please can someone check these results and give me some feedback/help I’ve been told healthy and Normal

[wanderlustmama]

I got my results from medicheck who have said my thyroid is healthy and all ok

[SeasideSusie Remembering]

wasnderlustmama

Can you please clarify for us, do you have a diagnosis of a thyroid condition and are you taking any thyroid medication? Replies and interpretation of your results will be different depending on whether or not you take thyroid meds.

Vit D is very low. You might want to check out a recent post that I wrote about Vit D and supplementing:

healthunlocked.com/thyroidu...

and you can check out the link to how to work out the dose you need to increase your current level to the recommended level.

Your current level of 52nmol/L = 20.8ng/ml

On the Vit D Council's website

web.archive.org/web/2019070...

you would scroll down to the 3rd table

You might want to check out a recent post that I wrote about Vit D and supplementing:

healthunlocked.com/thyroidu...

and you can check out the link to how to work out the dose you need to increase your current level to the recommended level.

Your current level of 52nmol/L = 20.8ng/ml

On the Vit D Council's website

web.archive.org/web/2019070...

you would scroll down to the 3rd table

My level is between 20-30 ng/ml

The Vit D Council, the Vit D Society and Grassroots Health all recommend a level of 100-150nmol/L (40-60ng/ml), with a recent blog post on Grassroots Health mentioning a study which recommends over 125nmol/L (50ng/ml).

So now you look at how much is needed to reach 50ng/ml and you'll see that they suggest 3,700iu per day.

Bearing in mind that your only 20.8 you could also look at the 2nd table for current level between 10-20ng/ml and you'll see that one suggests 4,900iu D3 daily.

You should be perfectly OK to supplement with 4,000-5000iu D3 daily.

Retest after 3 months.

Once you've reached the recommended level then a maintenance dose will be needed to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. This can be done with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:

vitamindtest.org.uk/

Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3. You will have to buy these yourself.

D3 aids absorption of calcium from food and Vit K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc. 90-100mcg K2-MK7 is enough for up to 10,000iu D3.

D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking D3 as tablets/capsules/softgels, no necessity if using an oral spray.

For D3 I like Doctor's Best D3 softgels, they are an oil based very small softgel which contains just two ingredients - D3 and extra virgin olive oil, a good quality, nice clean supplement which is budget friendly. Some people like BetterYou oral spray but this contains a lot of excipients and works out more expensive.

For Vit K2-MK7 my suggestions are Vitabay, Vegavero or Vitamaze brands which all contain the correct form of K2-MK7 - the "All Trans" form rather than the "Cis" form. The All Trans form is the bioactive form, a bit like methylfolate is the bioactive form of folic acid.

Vitabay and Vegavero are either tablets or capsules.

Vitabay does do an oil based liquid.

Vitamaze is an oil based liquid.

With the oil based liquids the are xx amount of K2-MK7 per drop so you just take the appropriate amount of drops.

They are all imported German brands, you can find them on Amazon although they do go out of stock from time to time. I get what I can when I need to restock. If the tablet or capsule form is only in 200mcg dose at the time I take those on alternate days.

If looking for a combined D3/K2 supplement, this one has 3,000iu D3 and 50mcg K2-MK7. The K2-MK7 is the All-Trans form

natureprovides.com/products...

It may also be available on Amazon.

One member recently gave excellent feedback on this particular product here:

Here is what she said (also read the following replies):

healthunlocked.com/thyroidu...

Another important cofactor is Magnesium which helps the body convert D3 into it's usable form.

There are many types of magnesium so we have to check to see which one is most suitable for our own needs:

naturalnews.com/046401_magn...

explore.globalhealing.com/t...

and ignore the fact that this is a supplement company, the information is relevant:

swansonvitamins.com/blog/ar...

Magnesium should be taken 4 hours away from thyroid meds and as it tends to be calming it's best taken in the evening. Vit D should also be taken 4 hours away from thyroid meds. Vit K2-MK7 should be taken 2 hours away from thyroid meds. Don't take D3 and K2 at the same time unless both are oil based supplements, they both are fat soluble vitamins which require their own fat to be absorbed otherwise they will compete for the fat.

Don't start all supplements at once. Start with one, give it a week or two and if no adverse

What were the results for B12, folate and ferritin?

[wanderlustmama in reply to SeasideSusie]

Hi Susie

Thank you for your reply I have not been diagnosed with thyroid issues

However I’ve felt like there maybe something going on in connection to my thyroid and not feeling quite right my miscarriage in 2019

And only feeling worse as time has gone on.

I am supplementing with a 1000iu vitamin D and K2 hoping this will help soon

Thank you for your advice above

[wanderlustmama in reply to wanderlustmama]

Ferritin results however the dr said that this could be incorrect due to

Crp elevation

Results

[SeasideSusie Remembering in reply to wanderlustmama]

wanderlustmama

1,000iu D3 is just about a maintenance dose for someone with a fairly good level already, it will take a very long time for your current level to improve if you only take 1,000iu. You can see what the Vit D Council recomments and my suggestion would be to go with that and retest in 3 months then adjust dose as necessary.

It looks like everything else has been covered by other replies.

[wanderlustmama in reply to SeasideSusie]

oh ok

Thank you yes I can see from the above information I need to increase what I am taking quite significantly

[wanderlustmama in reply to SeasideSusie]

Folate

Results

[SlowDragon Administrator in reply to wanderlustmama]

High CRP can lead to falsely elevated ferritin

You need full iron panel test for anaemia

So vitamin D, folate and B12 all too low

Folate is deficient

B12 and Vitamin D insufficient

Not surprising with such low Ft4 and Ft3 levels

Improving vitamin levels essential

How long have you been taking 1000iu vitamin D?

Very sorry for your miscarriage.

Did you loose a lot of blood, this can cause Sheehan syndrome

pituitary.org.uk/media/4597...

[wanderlustmama in reply to SlowDragon]

thank you so much for your reply and help with this I’ve been taking the vitamin D for about 3 weeks now

Ok I will look into a full iron panel

I have been unwell the last couple of weeks with a cold/flu virus yes

I did lose a lot of blood when I miscarried yes and than I also had to go into have a D and C which they said was moderate blood loss

I haven’t heard of Sheehan syndrome

I will look at the link above.

Thank you again

[SlowDragon Administrator in reply to wanderlustmama]

Unlikely your GP heard of Sheehan syndrome either

Central or secondary hypothyroidism is managed by thyroid specialist endocrinologist not by GP

vast majority of endocrinologists are diabetes specialists and pretty useless for thyroid

Email Thyroid U.K. for list of thyroid specialist endocrinologists and doctors

[e-mail]

[SlowDragon Administrator in reply to wanderlustmama]

So high CRP likely due to cold/flu

[SlowDragon Administrator in reply to wanderlustmama]

any obvious reason for high CRP

Have you had COVID or cold/flu recently

[SlowDragon Administrator]

were thyroid antibodies tested

What were the results?

[wanderlustmama in reply to SlowDragon]

Hi yes sorry this is the rest of the results

Results

[SlowDragon Administrator]

Suggest you take these results to GP

Request full iron panel test for anaemia and testing for Pernicious Anaemia (before you start any B12 or Vitamin B complex)

Low B12 - Are you vegetarian or vegan

GP should prescribe folic acid supplement for folate deficiency

[SlowDragon Administrator]

Ft4 is far too low at 0% through range

…..but TSH should be higher with such low Ft4 ….

TSH is message from Pituitary telling thyroid to work

Looking at possible central hypothyroidism

See yellow box on here called secondary hypothyroidism

Starting levothyroxine - flow chart 

gps.northcentrallondonccg.n...

Work on improving low vitamin levels and retest thyroid levels again in 6-8 weeks

Test early morning around 9am for highest TSH

Request ultrasound scan of thyroid too

[wanderlustmama in reply to SlowDragon]

thank you so much for all this help on these results and what more needs to be looked into. I will definitely go back to GP and ask for more testing

[Hidden]

hi Wanderlust, your free T4 and free T3 are very low! I would definitely imagine you have thyroid symptoms with those levels. Sadly your TSH is not rising to reflect these and you’ll find it hard to get an NHS doctor to take your thyroid levels seriously if TSH is low. As SlowDragon says you may be looking at central hypothyroidism. My advice is to find a doctor from the Thyroid UK list and go from there. I’m so sorry about your miscarriage and I hope you can find some relief soon xx

[wanderlustmama]

Thank you so much it’s really a relief to know that it’s not made up that I’ve been feeling thyroid symptoms despite my TSH I will get in touch with a Dr off the list. Thank you