So Tired

[Carri3]

Hope all you Mums had a great Mother's Day. I am still recovering from a long walk on Saturday 😒 (I love walking too). No improvement yet on the 75mcg's (upgraded from 75/50 2 weeks ago.

[Charlie-Farley]

Hi Carri

It can take a good while to get one’s mojo back when hypo and low vitamins. I’ve had a bit of a read of some of your posts, but a detailed bio would serve you well. If you want to discuss any issues, people who would like to help you can then just read your bio and you get a summary of where you’re at.

If you click on my face, it will take you to my profile where I have a bio that I wrote as a sort of a case study which I hope will help others. This may give you some ideas as to how to write yours.

Going back to the posts. I noted that you’ve been having digestive problems. Many people with underactive, thyroids have low stomach acid, not high stomach acid so proton pump inhibitors (PPIs) Are completely the wrong thing in this instance.

Lower stomach, acid and high stomach acid present, in terms of symptoms, in exactly the same way. Doctors rarely make the distinction between the two and just routinely give out PPIs.

I have noticed there are certain foods in combination will guarantee I end up with discomfort. I am gluten-free, but I find that a gluten-free apple crumble for instance will do it for me - I end up with terrible heartburn. This is my experience. A combination of high carb, high fat and high sugar are the perfect storm for a bad night.

We are all different so we have to work out what are triggers are and I found keeping a note of what I ate and the effects led me to the answer to my discomfort. So I’m afraid apple crumble is out, even the gluten-free variety.

Ironically, I have no such problems with spicy food and can happily munch my way through a chilli chicken masala without any ill effects. So long as I don’t follow it up with Apple crumble LOL!

[Carri3 in reply to Charlie-Farley]

Thanks so much for your advice C F, I will pay even more attention to my diet.

[Carri3 in reply to Charlie-Farley]

I totally agree about the PPI's they made things worse.

[SeasideSusie Remembering]

No improvement yet on the 75mcg's (upgraded from 75/50 2 weeks ago.

That is a very small increase of only 12.5mcg daily. Any increase can take up to 6 weeks to feel the full effects, it's still early days but I expect that small increase isn't going to make a lot of difference.

Your previous post here

healthunlocked.com/thyroidu...

shows a TSH of 2.32 but no FT4 result. That TSH alone tells us you probably needed an increase of 25mcg rather than 12.5 but your nutrient levels are very poor, are you working on improving them? Optimal levels are needed for thyroid hormone to work properly so the aim is:

Vit D: 100-150nmol/L

B12: minimum of 550ng/L, preferably 900ish

Folate: at least half way through range but if no particular range then aim for double figures

Ferritin: some experts say the optimal ferritin level for thyroid function is 90-100ug/L

[Carri3 in reply to SeasideSusie]

Thanks SS, I began taking Vit D, K2, B12 and a multi vit 3 weeks ago. And will see what my blood test results show at my next check in 6 weeks time

[Carri3 in reply to Carri3]

Sorry, and B complex

[SlowDragon Administrator]

vitamin results from about 2 weeks ago

Ferritin - 38ug/L,

Serum Folate - 7.1ugl/L,

Vit D - 54,

Vit B12 - 292 ng/L.

Are you now taking daily B12, daily vitamin D and daily vitamin B complex

Ferritin is extremely low and will take months to improve

Look at eating red meat every day and liver or liver pate once a week

Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing. It’s possible to have low ferritin but high iron 

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. ‘

[SlowDragon Administrator]

IBS and acid reflux common hypothyroid symptoms

Are you now on strictly gluten free diet as well as already being on dairy free diet

Low stomach acid can be a common hypothyroid issue

Thousands of posts on here about low stomach acid 

healthunlocked.com/search/p...

But never assume you have low stomach acid 

healthygut.com/4-common-bet...

Web links re low stomach acid and reflux and hypothyroidism 

nutritionjersey.com/high-or...

stopthethyroidmadness.com/s...

thyroidpharmacist.com/artic...

 How to test your stomach acid levels 

healthygut.com/articles/3-t...

meraki-nutrition.co.uk/indi...

huffingtonpost.co.uk/laura-...

lispine.com/blog/10-telling...

Useful post and recipe book 

healthunlocked.com/thyroidu...

[Carri3]

WOW!? S D what a lot of great information and advice you have shared with me, I will have a look at all of the websites you listed. No I am not G F just LF, and was tested for caeliac disease which was negative, and I tried going gluten free but gave up after 4 weeks.🙄