Hi 😊👋

[Happyxx]

Hi any help be great I've got covid so couldn't go in for recent blood test Did some private online to check vitamin D

Before I was 23 umol test come back 57 now I've been on loading dose for 4 weeks ( 1 tablet per week 25000 vitamin d3)

Does this sound about right 23-57 in that time and shall I carry on with one a week? Waiting on calcium result.

Shame with covid my appointment got cancelled with doctor to discuss tsh going from 2.8 to 3.15 and now 3.20. doctor says normal on phone I'm in no medication just the vitamin D

T4 13.7

Thank you 💕 any tips on covid too be great help.

[Happyxx]

Calcium just came through 2.43 And corrected calcium 2.42

Albbium 42

[SlowDragon Administrator in reply to Happyxx]

Taking vitamin D naturally increases calcium in bloodstream

Read links further down this reply on why vitamin K2 mk7 is important

NHS Guidelines on dose vitamin D required

ouh.nhs.uk/osteoporosis/use...

GP will often only prescribe to bring vitamin D levels to 50nmol.

Some areas will prescribe to bring levels to 75nmol or even 80nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

But with Hashimoto’s, improving to around 80nmol or 100nmol by self supplementing may be better

pubmed.ncbi.nlm.nih.gov/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, you will need on going maintenance dose to keep it there.

Test twice yearly via NHS private testing service when supplementing 

vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.

There’s a version made that also contains vitamin K2 Mk7. 

One spray = 1000iu

amazon.co.uk/BetterYou-Dlux...

It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average

Vitamin D and thyroid disease 

grassrootshealth.net/blog/t...

Vitamin D may prevent Autoimmune disease 

newscientist.com/article/23...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, (but must be four hours away from levothyroxine)

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Interesting article by Dr Malcolm Kendrick on magnesium 

drmalcolmkendrick.org/categ...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

[userotc]

Well the vit D increase vs dosage seem broadly consistent with my brother's and dad's but we are all individual. With yourloading doses, it seems like youre probably following a doctor's directions otherwise maybe check Grassroots calculator.

Re covid, you may be interested in the recent video below from Dr J Campbell reviewing 5RCTs confirming much scientific evidence that vit D levels (significantly above yours) impressively protects against (viruses like) covid. Ive mentioned this before on this and other fora. NB vit D is not the only immune-optimiser. youtu.be/x5sc7G4s4CY(Not working as expected?)

[Happyxx in reply to userotc]

Thank you 🤗 On loading dose 25000 one a week for 12 weeks been on them 4 weeks not sure what to aim for though good it's gone from 23-5 x

[userotc in reply to Happyxx]

My family and I aim to maintain at 100-125nmol/l ie optimum, which covers most reports on health (incl covid protection!).Google/use Grassroots Health calculator and regular vit D blood tests to get there eg via doctors or £31 at vitamindtest.org.uk/

[Happyxx in reply to userotc]

Thank you x

[SlowDragon Administrator]

What’s the range on Ft4

Just testing TSH and Ft4 is totally inadequate

 

For full Thyroid evaluation you need TSH, FT4 and FT3 tested

plus both TPO and TG thyroid antibodies tested at least once

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

If vitamin D was low, it’s highly likely B12 and folate are also low

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 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...

If you can get GP to test vitamins then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

Monitor My Health also now offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65 

(Doesn’t include thyroid antibodies) 

monitormyhealth.org.uk/full...

10% off code here 

thyroiduk.org/getting-a-dia...

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...

[Happyxx in reply to SlowDragon]

Ranges

Tsh 3.20 range 0.27-4.2 muL

T4 13.7 pmol range 12-22

T3 4.6 range 3.1-6.8

Calcium 2.42

Iron 22.5 umol range 08-120

Tibc 71 umol range 40-82

Been on loading dose vd for four weeks one capsule a week 25000 vit dnwas 23 umol now 57 what should aim for it to be.

I'm 36, 9st.7

Covid definitely taking it out of me x

[SlowDragon Administrator in reply to Happyxx]

Suggest you get FULL thyroid and vitamin testing once you finish loading vitamin D prescription

Very low Ft4 suggests thyroid is struggling

you need folate, B12 and ferritin levels tested

Test early morning on a Monday or Tuesday

Come back with new post once you get results

You will need ongoing daily vitamin D supplements at a maintenance dose

Trial and Error what dose that is …..aiming for vitamin D at least over 80nmol

[Happyxx in reply to SlowDragon]

What would you suggest for maintenance dose maybe 1000 a day? And was does T4 struggling mean would that indicate under active?

Thank you x

[SlowDragon Administrator in reply to Happyxx]

Maintenance dose varies from person to person

Test vitamin D twice year

You’re likely to need higher dose in winter than summer

[SlowDragon Administrator in reply to Happyxx]

Graph showing median TSH in healthy population is 1-1.5

web.archive.org/web/2004060...

At moment your TSH is higher than average

This is the message from pituitary telling thyroid to work harder

Ft4 is storage hormone…..typically is roughly 50% through range

Currently your Ft4 is low at only 17% through range

This could be

A) due to vitamin D deficiency

B) other vitamin deficiencies - lower levels of B12 and folate common with vitamin D deficiency

C) Covid

D) thyroid struggling - usually autoimmune thyroid disease

[Happyxx]

Thank you so much 🥰 great help xx