In October I had blood tests from Blue Horizon which picked up that My Vitamin D level was low at 46 (Optimal 75-200).
My TSH was 1.71 (0.27-4.20), T4 Total 96,7 (66-181) Free T4 16.6 (12.0-22.0) and Free T3 4.71 (3.1-6.8)
Ferritin high at 279.0 (13-150) Vitamin B12 high at 580 (145-569), Cortisol High at 650.0 (166-507).
My GP did follow up blood tests. Last week I was prescribed Stexerol-D3 1000 iu. I started taking them on Sunday at breakfast time (2 hours after Teva Levothyroxine 75mg). Tuesday night I started to feel jittery, unable to relax and 'hyped' up. I then woke early Wednesday morning feeling the same way. I wondered if the D3 was affecting me so I did not take it yesterday nor today. I feel better now. The chemist advised me yesterday that there should be no reaction with Levothyroxine and 2 hours was a sufficient delay.
Has anyone else had a similar experience? I am wondering how to proceed - whether to take D3 later in the day, or start again having one tablet every other day? Or do you think it is unconnected?
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JigsawJill
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Vit D is actually a hormone, not a vitamin, it's one of the supplements that should be taken 4 hours away from Levo so that absorption of Levo is not affected. Whether or not taking it too close to Levo has caused the problem I don't know but I think possibly not, maybe more like a reaction to the tablet itself.
Did you read the patient information leaflet (PIL) that came with it, the online PIL shows section 4 listing possible side effects and section 6 gives a very long list of excipients, you could be reacting to any of those excipients.
You might be better with a clean supplement containing no excipients at all, I take Doctors Best softgels which just contain D3 and extra virgin olive oil, nothing else.
To be honest, although your GP is probably following guidelines and prescribing the dose which the guidelines state, it will take a very long time for your Vit D level to reach optimal with the dose given.
You might be interested in a recent post that I wrote about Vit D and supplementing:
and you can check out the link to how to work out the dose you need to increase your current level to the recommended level.
Your current level of 46nmol/L = 18.4ng/ml
When you work out how much they suggest to reach the recommended level you will see it is 4,900iu D3 daily so the nearest you'd get to that is 5,000iu. Then, of course, there are the important cofactors needed when taking D3 - magnesium and Vit K2-MK7.
I agree with Jaydee that your thyroid results suggest that you are undermedicated and may benefit from an increase in your dose of Levo.
Your B12 is slightly over range but not considered too high. I expect that measurement is pmol/L and if converted to pg/ml it is 785pg/ml and according to an extract from the book, "Could it be B12?" by Sally M. Pacholok:
"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".
"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."
so I wouldn't worry too much about that.
Your cortisol is high so I hope your GP is investigating that.
As for your high ferritin, looking at your previous post your CRP was near the top of the range which suggests some inflammation. Ferritin rises with inflammation so it could be connected (with the caveat that I am not medically trained). Your TPO antibodies are also positive for autoimmune thyroid disease (Hashimoto's) and this causes inflammation.
Hi. Thank you for the extensive advice. A Dr recently told me in passing that my vit D reading is currently 30, so 'just get some vit D from the chemist'. I'm not happy with that vague advice but he wouldn't discuss it. I've read your advice with interest thanks. Having looked at vit D tablets in supermarkets and pharmacies in the past they appear to be poor quality/low dose and probably a waste of money. It's impossible to make an informed choice when you have underlying health conditions already so the advice on here is invaluable.
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