understanding results : I would be so grateful if... - Thyroid UK

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understanding results

Tiggywoos profile image
9 Replies

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 .

X

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Tiggywoos
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9 Replies
Tiggywoos profile image
Tiggywoos

just to add

TPA 12 ( <34)

Thyroglobulin anti 17 (<115)

Those were May last year

SlowDragon profile image
SlowDragonAdministrator

Previous post

healthunlocked.com/thyroidu...

So what vitamin supplements are you currently taking

B vitamins

If Serum B12 is under 500 or Active B12 under 70…..recommend taking a separate daily B12 and separate vitamin B complex

Have you had cholesterol levels tested recently

High cholesterol levels linked to being hypothyroid

Suggest next step you get ultrasound scan of thyroid

Your Ft4 sand Ft3 results suggest you might benefit from trialing addition of levothyroxine

Tiggywoos profile image
Tiggywoos in reply toSlowDragon

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

SlowDragon profile image
SlowDragonAdministrator in reply toTiggywoos

Yes I always had elevated B12

Paradoxical B12 deficiency can be a symptom of being hypothyroid

b12oils.com/paradoxical.htm...

If any other B vitamins are deficient it can result in false high B12

Thyroid patients often low in B1 Thiamine

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

This can help keep all B vitamins in balance

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 (eg Jarrow folate)

DippyDame profile image
DippyDame

Looking at your thyroid hormones...they are miserably low which is likely to give rise to symptoms of hypothyroidism.

How many symptoms can you tick off on this list?

thyroiduk.org/if-you-are-un...

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.

thyroidpatients.ca/2021/07/...

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".

Correct diagnosis and medication should help

Good luck....please keep us posted.

Tiggywoos profile image
Tiggywoos in reply toDippyDame

god you’ve bought a tear to my eye saying I deserve a little more than normal 😔. You’re all so kind for replying .

I can tick so many of those those symptoms but BO is often low ish 90/58 and I haven’t gained weight . Cholesterol normal at last check

I will definitely speak to a Gp .. thanks again

diogenes profile image
diogenesRemembering

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.

Tiggywoos profile image
Tiggywoos in reply todiogenes

thank you for your reply🙂 . i agree and that’s why I didn’t speak to GP about the results and posted on here first as I knew he’d say the same

SlowDragon profile image
SlowDragonAdministrator

I would get FULL iron panel test for anaemia

Inflammation can raise ferritin. You could have low iron levels

Medichecks iron panel test 

medichecks.com/products/iro...

Look at increasing iron rich foods in diet 

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

List of iron rich foods

dailyiron.net

Links about iron and ferritin

An article that explains why Low ferritin and low thyroid levels are often linked 

preventmiscarriage.com/iron...

irondisorders.org/too-littl...

davidg170.sg-host.com/wp-co...

Great in-depth article on low ferritin 

oatext.com/iron-deficiency-...

drhedberg.com/ferritin-hypo...

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.

healthunlocked.com/thyroidu...

Thyroid disease is as much about optimising vitamins as thyroid hormones

healthunlocked.com/thyroidu...

restartmed.com/hypothyroidi...

Post discussing just how long it can take to raise low ferritin 

healthunlocked.com/thyroidu...

Iron and thyroid link

healthunlocked.com/thyroidu...

Excellent article on iron and thyroid 

cambridge.org/core/journals...

Posts discussing why important to do full iron panel test

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Chicken livers if iron is good, but ferritin low

healthunlocked.com/thyroidu...

Shellfish and Mussels are excellent source of iron 

healthline.com/nutrition/he...

Heme iron v non heme

hsph.harvard.edu/nutritions...

Ferritin over 100 to alleviate symptoms 

healthunlocked.com/thyroidu...

Great research article discussing similar…..ferritin over 100 often necessary 

ncbi.nlm.nih.gov/pmc/articl...

Low Iron implicated in hypothyroidism 

healthunlocked.com/thyroidu...

Ferritin range on Medichecks 

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

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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