range so really it's difficult to say in your case.

Your ferritin may not necessarily low. First of all you'd need to test an inflammation marker, eg CRP, to see if you have any inflammation, inflammation or infection can raise ferritin. If CRP is nice and low then you have a true ferritin result and it seems it might be a reasonable level as some experts say that the optimal ferritin level for thyroid function is 90-110ug/L.

You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet

bda.uk.com/resource/iron-ri...

everydayhealth.com/pictures...

We shouldn't consider taking an iron supplement unless we do an iron panel, if you already have a decent level of serum iron and a good saturation percentage then taking iron tablets can push your iron level even higher, too much iron is as bad as too little.

Serum total 25-hydroxy vitamin D level 91 nmol/L;

This isn't too bad. The Vit D Society, Vit D Council and Grassroots Health all recommend a level of 100-150nmol/L with Grassroots Health's recent blog post recommending at least 150nmol/L. Maybe take something like 2,000iu D3 during the winter months when we can't make Vit D naturally from the sun. Retest in April to see if you need to carry on during the summer. When taking D3 we need it's important cofactors - magnesium and Vit K2-MK7.

BC99 profile image
BC99 in reply to SeasideSusie

Hi, thank you for replay.

I am self medication and found VitaliThy as gluten an dairy free. It is easy to buy.

I am feeling OK, but to be honest I can not see huge differences between be on NDT and synthetic. ( only one issue i had it was higher pulse) I have been on NDT 3 years and my weight was Ok, later I can't buy any more NDT I start using synthetic T3.

my weight go up 10kg by 1 year, now I come

back to NDT and give myself 1 year to check.

or maybe because I am getting older... 42years...

I had vitamin b12 injection 3 months ago and take drops of B12 - I stopped now after that results! But does that injection working after 3 months? Strange.

I haven't got CRP test have only:

Erythrocyte sedimentation rate 7 mm/h [0.0 - 15.0]

thank you

Beata

SeasideSusie profile image
SeasideSusieRemembering in reply to BC99

BC99

I had vitamin b12 injection 3 months ago and take drops of B12 - I stopped now after that results! But does that injection working after 3 months? Strange.

So is your doctor giving you the B12 injections, for B12 deficiency? If so then you should continue. If you are arranging the B12 injections yourself, what is the reason, did you test low originally?

Erythrocyte sedimentation rate 7 mm/h [0.0 - 15.0]

OK, so this is an inflammation marker and it's not over range so your ferritin result is probably your normal level.

It might be worth trying an increase in your NDT, now you're at 2 grains I'd do 1/4 grain increases and keep an eye on your levels and how you feel.

BC99 profile image
BC99 in reply to SeasideSusie

hi,

My witamin b12 was very low that why I had injection. Thank you for advice, I can not split my NDT, but maybe I will add synthetic T3 to increase little bit FT3.

thank you

SeasideSusie profile image
SeasideSusieRemembering in reply to BC99

I can not split my NDT, but maybe I will add synthetic T3 to increase little bit FT3

What dose size does your NDT come in? Your FT4 is bottom of range, if you add synthetic T3 this will raise your FT3 level but will probably lower your FT4 level even further. If your NDT comes in half grain sizes then I would try an extra half grain, if only 1 grain size then there's room to add an extra 1 grain and see what that does to your levels and how you feel. There's room for both FT4 and FT3 to be higher.

BC99 profile image
BC99

I was looking for long time good NDT, now after 3 months using I am happy and if somebody needs any information of VitaliThy gluten free and dairy free NDT, please send message :)

This is the first post I´ve found about VitaliThy. Although it has been around for a while, it´s not easy to find reviews.

Are you still happy on it? How much do you pay for a bottle?

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