Need Help understanding my Lab results - Thyroid UK

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Need Help understanding my Lab results

MimiC811 profile image
39 Replies

Hello, can someone please help me understand my lab results? I was diagnosed with Hoshimoto's and given armor thyroid. the main symptom that led me to the drs was major hair loss ( 70% my hair is gone). I have bold spots and I am so devastated about this. I am always miserably cold, have brain fog, and fatigue, and work out 5 times a week yet I can't lose a pound to save my life. But out of all the symptoms, the hair has been the most mentally wrecking and has tremendously affected my mental health. Upon taking Armour Thyroid (60mg), I noticed my hair fall out got 100% worse. After reading the side effects, it seems this is a major side effect that can last months. I had to stop taking it because I don't have any hair left to withstand the amount of time it may take my body to adjust to the meds. Can someone please help me understand my lab results better, and if you have dealt with this illness, what are some natural treatments I could try if any? It took 4 Drs including two Endocrinologists to finally be diagnosed, but the meds he gave me are not working. I already gave up gluten and Soy and I am currently vegan. ( I understand the Armour Thyroid is not, but I was so desperate I gave it a try for 5 days).

my wedding is supposed to take place in November, a day I waited so many years for :( and I am devastated I will be a bold bride.

Thank you in advance for your help.

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39 Replies
SlowDragon profile image
SlowDragonAdministrator

Low iron and ferritin are frequently linked to hair loss

Vegan diet is extremely low or completely deficient in iron and B12

You need full iron panel test for anaemia including ferritin tested

Also Vitamin D, folate and B12

Plus TSH, Ft4 and Ft3 tested

Are you now taking levothyroxine. If yes how much

Thyroid levels should be tested 6-8 weeks after each dose change

MimiC811 profile image
MimiC811 in reply toSlowDragon

Hello, thank you for your response. According to my last labs , all these vitamins were within normal range, and my B12 was actually high. Not sure if you saw the attached lab test results, but Drs confirmed Hashimoto. I am not taking anything at the moment, the Dr prescribed Armour Thyroid but as I mentioned gave an instant reaction causing sever hair loss ( last thing I needed). So I stopped taking it.

shaws profile image
shawsAdministrator

I, too, have no hair and it wasn't caused by medcation but it is another autoimmune condition - alopecia areata. I have several autoimmune diseases unfortunately.

This wont console you but there are some very good 'natural looking' wigs and reasonably priced.

I have monthly B12 injections but that's to deal with pernicious anaemia.

MimiC811 profile image
MimiC811 in reply toshaws

I am so sorry you are going through that, I pray that you find healing and get your hair back soon <3 I cant imagine how difficult that must be. Yes, I been thinking about extensions and wings.

shaws profile image
shawsAdministrator in reply toMimiC811

A year or so ago, I saw a doctor who injected my scalp with a product and my hair did begin to grow back only to drop out again a few months later.

pennyannie profile image
pennyannie

Hello MimiC and welcome to the forum :

I very much doubt your hair loss was caused by taking Armour as if you were only on this Natural Desiccated Thyroid product for 5 days I don't believe this was a long enough time to cause any side effects.

I think the delay and stress in getting diagnosed with Hashimoto's Auto Immune thyroid disease coupled with punishing exercise will have compounded your health issues even further.

I think you should also consider getting your core strength vitamins and minerals tested as no thyroid hormone replacement works well until your ferritin, folate, B12 and vitamin D are up and maintained at optimal levels -

and please be aware that T4 to T3 conversion can also be down regulated by inflammation, antibodies, and any physiological stress ( emotional or physical ) depression, dieting and ageing.

I too experienced alopecia as a child when taking exams at age 11 - I realise now that mine was stress related as I was undiagnosed hypothyroid and dyslexic and left handed - and found school a challenge every day - fortunately my hair grew back over time.

thyroidpharmacist.com for all things Hashimoto's AI disease.:

thyroiduk.org for all things thyroid :

P.S. I'm afraid I can't read the above print at all and am writing without any knowledge of any blood test print outs.

MimiC811 profile image
MimiC811 in reply topennyannie

I can only attach one image out of time so please see below

Ferretin
pennyannie profile image
pennyannie in reply toMimiC811

SlowDragon

SlowDragon profile image
SlowDragonAdministrator in reply toMimiC811

ferritin is far too low

Get full iron panel test

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

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.

healthunlocked.com/thyroidu...

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...

Shellfish and Mussels are excellent source of iron 

healthline.com/nutrition/he...

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. ‘

MimiC811 profile image
MimiC811 in reply toSlowDragon

Thank you so much for your help and the links above I will go through ever single item and try to get some help from them. I really appreciate this. I cannot believe either Drs I saw in the last two months bothered to look into this. the stress from the lack of care from the Dr is truly an addition to the illness itself. Do you see anything else in other results?

SlowDragon profile image
SlowDragonAdministrator in reply toMimiC811

How long since you stopped Armour were these tests done

Was test done early morning

Retest in another 6-8 weeks

High Thyroglobulin antibodies can be linked to having Hashimoto’s.

MimiC811 profile image
MimiC811 in reply toSlowDragon

I started armour on Friday 12/23 and stopped today. I was not comfortable with the major side effect being more hair loss. As i mentioned before, my hair started shedding tremendously worse than the normal shedding ( which was already bad). I took the test early morning and was fasting the night before as per direction from doctor. Can be linked so not necessarily an absolute determining factor?

SlowDragon profile image
SlowDragonAdministrator in reply toMimiC811

what were TSH, Ft4 and Ft3 results on Nov 22

Were you taking any thyroid medication at all then…..

MimiC811 profile image
MimiC811 in reply toSlowDragon

only have results from November 17th, it took that long to get the Armor thyroid meds.

shaws profile image
shawsAdministrator in reply toMimiC811

Don't be surprised that those we expect to be more knowledgeable than us (hypothyrodism) as my GP phoned (before I was diagnosed) to inform me that I had no problems - he apparently failed to notice TSH was 100 !

MimiC811 profile image
MimiC811 in reply toshaws

its really frustrating, and clearly they all failed to tell me my Ferritin is not normal.

MimiC811 profile image
MimiC811 in reply topennyannie

Vitamin D results

Vitamin D
pennyannie profile image
pennyannie in reply toMimiC811

SlowDragon so forth and so on - if it helps you :

MimiC811 profile image
MimiC811 in reply topennyannie

Iron Results

Iron
SlowDragon profile image
SlowDragonAdministrator in reply toMimiC811

will tag humanbean and SeasideSusie

They add the iron and ferritin experts

Iron levels look ok

Likely to need to improve ferritin by diet only ….not supplements

MimiC811 profile image
MimiC811 in reply topennyannie

Thyroid Result

Thyroid Result 1
MimiC811 profile image
MimiC811 in reply topennyannie

Thyroid result 2

thyroid result 2
SlowDragon profile image
SlowDragonAdministrator in reply toMimiC811

TPO antibodies negative for Hashimoto’s

MimiC811 profile image
MimiC811 in reply topennyannie

Thyroid result 3 and last

thyroid result 3
SlowDragon profile image
SlowDragonAdministrator

Please add actual results and ranges for

TSH, Ft4 and Ft3

Vitamin D, folate, B12 and ferritin

What vitamin supplements are you currently taking

if not taking any supplements that contain B12 ……..High B12 can be misleading with hypothyroidism

Paradoxical B12 deficiency 

b12oils.com/paradoxical.htm...

academic.oup.com/nutritionr...

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

You need full iron panel test for anaemia including ferritin

High ferritin due to inflammation of Hashimoto’s can mask iron deficiency

MimiC811 profile image
MimiC811 in reply toSlowDragon

I just posted all the test results in the comments please see below in the thread. I am taking Iron and Athletic Greens ( athleticgreens.com/ingredie.... I am also taking a hair supplement and l tryptophan for sleep because I suffer from sleep issues too. I have attached the labs, please take a look. I am not sure I know how to read them but based on what I am seeing iron, ferritin, B12 seem normal, and Dr didn't bother to mention anything if something was off. The only alarming one is the Thyroid panel. I appreciate your feedback.

MimiC811 profile image
MimiC811

Hi Dear, thank you very much for taking the time to respond to my post. My only concern is that the hair doubled in falling in the matter for the 5 days period. After doing some research online, I did find that some people react badly to NDT and one of the major red flags is increased hair loss. I also agree with you, the amount of stress this has caused me has been a vicious cycle and although I am trying to maintain my sanity by exercising and eating healthy, i cant help but feel crushed every time I brush my hair, and more so on wash day. As for vitamins, I can share the results of my Ferritin, below and my apologies, I just realized the image is difficult to read. I will attach a better image

B12 and Folate
SlowDragon profile image
SlowDragonAdministrator in reply toMimiC811

presumably you supplement B12 and folate?

And vitamin D?

MimiC811 profile image
MimiC811 in reply toSlowDragon

not regularly, mainly food.

Jaydee1507 profile image
Jaydee1507Administrator

I'm not seeing an FT3 or TSH result. Far easier for you to type them out for people to see easily.

MimiC811 profile image
MimiC811 in reply toJaydee1507

even tho I asked for THS and T3 T4 and reverse T3 T4, seems the drs only ran what I posted below. I am not sure which is which.

Jaydee1507 profile image
Jaydee1507Administrator in reply toMimiC811

Noone can tell anything without a full panel. Maybe get them to re run them?

This calculator is useful to see where your results sit. You can also copy paste them to a post on here.

thyroid.chingkerrs.online/

MimiC811 profile image
MimiC811 in reply toJaydee1507

I will have them re-run the tests

SlowDragon profile image
SlowDragonAdministrator in reply toMimiC811

Don’t retest until at least 6-8 weeks after stopping Armour

Book early morning blood test

humanbean profile image
humanbean in reply toMimiC811

Thyrotropin, mentioned in Thyroid Result 3, is another name for TSH.

On the same page, Thyroxine Free, is Free T4.

I haven't seen a Free T3 result anywhere.

MimiC811 profile image
MimiC811 in reply tohumanbean

they didnt run it

humanbean profile image
humanbean

Regarding hair loss :

discover.hubpages.com/healt...

hairscientists.org/hair-and...

ncbi.nlm.nih.gov/pmc/articl...

medscape.com/viewarticle/97...

The title of the last one :

Biotin: Good for Hair and Nails, Bad for Thyroid Lab Tests

The title is true, but biotin affects far more tests than just thyroid function tests, as explained in these links :

healthunlocked.com/thyroidu......

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

You might find something of interest in this link :

hormonesmatter.com/?s=Biotin

SlowDragon profile image
SlowDragonAdministrator

Vegan diet and hair loss

equibotanics.com/blogs/news...

veganhealth.org/hair-loss/

MimiC811 profile image
MimiC811 in reply toSlowDragon

Thank you 🙏

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