Latest results - looking better?

[Decant]

Hi,

I had my latest round of Medichecks "Ultimate Performance" results the other day (tested at 9am, fasted as per protocol).

I'm doing these blood tests every 3-4 months to try and optimise things; energy, mood, brain-fog. I am doing quite well, subjectively probably somewhat better than previously - holding down my job in IT. I'm the author of thyroid.chingkerrs.online/. Perhaps normal to be tired in the evening after work and not doing much else.

TSH 0.01 mIU/L (0.27 - 4.2) -6.6%

Free T4 (fT4) 19.8 pmol/L (12 - 22) 78.0%

Free T3 (fT3) 4.7 pmol/L (3.1 - 6.8) 43.2%

T4:T3 Ratio 4.213 

C-Reactive Protein (CRP) 1.59 mg/L (0 - 3) 53.0%

Folate - Serum 24.8 ug/L (8.83 - 60.8) 30.7%

Vitamin B12 (active) 107 nmol/L (37.5 - 188) 46.2%

Vitamin D 101 nmol/L (20 - 250) 35.2%

Ferritin 168 ug/L (30 - 400) 37.3%

Iron 16 umol/L (10 - 30) 30.0%

The blood tests give a comprehensive iron, blood panel and many others. My antibodies are very low. My cholesterol has improved with only triglycerides high (and reducing).

I am currently on 125mcg Levo and 12.5mcg Lio. No supplements at this time; I was on Vit D, K2, Vit B12, magnesium and a host of others and I should restart as VitD and VitB12 have dropped.

I recently gave a stool sample (loose movements) and the result showed high calprotectin level (380mcg) which indicates IBD. I am thinking my gut isn't absorbing nutrients properly which I think would factor into my mood, brain-fog, etc. I will be visiting a gastroenterologist ASAP.

At the same time I also joined the Zoe health study. I have (6 days out of 14) hypoglycemic episodes (2.7 lowest, but frequently below 4). I am looking forward to getting the gut-microbiome results to see if that needs improving.

I'm wondering if there's scope to increase my Liothyronine further or other changes I could make?

Many thanks for reading my (over) long post and your continued support.

[SlowDragon Administrator]

yes, perhaps add 3rd 1/4 tablet T3

Try at roughly equal 8 hour intervals. 1/4 tablet waking, mid afternoon and bedtime

Small dose T3 at bedtime frequently improves sleep

Have you tried splitting your levothyroxine as half waking and half at bedtime

Only change one thing at a time

Always worth trying strictly gluten free diet and/or dairy free diet too

[Decant in reply to SlowDragon]

Hi SlowDragon,

I'll increase my lio by 1/4 to approx 18mcg/day.

As part of the recent tests into lose stools I had a Celiac disease screen, and it came back negative: <1 ku/L (0 - 5). I tried gluten free for a while but it made no difference to my symptoms. My antibodies are nice and low.

Thank you!