can someone have a look at my latest results please?

[HappyBadger]

Hi all,

I’ve just had my latest results through from Monitor my Health and I was wondering If anyone could shine a light on them for me please?

I’m still waiting for my vitamin results from my GP. But I’ll post them as soon as they arrive.

I have Hashimotos and am gluten free, vegetarian ( not vegan)

I’m having trouble with very dry eyes but only at night. Not sure if this is something to do with my thyroid or not. I’m still having trouble losing weight too. I do yoga and walk every day.

I’d be so grateful if anybody give can give me any advice .

Thanks in advance xx

4.7 pmol/L

FT3 levels normal (normal range 3.1 - 6.8 pmol/L)

23.3 pmol/L

FT4 levels high (normal range 12 - 22 pmol/L)

0.02 mu/L

TSH levels low (normal range 0.27 - 4.2 mU/L)

[SeasideSusie Remembering]

Can we assume that you followed the testing protocol that we advise? Last dose of Levo 24 hours before the test, water only, no biotin/B Complex?

If so then your conversion of T4 to T3 is poor with an over range FT4 needed to produce a measley 43.2% through range FT3 .

The first thing to do is look at your vitamin results when you have them, these need to be optimal for thyroid hormone to work properly and good conversion to take place. You'll be looking for

Vit D - 100-150nmol

B12 - top of range for Total B12 (minimum 550pg/ml but ideally around 900pg/ml but if unit of measurement is pmol we can conbeet it to pg/ml).

Folate - af least half way through range

Ferritin - some experts say the optimal ferritin level for thyroid function is 90-110ug/l.

[HappyBadger in reply to SeasideSusie]

hi thank you for responding.

Yes I followed all that you’d advised. I had gone down from 125mcg to 100mcg a week before, would that have anything to do with my conversion. I went back down because my heart rate was going crazy and I just feel terrible.

But I will say that I’d only been trying 125mcg for a couple of weeks.

[SeasideSusie Remembering in reply to HappyBadger]

How long were you back on 100mcg Levo before this test?

If you'd only been on 125mcg Levo for a couple of weeks I doubt it would make any difference to conversion.

[HappyBadger in reply to SeasideSusie]

I probably went back to 100mcg about a week ago maybe a week and a couple of days.

[SeasideSusie Remembering in reply to HappyBadger]

So you tested only about a week after reducing dose? You should have waited 6-8 weeks after dose change. Your results aren't reflecting what 100mcg achieves. The FT4 is probably over range due to the 2 weeks of 125mcg, it might only be two weeks but it will have made a difference.

[HappyBadger in reply to SeasideSusie]

so I should do a test then in about 6 weeks time? I guess I just didn’t think 😂 I will order a new test from Monitor my Health. Thank youx

[SeasideSusie Remembering in reply to HappyBadger]

Yes, post new thyroid results then with your vitamin results so they can be considered together .

[HappyBadger in reply to SeasideSusie]

brilliant, will do. Thank you again x

[humanbean]

I’m having trouble with very dry eyes but only at night. Not sure if this is something to do with my thyroid or not.

Dry eyes could be caused by thyroid problems. Or it could be an autoimmune issue other than autoimmune thyroid disease. Or it could be some other problem.

For example, Sjogren's Syndrome causes dry eyes, and you could theoretically have that in addition to Hashimoto's or Ord's Thyroiditis.

en.wikipedia.org/wiki/Sj%C3...

en.wikipedia.org/wiki/Hashi...

en.wikipedia.org/wiki/Ord%2...

...

Both forms of autoimmune Thyroiditis and Sjogren's can damage moisture-producing tissues in the body. This could lead to dry eyes / nose / mouth / ears. Also, reduced stomach acid, reduced moisture in joints leading to arthritic-type symptoms. Skin and hair will often end up extremely dry. The skin on knees and elbows could end up very dry. I don't think I've ever read any complaints of someone with established thyroid disease having greasy hair.

[HappyBadger in reply to humanbean]

thank you, I’ll look into that. Although I don’t seem to have any of the other symptoms.

And it’s odd that it’s only at night. I do wake a few times throughout the night and go the loo, that’s when I notice the dry eyes x

[humanbean in reply to HappyBadger]

The best eye drops are those with no preservatives. A lot of people don't tolerate the ones with preservatives.

The ones I use are Hycosan Extra. My husband, whose dry eyes are very bad at night, uses an ointment rather than drops - either Hylo Night or Hycosan Night.

[HappyBadger in reply to humanbean]

can you get those from the pharmacy or do I have to get a prescription?

[humanbean in reply to HappyBadger]

Hycosan Extra can be found easily in pharmacies and chemists without prescription.

The ointment again without prescription - I'm not sure which one he currently uses - my husband says he has to buy from Amazon.

[HappyBadger in reply to humanbean]

oh thank you so much for that. I’ll look today

[SlowDragon Administrator]

Eyes

Ask optician to check your eyes

Eyes can be swollen due to thyroid eye disease with Hashimoto’s (not just with Graves’ disease)

this means that eyelids may not shut completely when sleeping causing dry eyes

What vitamin supplements are you currently taking

When were vitamin levels last tested

[HappyBadger in reply to SlowDragon]

thanks for your reply. I did think about that it might be that my eyes aren’t shutting at night.

I take Thorne Basic B Complex and Vegavero Vitamin D3 K2 . But I’ve been taking these now for months and I’ve just had my bloods back and it says my ferritin levels have gone down since last time and my folate is quite high. Do you know why that would be?

[SlowDragon Administrator in reply to HappyBadger]

Ferritin is storage form of iron (nothing to do with B vitamins)

Remember to stop taking vitamin B complex 3-5 days before all blood tests as it contains biotin and biotin can falsely affect test results

Reducing dose levothyroxine frequently results in vitamin levels dropping

How low was ferritin

Look at increasing iron rich foods in your 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

[HappyBadger in reply to SlowDragon]

thank you

I have changed my dose from 125mcg back down to 100mcg. And it was only two weeks ago. I know now I should have waited fir 6weeks to get retested.

These are my results

Blood haematinic levels Serum vitamin B12 level 508 ng/L [197.0 - 771.0]Serum folate level > 20.0 ug/L [3.0 - 20.0] Above Recommended RangeSerum ferritin level 50 ug/L [13.0 - 150.0Platelet count - observation 262 10*9/L [150.0 - 400.0]Monocyte count - observation 0.77 10*9/L [0.21 - 0.92]Eosinophil count - observation 0.19 10*9/L [0.02 - 0.67]Nucleated red blood cell count 0.00 10*9/L

[Veneziana]

Dry eyes may simply be a sign that you are over replaced with thyroxine. This may improve now you are on a lower dose.

[HappyBadger in reply to Veneziana]

I do hope so. It’s quite painful when I wake up. But so odd that it doesn’t happen during the day.

[Hopetoheal22]

hi happybadger, I won’t comment on your results as the other members are far more knowledgeable than me! 🙏 But as for your symptoms - could they be in part connected to perimenopause? I’ve read even tinnitus can be linked. Also dry eyes. I’m definitely perimenopausal at 44, the trouble is a lot of symptoms are very similar to those of thyroid issues! For nighttime dry eyes I use Optrex night restore drops and they seem to help. Also using a nasal spray less (for my dust allergy) which seems to stop them drying out as much. Wishing you good luck and good health x

[HappyBadger in reply to Hopetoheal22]

aww thank you.

It could be, I am 47.,but I’m still regular as clockwork. I will ask my doctor though.

Thank you xx

[Hopetoheal22 in reply to HappyBadger]

you’re welcome, so much to consider isn’t there! I’m pretty regular too but apparently symptoms of perimenopause can start 10 years before menopause, oh joy! 😄 take care x

[HappyBadger in reply to Hopetoheal22]

yes absolutely. You take care too xx