My results are back. They are in in range. However I just want to check it out here first.I does say that I am insufficient in vitamin D and that this is the cause of my tiredness and memory loss
Results: My results are back. They are in in... - Thyroid UK
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Donlbz
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SeasideSusieRemembering
What is the Vit D result?What are the other nutrient results?
SlowDragonAdministrator
High TPO antibodies confirms autoimmune thyroid disease also called Hashimoto’s
Did you know that cause of your hypothyroidism is autoimmune thyroid disease?
Was test done early morning and last dose levothyroxine 24 hours before test
Do you always get same brand levothyroxine at each prescription
Free T4 (fT4) 19 pmol/L (12 - 22) 70.0%
Free T3 (fT3) 4.9 pmol/L (3.1 - 6.8) 48.6%
currently shows poor conversion of Ft4 to Ft3
Most people when adequately treated will have Ft3 at least 60-70% through range minimum
Low vitamin levels results in poor conversion and poor conversion results in low vitamin levels
Please add actual vitamin results and ranges
Frequently necessary to supplement vitamin D and vitamin B complex virtually continuously to maintain OPTIMAL vitamin levels
No I did not know that was the cause. I've never been told that I have hashimotos.
Yes i took the test in the morning.
The last few months I've had the same brand. Its not always the case tho.
Other than taking vitamin D and iron, is there anything else I should be doing?
What’s the ferritin result
SlowDragonAdministrator
low vitamin D
aiming for vitamin D at least over 80nmol minimum
Low vitamin D
GP should prescribe 1600iu everyday for 6 months
NHS Guidelines on dose vitamin D required
ouh.nhs.uk/osteoporosis/use...
GP will often only prescribe to bring vitamin D levels to 50nmol.
Some areas will prescribe to bring levels to 75nmol or even 80nmol
leedsformulary.nhs.uk/docs/...
GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)
mm.wirral.nhs.uk/document_u...
But with Hashimoto’s, improving to around 80nmol or 100nmol by self supplementing may be better
pubmed.ncbi.nlm.nih.gov/218...
vitamindsociety.org/pdf/Vit...
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
Test twice yearly when supplementing
Once year with thyroid via Medichecks or BH
Once via NHS test service
Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.
There’s a version made that also contains vitamin K2 Mk7.
One spray = 1000iu
Suggest you start on 2000iu - 3000iu per day
Retest in 3 months
amazon.co.uk/BetterYou-Dlux...
Another member recommended this one recently
Vitamin D with k2
amazon.co.uk/Strength-Subli...
It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average
Vitamin D and thyroid disease
grassrootshealth.net/blog/t...
Vitamin D may prevent Autoimmune disease
newscientist.com/article/23...
Web links about taking important cofactors - magnesium and Vit K2-MK7
Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine
betterbones.com/bone-nutrit...
medicalnewstoday.com/articl...
livescience.com/61866-magne...
sciencedaily.com/releases/2...
Great article by Dr Malcolm Kendrick on magnesium
drmalcolmkendrick.org/categ...
Vitamin K2 mk7
SlowDragonAdministrator
only add one supplement at a time
Then wait at least 2 weeks to assess before adding another
Starting with vitamin D
Folate is also low
supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)
This can help keep all B vitamins in balance
Difference between folate and folic acid
chriskresser.com/folate-vs-...
Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.
thyroidpharmacist.com/artic...
B vitamins best taken after breakfast
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)
Thorne currently cheapest on EBay
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
endo.confex.com/endo/2016en...
endocrinenews.endocrine.org...
In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate methyl folate supplement
SlowDragonAdministrator
Retest thyroid and vitamin levels in 2-3 months after working on improving low vitamin levels
Should see much better Ft3 levels and general reduction in symptoms
See how that is
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are diagnosed coeliac, but further 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first
Assuming test is negative you can immediately go on strictly gluten free diet
(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
chriskresser.com/the-gluten...
amymyersmd.com/2018/04/3-re...
thyroidpharmacist.com/artic...
drknews.com/changing-your-d...
Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease
pubmed.ncbi.nlm.nih.gov/296...
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
nuclmed.gr/wp/wp-content/up...
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
restartmed.com/hashimotos-g...
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
Thank you so much for your help. I have read all the information and it has been very helpful. The doctors unfortunately do not give you all the information. Which is why I decided that I would take control of my own health. Without the support of this site that wouldn't be possible. So I am very grateful.I'm now on vitamin D. I'm going to start the iron supplements next week. I've added magnesium rich foods and I'm going to work on reducing gluten in my diet.
I'll test again in February and post results again. 😊
I'm going to start the iron supplements next week.
what was ferritin result?
If ferritin is low has GP done full iron panel test for anaemia
What were iron panel test results
39ug/l
This is ferritin result?
if yes…..39ug/l is low
But NHS only tests and treats vitamin deficiencies
Are you male or female
Approx age
Pre or post menopause?
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. ‘
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
Links about iron and ferritin
An article that explains why Low ferritin and low thyroid levels are often linked
preventmiscarriage.com/iron...
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
Medichecks iron panel test
medichecks.com/products/iro...
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...
Improving low vitamin levels will help improve symptoms and should increase Ft3 levels
I haven't had a iron panel test.My doctor just wants to give me antidepressants. Has he says all my bloods are fine. Which is why I decided to have the private test. I didn't believe I was depressed.
Do you think I need to order a test for my iron?
I'm female. Just turned 47
Could be peri menopause, especially when on levothyroxine
See different GP and request oestrogen and progesterone tested
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