I’ve updated my profile with my latest Thyroid Bloods, still awaiting vitamins/iron panel.
Currently under investigation for raised ALP. Scan of liver and organs has come back clear. Currently highly symptomatic with all the usual…fatigue, bone pain, confusion, swelling in neck etc etc.
Again a drastic change in my thyroid bloods. I have an appointment next week with NHS endocrinologist, different to the private endocrinologist whom I have seen twice before and who’s advice was “don’t blame everything on your thyroid”.
I shall prepare a list of questions etc. I was just wondering if this is maybe a case of been under medicated, or maybe a conversion/absorption issue that needs looking into. Thyroid has never been scanned as previous endo didn’t see the point “it will slowly be destroyed by the Hashimoto’s”.
Just interested to hear peoples thoughts or suggestions for things to ask.
As always, thank you 😊
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Katherine0121
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Thank you for your reply. I’m current taking Vitamin D supplements as listed in my bio. I requested a full iron panel and vitamins, currently awaiting these back from labs. I shall update once received.
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
In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate methyl folate supplement and continue separate B12
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), stop the B12 and just carry on with the B Complex.
The present review of the literature regarding B12 status among vegetarians shows that the rates of B12 depletion and deficiency are high. It is, therefore, recommended that health professionals alert vegetarians about the risk of developing subnormal B12 status. Vegetarians should also take preventive measures to ensure adequate intake of this vitamin, including the regular intake of B12 supplements to prevent deficiency. Considering the low absorption rate of B12 from supplements, a dose of at least 250 μg should be ingested for the best results.3
If vegetarian or vegan, probably will need to carry on separate B12 supplements as well as vitamin B complex
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
As soon as you get your vitamin results do share them with us. It is essential for thyroid health to have optimal levels of ferritin, folate, B12 and Vit D. SlowDragon has given you great links and advice.
What is the highest dose of Levo you have been on per day? I would start with taking 175mcg daily, then increase this when this dose is tolerated. I can only increase by 12.5mcg (alternate days at first), as I’m very sensitive to change, although other members are fine adding 25mcg.
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