6 week labs done 11:15 late morning: Hey! Is... - Thyroid UK

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6 week labs done 11:15 late morning

merlikati profile image
11 Replies

Hey!

Is there big difference if I do my labs before 9:00 or bit later if I still left 24h between last dose and labs?

I recently moved to the countryside and the nearest laboratory is 70 km away.

I switched from Euthyrox 175mcg to BerlinChemie 150mcg and been on this now 6weeks. I normally take 6:00 .

My labs 24h/ 11:15 morning

TSH 0,02 (0,4- 4,0)

FT4 15,0 (9,0- 19,0)

FT3 5,23 (2,4- 6,0)

Labs look quite good and I feel quite good too, much better than on Euthyrox but I feel sometimes overdrived. I feel my very best just before new dose. I feel there is too much levo in my system but numbers don't show this😀

In the mornings I feel my stress hormones goes too high and I sweat more than usually. But my body temperature is ideal 36,4. My cycle is also a bit too long, it should be 28-30days but this time 40days.

I don' t know what to do- to feel just a little bit better?

Do you think my numbers are higher if labs were taken before 9:00?

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merlikati profile image
merlikati
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11 Replies
Lalatoot profile image
Lalatoot

They say early morning because tsh is slightly higher then. It doesn't really affect ft4 and ft3. So your numbers are realistic.

merlikati profile image
merlikati in reply to Lalatoot

I see....thanks!

Lalatoot profile image
Lalatoot in reply to merlikati

In the UK many doctors just go by TSH and adjust the dose by that. So it is important for some to have the highest TSH possible to keep their dose at a good level.

merlikati profile image
merlikati in reply to Lalatoot

Okay.. My TSH is always very low. Years ago she kept me sick with "important" TSH... but once we had argue and I told her she is so outdated and keeping me ill. I begged her to look my ft4 and ft3, how low these were with "good" TSH. Sent her even some internet info. I think she was offended.Finally she even agreed to order me some T3 to try. So it has been very long ride with her.

Then she let go....told me to manage then myself if I am so smart😀...Now I call her only to write referral letter or extend the prescription. Seems to suit both of us.

I live in Estonia and we don't have here good thyroid doctors either.

SlowDragon profile image
SlowDragonAdministrator

Have you had vitamin D, folate, ferritin and B12 levels tested?

Do you take any vitamin supplements?

merlikati profile image
merlikati in reply to SlowDragon

Hello!

B12 and iron have been good. B12 was low before thyroid diagnosis but no issues now.

Ferritin seems to stay around 40.

D vitamin was slightly low, so now I take d3 vitamin 1200iu.

Not supplementing anything more than d3. Not vegan, eat meat, dairy etc

SlowDragon profile image
SlowDragonAdministrator in reply to merlikati

look at increasing iron rich foods in your diet

Aiming for ferritin at least over 70

cks.nice.org.uk/topics/anae...

In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency

Also See page 7 on here 

rcn.org.uk/-/media/royal-co...

Look at increasing iron rich foods in diet 

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

List of iron rich foods

dailyiron.net

Links about iron and ferritin

irondisorders.org/too-littl...

davidg170.sg-host.com/wp-co...

Great in-depth article on low ferritin 

oatext.com/iron-deficiency-...

drhedberg.com/ferritin-hypo...

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

healthunlocked.com/thyroidu...

restartmed.com/hypothyroidi...

Post discussing just how long it can take to raise low ferritin 

healthunlocked.com/thyroidu...

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 

Iron and thyroid link

healthunlocked.com/thyroidu...

Excellent article on iron and thyroid 

cambridge.org/core/journals...

Posts discussing why important to do full iron panel test

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Chicken livers if iron is good, but ferritin low

healthunlocked.com/thyroidu...

Heme iron v non heme

hsph.harvard.edu/nutritions...

Ferritin over 100 to alleviate symptoms 

healthunlocked.com/thyroidu...

Low Iron implicated in hypothyroidism 

healthunlocked.com/thyroidu...

Ferritin range on Medichecks 

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

We have received further information the lab about ferritin reference ranges. They confirm that they are sex dependent up to the age of 60, then beyond the age of 60 the reference range is the same for both sexes: 

Males 16-60: 30-400 ug/L

Female's: 16-60: 30-150

Both >60: 30-650 

The lower limit of 30 ug/L is in accordance with the updated NICE guidance and the upper limits are in accordance with guidance from the Association of Clinical Biochemists. ‘

merlikati profile image
merlikati in reply to SlowDragon

Omg...I found out just I'm pregnant !? 😀 it should be very very early, only maybe 4+ weeks. These levels tested 2 days ago, are they okay for early pregnancy or should I up my meds already?

With my second child I upped meds right away 25mcg but this was more than 6 years ago and I don't even remember what my numbers were.

This is very big suprise for me because we have been trying long time. So didn' excpect it at all.

SlowDragon profile image
SlowDragonAdministrator in reply to merlikati

congratulations

Get your dr to retest thyroid at same time as testing vitamin D, folate, ferritin and B12

Perhaps increase initially by 12.5mcg per day

150mcg and 175mcg alternate days. Discuss with your Dr/endocrinologist

merlikati profile image
merlikati in reply to SlowDragon

Thank you! I think it's good idea to take 150/175. Will ask to test these all. I remember my iron was low last pregnancy.

Longinthetooth profile image
Longinthetooth

HiFirstly you have contacted this site, good. Lots of helpful people here to try their best to guide you. Slow Dragon is right about the diet. I also take my levo before I get out of bed then my first drink is freshly squeezed lemon in boiling water so no caffeine. Also, many people if possible, get private blood tests as our GP's only test TSH as you know. I think most people try to get their labs done early. I sweat more when my levels are off. Age can have an effect on cycles unless you feel that you are too young for that. Have you told your GP about feeling hyper?

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