Hi, Would people be so kind as to give their thoughts on my blood test results. I didn't take any B12 or iron supplement 2 weeks before the test as advised by medichecks. I am still feeling unwell with all the normal underactive (hashimoto's) symptoms. 175mg a day up from 150mcg 8 weeks ago. There has been a slight improvement.
I am supplementing and my diet is good. I'm surprised my levels are low in some areas considering my diet and supplements.
I understand that my T4 is out of range in the higher end and my FT3 is good in the range.
FERRITIN: 101 ug/L. RANGE: 30-400
FOLATE SERUM 10.47 ug/L RANGE: 3.89 and above
B12: 143 pmol/L RANGE: 37.5-150
VIT D: 66 nmol/L RANGE: 50-200
TSH: 0.02 RANGE: 0.27-4.2
FT3: 6.46 RANGE: 3.1-6.8
FREE THYROXINE T4: 26 RANGE 12-22
Kind Regards,
Joe
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joey82
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What time was the test taken and did you fast that day and stop Levo 24hrs before test?
Low vitamins are part of being hypo as we can't absorb vitamins well from our food. Even with the best diet you can still get deficient levels. Some people need to take higher than usual doses to reach optimal levels. I take extra folate as it looks like you may need to do too. People report feeling better with a folate level of 20 so perhaps buy some 400mcg methylfolate to add to what you are taking. Actually what are you taking?
Vit D needs raising to around 100 so up that dose.
Free T4 (fT4) 26 pmol/L (12 - 22) 140.0%
Free T3 (fT3) 6.46 pmol/L (3.1 - 6.8) 90.8%
You might find that this is a tad bit too much and might make you feel worse in the long run. Your tissues are catching up with the dose increases and at least you are noticing a slow improvement which should continue. Upping vitamin levels to more optimal will contribute to that.
FT4 well over range isn't great but you do seem to be converting well so no need for T3 at least which is good. Perhaps reduce by 12.5mcgs?
I take flora vita liquid iron with B vits and vit c,
Vita gummies 1000 1 x day
folic acid 400 1 x day
slow release b12 1000 1 x day
May be a reduction is the way to go. I have my private endo appointment on thursday and my results will be backed up the blood tests I had at the private hospital last week.
Firstly iron should be taken 4 hours away from anything else as it stops other things getting absorbed, so I would discount the B vitamins in that. Be extra careful to not take it near Levo.
The Vita gummies are very low %'s of any vitamin. Not sure which one you are taking but multi vitamins never recommended here as often have low levels of vitamins that won't adequately raise a deficiency, certainly won't get you to optimal, also contain things like iron and magnesium which prevent proper absorption of the other vitamins.
You would be much better off with a B complex that keeps all the B's in balance such as this one. It also contains folate. Methyl folate is preferred to folic acid as it is the active form and more readily used by your body. amazon.co.uk/Yipmai-Liposom...
Vit D3 + K2 to help it go to your bones should be bought separately also. You need to take more than you currently are to get level to 100. Can use this calc to work out dose required. grassrootshealth.net/projec...
Also to say to hang in there. You're so close to optimal now, just a bit of tweaking and once you are at optimal it may still take months to feel noticeably better. Don't give up.
I've ordered the b complex vitamins you have recommended.
I'm going to up my iron intake and will be introducing red meat liver into my diet.
I hope so. Everything I try just ends up back in the same place. I've never had any real success on thyroxine. I can't understand how I'm well over range on my FT4 and I don't display any hyper symptoms at all.
Did you take the test as recommended at 9am or close with last levo 24hours before test?
Being over range on FT4 wouldnt necessarily give you hyper symptoms, its a storage hormone and not active in itself until converted. More likely if your FT3 was over range and yours is on the way there but not over. probably aim for an FT3 of around 70% or just under should work.
I'll explain the reasoning behind the testing protocol. These are things that no doctor or lab will ever tell you. They are patient to patient tips learnt from experience. which si what this group is all about.
9am is when your TSH is highest. It runs on a circadian rhythm so varies throughout the day. Doctors frequently dose us by TSH so if like yours it goes under range they will likely decrease your dose, and the opposite is the same. You need your TSH showing at its highest on a blood test.
Fasting on the day is for consistency.
If you take your Levo on the day of the test you will really be also testing the amount you have just taken as it won't yet have settled into your tissues. So a false peak will be showing on your FT4 results. Its better to test the actual stable levels of T4 which takes 24hrs since last dose.
Coming back to consistency you will be able to compare your blood results over time much better if you are consistent with testing as above.
When people here say your blood results look OK. Even if you are still not feeling great I would give it a lot more time on that dose. You're really only beginning to tackle low vitamin levels and its very important that they are OPTIMAL for your thyroid hormone to be working well.
My appointment on Thursday will be based on a 2nd blood test I had at the private hospital last Thursday morning at 8:15. Took my Levo about an hr before.
It will be interesting to see how this result and the medi-checks result compare.
I'll be working towards optimal levels of nutrition. I have ordered the B vits you recommended yesterday and will up my vit D intake. I am going to adjust my diet for more iron intake as well.
I am 8 weeks into this dose, how long is the recommended time for the body to adjust to to levo? I know the NHS is 3 months.
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