Hi I've got my latest labs. Whilst some things have improved, I'm a way off of optimal. SlowDragon are you able to advise?
Latest labs. Help pls.: Hi I've got my latest... - Thyroid UK
Latest labs. Help pls.
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What thyroid hormones are you taking
Was test done early morning and last dose levothyroxine 24 hours before test
Ferritin is extremely deficient
Take results to GP
You need full iron panel test for anaemia
Probably iron supplements
Are you vegetarian or vegan
Heavy periods?
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...
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
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...
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. ‘
Taking levo 100mcg/150mcg alternating daily AM.T3 BD 6.25mcg
Ferritin a work in progress and has improved slightly.
Followed all the rules for test taking.
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come back with new post once you get full iron panel test results
humanbean can advise of iron supplements
As per previous conversations my GP will not do it.Yes gluten free. Have reintroduced dairy after AIP.
Levo brand is Accord.
We discussed weight before and in theory I could go up to 200mcg.
So increase levothyroxine to 150mcg every day and retest in 6-8 weeks
Meanwhile
you need to test full iron panel privately
Stop iron supplements 5-7 days before test
Do test early morning and fasting
Don’t eat iron rich meal night before test
Medichecks iron panel test
medichecks.com/products/iro...
Until ferritin is over 70 you won’t make any progress
If iron is as low as ferritin you might need/benefit from iron transfusion
Helpful info on iron infusion and supplements