I would be so grateful if anyone could shed some light on the results below please . I haven’t been diagnosed with any thyroid condition but I feel I have many symptoms of hypothyroidism apart from not gaining weight
T3 3.8 (3.1 ~ 6.8)
TSH 1.56 (0.27 - 4.2)
T4 13.7 (12 - 22)
Ferritin and B12 - 50% of range
Vit D 107 (50 - 200)
Folate 13.7 (>3 )
Cortisol 389 (166 - 557)
All tests were done at 7.30am
I currently take hydroxy for connective tissue disease .
Thanks so much and this is such a brilliant helpful group . Just want to try and feel a tiny bit “normal” again and it’s difficult to know if it’s the AID or something else causing all the thyroid type symptoms .
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Tiggywoos
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thanks so much . I’ll dig out cholesterol results . Regarding B12 this is the first time in 5 years it’s not been elevated so I am slightly suspicious of this reading . I don’t take any B12 as dr advised not to . Haematologist said many patients with AI disease have elevated B12 ( he was most unhelpful to be honest and didn’t explain why )
Take zinc , C, magnesium and vit d capsules . Tried different types of iron but get awful constipation generally and any iron made it worse
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
However, getting medics to understand this may be a challenge because your TSH is within range and this is what they wrongly focus on.....it means next to nothing in this context.
The most important lab is FT3 followed by FT4....both are bumping along at the bottom of their respective ranges
FT3. 3.8 (3.1 ~ 6.8) 18.92% through ref range
FT4 13.7 (12 - 22) 17% ditto
Both %ages should be roughly approaching 75%
You are hypothyroid and should be medicated ....starting dose 25mcg levothyroxine
I'll leave the others to comment on nutrients etc
Suggest you consult you GP with a view to achieving a diagnosis of hypothyroidism and treatment with levothyroxine
Suggest you make a list of the points you wish to make, or any questions you wish to ask before the appointment.....I used to find this prevented me from garbling my way through the 10 minute allotted appoitment time!!
You deserve to feel more than, "a tiny bit “normal” again".
On the face of it, it might look as if your thyroid is struggling. However, if we take the FT4/FT3 ratio as a hint, it is only 3.6/1 with a good TSH. This is within an expected ratio for no thyroid disease. Maybe you are someone who has very good conversion and usage of T3, However, not to assume this but to explore further if medication needed.
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
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.
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. ‘
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