b12 493ng/L 197-777
Folate 16.3 ug/L 1.9-25
t4 22.2 (11-22)
Tsh 3.36 (.27-4.20)
Did stop the multivitamin two days before for the folate, folate and b12 have jumped up!
Still feel like crap, anxious, fidgety, higher heart rate too, maybe it’s just stress and anxiety?
SlowDragon
Was test done early morning
No Ft3
No thyroid antibodies
No vitamin D
No iron or ferritin
TSH is relatively high
(suggesting possibly hypothyroid/Hashimoto’s)
Hashimoto’s frequently starts with transient hyperthyroid results and symptoms before becoming increasingly hypothyroid
So next step you need FULL Thyroid and vitamin testing done
you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested.
Very important to test vitamin D and ferritin
If ferritin is under 50…..full iron panel test for anaemia
What’s your diet like
Are you vegetarian or vegan
Gluten free or dairy free
About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high thyroid antibodies
Autoimmune thyroid disease with goitre is Hashimoto’s
Autoimmune thyroid disease without goitre is Ord’s thyroiditis.
Both are autoimmune and generally called Hashimoto’s.
Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease (Hashimoto’s or Ord’s thyroiditis)
20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis
In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)
Recommended on here that all thyroid blood tests early morning, ideally just before 9am
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
List of private testing options and money off codes
thyroiduk.org/getting-a-dia...
Medichecks Thyroid plus antibodies and vitamins
medichecks.com/products/adv...
Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins
bluehorizonbloodtests.co.uk...
Only do private testing early Monday or Tuesday morning.
Watch out for postal strikes, probably want to pay for guaranteed 24 hours delivery
Link about thyroid blood tests
thyroiduk.org/getting-a-dia...
Link about Hashimoto’s
thyroiduk.org/hypothyroid-b...
Symptoms of hypothyroidism
thyroiduk.org/wp-content/up...
Vitamin d and ferretin wee done last month and fine so we’re the antibodies. Not sure we’re to got from here? Maybe stress and anxiety is make my heart rate higher?
not had Ft3 tested at all?
What were vitamin D and ferritin results
Which thyroid antibodies have been tested
Looking at previous post
NHS won’t test TG antibodies unless TPO antibodies are high/abnormal
As your TPO antibodies are negative/normal you will need to test privately
And test TSH, Ft4 and Ft3 at same time
Test early morning
Vitamin D and Ferritin good
B12 and folate were very poor
Now improving
Multivitamins never recommended on here
Most contain iodine, which can exacerbate thyroid disease
How long have you been taking multivitamin?
Which multivitamin have you been taking
Suggest you stop and just take
Vitamin B complex
Vitamin D
20% of Hashimoto’s patients never have high thyroid antibodies
Ultrasound scan of thyroid may get diagnosis if both TG antibodies and TPO antibodies are negative
Also possible to have a hot nodule
This is where nodule makes thyroid hormones regardless of TSH…..but you would expect low TSH….and high Ft4
TSI or Trab antibodies for Graves’ disease
Any autoimmune disease running in your family?
Have you ever had
Glandular Fever (Ebstien Barr)
H Pylori
SIBO
or other infections listed here
hypothyroidmom.com/hashimot...
Had cholesterol levels tested
High cholesterol levels suggests hypothyroid
Low cholesterol levels suggests hyperthyroid
Multivitamin, ferretin was 200 30-400 vitamin d was 92 50-9999
Strongly recommend stopping this
Contains iron, you don’t need
Contains iodine, which can significantly exacerbate thyroid issues
Instead to improve low B12 and folate….supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)
This can help keep all B vitamins in balance and will help improve B12 levels too
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 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
amazon.co.uk/Yipmai-Liposom...
or available as Vitablossom brand here
hempoutlet.co.uk/vitablosso... &description=true
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 - eg Jarrow methyl folate 400mcg
it’s only a low dose of iodine though only been taking it for 2 months as the thyroid up and down since 2018 surely that won’t effect it that much?
it’s 93% of daily recommended dose
We see many people on here who have taken iodine supplements and it frequently worsens situation
drknews.com/iodine-and-hash...
thyroidpharmacist.com/artic...
Iodine levels and thyroid
cambridge.org/core/journals...
Genova Diagnostics for iodine test
thyroiduk.org/help-and-supp...
Click on "Read the list of available tests" and on page 3 of the pdf you'll see
Urine Iodine Test:
Specimen requirements: Urine
Cost: £71.00
Order Code: END25
Turnaround time: 5 - 10 days
Iodine is an essential trace element, vital for healthy thyroid function. Adequate levels are required to enable the production of T3 and T4 thyroid hormones, whilst also being required in other areas of health.
Deficiencies can lead to impaired heat and energy production, mental function and slow metabolism. Urine iodine is one of the best measures of iodine status. This test is not performed as a loading test, but can be used to establish existing levels or to monitor iodine supplementation.
posts that mention iodine
140 micrograms - which the label says is 90% of daily requirement.
150 micrograms a day is often suggested as our daily requirement.
So, whilst some people consume much more, I wouldn't be too ready to dismiss it as being a low dose.
to be honest I’m confused didn’t think they would cause too much trouble as I’ve had this problem for years and only been taken them for 2 months stopped for two days haven’t notice a difference
List of private testing options and money off codes
thyroiduk.org/getting-a-dia...
Medichecks Thyroid plus antibodies and vitamins
medichecks.com/products/adv...
Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins
bluehorizonbloodtests.co.uk...
perhaps consider paying extra for Blue Horizon as includes cortisol test
Remember to stop taking any vitamin supplements that contain biotin 5-7 days before any blood test
You didn’t answer question in previous post
Are you still taking PPI for acid reflux?
Most hypothyroid patients have LOW stomach acid
Virtually identical symptoms, very different treatment
Thousands of posts on here about low stomach acid
healthunlocked.com/search/p...
But never assume you have low stomach acid
healthygut.com/4-common-bet...
Web links re low stomach acid and reflux and hypothyroidism
nutritionjersey.com/high-or...
stopthethyroidmadness.com/s...
thyroidpharmacist.com/artic...
How to test your stomach acid levels
healthygut.com/articles/3-t...
meraki-nutrition.co.uk/indi...
huffingtonpost.co.uk/laura-...
lispine.com/blog/10-telling...
Protect your teeth if using ACV with mother
healthunlocked.com/thyroidu...
Ppi
Omeprazole will lower vitamin levels even further
gov.uk/drug-safety-update/p...
webmd.com/heartburn-gerd/ne...
pharmacytimes.com/publicati...
PPI and increased risk T2 diabetes
gut.bmj.com/content/early/2...
Iron Deficiency and PPI
medpagetoday.com/resource-c...
futurity.org/anemia-proton-...
onlinelibrary.wiley.com/doi...
sciencedirect.com/science/a...
ppi’s on and off stopped taking them 1 week ago
You TSH is (relatively) high
Graph showing median TSH in healthy population is 1-1.5
web.archive.org/web/2004060...
But in these circumstances you would normally expect Ft4 to be low or low/normal
Your Ft4 is borderline high
should I call the gp tomrrow and see if they will treat it?
GP most likely won’t think it’s anything other than pretty normal
Retest thyroid levels 6-8 weeks after stopping multivitamin. Iodine supplement could be causing significant issue
what about the heart rate? Still sits at 70-80 maybe 65-79 when sitting or laying when it use to be 50-60 sitting or laying (awake) it does go down to 48-68 at night when I’m asleep
so next steps
A) stop multivitamins
B) take good quality vitamin B complex instead. Remember to stop this 5-7 days before retest
In 6 weeks after stopping multivitamins and starting vitamin B complex
C) NHS won’t test TG antibodies unless TPO antibodies are high/abnormal
As your TPO antibodies are negative/normal you will need to test privately
And test TSH, Ft4 and Ft3 at same time. Test early Monday or Tuesday morning, ideally just before 9am
Come back with new post once you get results
you could do with checking your T3. With your TSH being quite high and also your T4 high you might not be converting T4 to T3 very well hence the high TSH and not feeling like you should. My TSH was high, T4 high but T3 was on the floor. I did the DIO2 gene test and I found out I have this faulty gene. As soon as I started to take T3 liothyronine medication alongside T4 levothyroxine I felt 100% better.
Here are my results as requested
Medichecks results advice please
Help with blood results please
Help with results please?
Help with test results please
