I went to see my private endo 3 weeks ago and he asked for loads of bloods. I'll post them below but I'm confused as my previous tests on 07/10 showed TSH 2.89 (range 0.35-5.5 um/L) and free T4 14.3 pmol/L (range 10.5-21) - those were done by GPThe last bloods were done on 9/11 at di only a month later in different labs and showing huge change to both with no Levo dose change and using the same brand Wockhardt which I used for the last year and I'm on 75 mcg. Initially when my Endo saw the TSH 2.89 from October, he said we'll add extra to make one day a week a 100mcg dose. I took one higher dose I think before the last bloods but this wouldn't make such huge difference in assuming since you have to wait 6 weeks.
All bloods always taken on empty stomach with last Levo and vitamins taken 24h or more and always before 8-9am
I want to know why such change please. I asked Endo about that but he didn't reply to that email.
Results from 09/11 tests
TSH 0.713 (range 0.27-4.2 mlU/L)
T4 18.35 (range 12-22 pmol/L)
T3 4.4 (range 3.1-6.8 pmol/L)
Ferritin 56.18 (range 13-159 ug/L)
Vit B12 380.9 (range 197-771 pg/ml)
Total vit D 64 (range <25-250> nmol/L)
Sodium 140 (range 133-146 nmol/L)
Potassium 4.0 (range 3.5-5.3 nmol/L)
Urea 6.8 (range 2.5-7.8 nmol/L)
Creatine ∆93 (range 45-84 umol/L)
eGFR result/1.73m2. 66
There's plenty others but I think these are more important.
Please compare with those above.
Just to remind, I don't have hashimotos but hypothyroidism post Subacute Thyroiditis.
Thyroid is small and damaged due to the illness in 2020/2021
So to recap, my questions are;
1) Are these results ok? My Endo is happy but I'm not feeling great; occasional palpitations, slight anxiety and low mood, problems sleeping, waking up achy and sluggish, itchy skin especially scalp (all day), all body itchiness when going to sleep and tight, uncomfortable skin on face.
2) why such difference in bloods (TSH/T4) with no dose change?
3) are um/L the same as mlU/L ?
Thank you for all replies in advance!
I'm trying my best to take supplements but I've been only taking them daily again for the last month with on an off breaks 🙈
I'm taking Wellwoman and Solgar Vit D 4000 iu plus occasional vit C and magnesium
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bajmon
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meanwhile working on improving iron/ferritin by increasing iron rich foods in your diet 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
Hi slow dragon- really interesting what you say about iron and ferritin . My most recent blood work shows my ferritin is 46.1 which is actually too low right? Thanks for links to various research papers.
Many thanks. I just wanted to check if both results are in the same units. So no wrist though why such change in my results with no obvious reason like dose change.
Hi bajmon , you are 63.5% through the range in your fT4 and only 35% in your fT3, which would suggest you're not converting T4 to T3 very well and that could be causing your symptoms. Optimal conversion needs optimal vitamin and mineral levels so you should consider taking daily good separate supplements. You can use the calculator (link below) to check any differences in tests from different labs but unfortunately you don't have any fT3 results in the first test to see if the conversion has got worse/better or stayed the same. Maybe you have other test results that you could check to see what's been happening previously. You may find you benefit from a trial of T3, something to think about discussing with your endo.
As far as differences in the results, have you had any illness over the last month or two, or did you get any of the seasonal vaccines? That can make our thyroid hormones go wildly awry. Or have you changed anything in your diet/medications/supplements? Again, these could fluctuations. Just a thought.
Thank you so much. I'm in the office now but I'll look at the calculations when I'm at home later. I didn't take any vaccines as they made me extremely Intel last year and got my tests so over the place. I was in a lot of stress in October. Perhaps that it. I also was in gluten-free diet from august until just after the October tests. I'm back on gluten diet again as I was treated negative for celiac and didn't see much difference.Last time I had T3 checked was in April and it was 4.8 pmol/L
Hi, which vitamins would improve things most? I'm taking vitD, B12 complex (makes my stomach really upset), magnesium and sometimes wellwoman for everything else. I'm having liver patte free time a week too
I'll try B12 drops, maybe they won't upset my stomach at the complex. I'm using everyone from solgarWhy Endos think those levels are fine?! Honestly it's frustrating and we can't know everyone if they won't tell us/help us.
It's the tinnitus a symptom of low B12 levels you think?
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 difficult to find at reasonable price, should be around £20
If you want to try a different brand in the meantime, one with virtually identical doses of the ingredients, and bioavailable too, then take a look at Vitablossom Liposomal B Complex. Amazon sometimes has it branded Vitablossom but it's also available there branded as Yipmai, it's the same supplement
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 eg Jarrow methyl folate 400mcg and continue separate B12
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Blood Results - help please 
Blood test results- please help
Help with blood results please 
