Latest blood results from Medichecks. - Thyroid UK

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Latest blood results from Medichecks.

Starmen profile image
12 Replies

I have received my latest results from Medichecks. I would appreciate any comments.I took the blood test before 9 am on a Tuesday and followed the recommended protocol from here . I have Hashimotos.

I take magnesium Thorne B complex and selenium . Vitamin D 3 +k2 4000 iu daily

I take 100mcg Thyroxine 5 days and 125mcg 2 days. The symptoms I have appear to be low blood sugar but I am not sure . I feel very tired after a walk and hungry sweating and shaking but not every day and only sometimes when I have been for a walk again this does not happen daily but today it was particularly bad felt exhausted afterwards it was a 30 minute walk.

I am.vegetarian gluten lactose free .

CRP. 1.39 mg/L (0-5)

Ferritin. 42.0 ug/L. (13-150)

Folate serum 21.25ug/L. (>3.89)

Vitamin B12 active. 138.0 pmol/L (37.5 -150)

Vitamin D. 92 nmol/L. (50-200)

TSH. 0.03mu/L. ( 0.27-4.2)

Free T3. 4.38. (3.1 -6.8)

Free Thyroxine. 20.0 pmol/L. (12-22)

Thyroglobulin antibodies. 11iu/mL <115

Thyroid peroxidase antibodies. 542 iu/mL. <34

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Starmen profile image
Starmen
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12 Replies
Jaydee1507 profile image
Jaydee1507Administrator

Your vitamins are pretty good except ferritin. Are you working on that?

Free T4 (fT4) 20 pmol/L (12 - 22) 80.0%

Free T3 (fT3) 4.38 pmol/L (3.1 - 6.8) 34.6%

It looks like you're not converting well. Have you thought about trying to get some T3 added?

Starmen profile image
Starmen in reply to Jaydee1507

I am trying to work on my ferritin but finding it hard to get levels right being vegetarian I include spinich dark chocolate etc in diet can't seem to get it any higher . I have asked about T3 from endo but they said no I don't need it .Thanks for your reply 👍

Jaydee1507 profile image
Jaydee1507Administrator in reply to Starmen

Keep going with whatever you can do as a vegetarian. Maybe include orange juice and pumpkin seeds.

T3 on the NHS is a bit of a lottery unfortunately. Really depends who your local Endo is and what area you live in. There is the option of seeing a private Endo, depends a lot if you can afford it which is terrible.

Starmen profile image
Starmen in reply to Jaydee1507

👍 thanks I don't know what I would have done without this forum I know I have improved since joining and following advice from here but it's still a work in progress as it is for all of us 🙏

SlowDragon profile image
SlowDragonAdministrator

As vegetarian you are going to need to work hard on improving and maintaining ferritin

Needs to be AT LEAST over 70 minimum……ideally around 100

cks.nice.org.uk/topics/anae...

Serum ferritin level is the biochemical test, which most reliably correlates with relative total body iron stores. In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency.

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

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.

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...

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. ‘

Good explanations of iron 

theironclinic.com/iron-defi...

theironclinic.com/ironc/wp/...

Helpful info on iron infusion and supplements 

healthunlocked.com/thyroidu...

Starmen profile image
Starmen in reply to SlowDragon

Thanks for this . I am trying to improve ferritin levels as I think that is the main cause of my symptoms . Gut issues have disappeared so I am pleased about that just need to keep working on the ferritin .

AbiKat1 profile image
AbiKat1

Sorry you are feeling unwell. Your TSH is very low, suppressed even. This means your thyroid levels are going higher. Your free thyroxine is also going up to the higher range which is evidence of this.

My TSH went to 0.01 and I turned thyrotoxic. You need to talk with your doctor and show them the results, a good endocrinologist can advise you.

Did you get a doctors report with your Medichecks results? If so I wonder what their take was on this.

I also have hashimotos, with auto immune thyroid. I switch at times to graves. I have markers for both and fortunately a good endocrinologist. Every time I get a virus i switch from hypo to hyper in the weeks following that and have to reduce medication.

Auto immune flare ups are horrible.

I hope you feel better soon

All the best

Starmen profile image
Starmen in reply to AbiKat1

Thanks for this I don't feel over medicated and the report from the doctor with the results did mention the low TSH but also said it depended on if I had symptoms of over medication . I have an appointment in 2 weeks with an endocronologist who increased my medication in September . I feel this is low sugar but I am not sure I am also trying to work on increasing my iron levels I had a bad episode during the night last night shaking and sweating and agitated I had to get up and eat something .

AbiKat1 profile image
AbiKat1

Yes, blood sugar is tricky when thyroid levels rise. It does sound like those are symptoms of over active which can mess with your sugar levels too.

I am exausted when I go over. Your body may be working overtime. If your are higher you will want to eat something, it’s your body needing something to use up as it’s going faster. From the shaking etc that you mention it does look that way.

I think the doc is correct on the report to flag that, I would take your latest result to your endo and I’m sure he will get you feeling better soon.

Remember when you vitamins are optimised your levels will also optimise but as you only recently had an increase in meds, it may be too much for your body.

I can’t have any supplements that contain iodine, or any food with added iodine as it totally messes with my hashimotos. So might be work checking stuff incase that can trigger it too.

Perhaps see a GP with your results if you start feeling worse in the mean time.

Hope you feel good soon

Starmen profile image
Starmen in reply to AbiKat1

Yes I am taking the results with me to the appointment..trying to avoid GP who does not know enough about hashimotos and will only ask me to see endo! But it might be worth me seeing gp incase it's something unrelated if it continues 👍

AbiKat1 profile image
AbiKat1

Good idea. Some GP’s are useless. It’s a fight to get a good one or at least one that’s willing to do more research in order to help properly.

Sometimes the persistence with a bad one can also make them work harder 😉

Defo worth seeing a doc in case of something unrelated that could also be triggering it.

It’s Your health and you need answers, you gotta do what you can to feel better 💪🌻

Starmen profile image
Starmen in reply to AbiKat1

Thanks it makes me feel better just having replies from this forum there is always someone there with positive feedback and I don't feel so alone which can happen during a bad episode late at night !

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