blood results advice please

[Duckling27]

Good morning everyone 😊

I’m new on here & still learning about my recent diagnosis of CFS, wow what a long & rabbit hole journey this turned out to be ☺️

So, long story short I’ve had blood results from my GP (please see below) would like any advice

I’m currently advised to take Vit D & on no other medication at the moment

Thank you all in advance

TSH 2.31 mIU/L (0.40 - 4.50) 46.6%Free T4 (fT4) 9.10 pmol/L (7.0 - 17.0) 21.0%Free T3 (fT3) 5.5 pmol/L (3.9 - 6.9) 53.3%T4:T3 Ratio 1.655 Thyroid Peroxidase Antibodies (TPO) 9 IU/mL (≤ 9)C-Reactive Protein (CRP) 7 mg/L (0 - 8) 87.5%Folate - Serum 4.2 ug/L (3.1 - 19.9) 6.5%Vitamin B12 (active) 267 nmol/L (145 - 910) 15.9%Vitamin D 37.4 nmol/L (50.0 - 250.0) -6.3%Ferritin 81 ug/L (11 - 307) 23.6%Serum parathyroid  30.1 Pg/ml (19.0 - 67.0) 23.1%HbA1c level -IFCC standardised  45 Mmol/mol (41 - 41)

[SlowDragon Administrator]

Who did this test

No Thyroglobulin (TG) antibodies result?

Was test early morning, ideally just before 9am

Folate, B12 and vitamin D too low

Improve these by supplementing and retest thyroid levels including both thyroid antibodies in 2-3 months

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Just Thyroid includes BOTH TPO and TG antibodies -£49

randoxhealth.com/at-home/Th...

[Duckling27 in reply to SlowDragon]

hi

Thank you for your reply

It was the GP who did these tests after I pushed & pushed for them

No, no antibody test done

Thank you

[SlowDragon Administrator]

Low vitamin D

GP should prescribe 1600iu everyday for 6 months, likely better to self supplement at 2000-3000iu per day and retest in 2-3 months

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 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, very likely 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...

Another member recommended this one recently

Vitamin D with k2

amazon.co.uk/Strength-Subli...

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...

[SlowDragon Administrator]

only add one supplement at a time

Then wait 10-12 days to assess before adding another

Low B12 symptoms 

b12deficiency.info/signs-an...

methyl-life.com/blogs/defic...

With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement and add a separate vitamin B Complex after a week

Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.

If Vegetarian or vegan likely to need ongoing separate B12 few times a week 

B12 drops very effective

healthunlocked.com/thyroidu...

Or

B12 sublingual lozenges 

amazon.co.uk/Jarrow-Methylc...

cytoplan.co.uk/shop-by-prod...

B12 range in U.K. is too wide

Interesting that in this research B12 below 400 is considered inadequate 

healthunlocked.com/thyroidu...

low folate

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid) 

This can help keep all B vitamins in balance and will help improve B12 levels too

Difference between folate and folic acid 

healthline.com/nutrition/fo...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.

thyroidpharmacist.com/artic...

B vitamins best taken after breakfast

Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule) 

Thorne currently difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay 

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate methyl folate supplement and continue separate B12

[SlowDragon Administrator]

Serum B12 267 nmol/L (145 - 910)

(Not active B12)

HBA1C is high …..pre diabetic numbers

Look at reducing carbs

diabetes.co.uk/diet/low-car...