Just had my latest results back as I have an appointment on Thursday to see my GP.
TSH 1.53 (0.27-4.2)
Free T4 18.3 (12-22) 63% TR
Free T3 4.18 (3.1-6.8) 29.19% TR
Vitamin D 72 (opt 75-200) Although currently taking 3000iu D3=K2 black seed oil
Vitamin B12 364 (145-569) Currently taking Thorne Basic B
I'm thinking of asking for a trial increase, or would an increase in both Vitamins be a better idea first?
Just for info if it helps anyone considering - I had a Blue Horizon test and paid for a phlebotomist to visit my home (I had another test done at the same time - so 3 tubes to fill!). Fantastic service would highly recommend if wanting a speedy turnaround! Best draw I've ever had, no bruise or tenderness after👍
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Boatin
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What time of the day was the test taken & did you stop any biotin containing supplements 3-7 days before the test? When did you stop them?
No folate or ferritin result?
Vit D is best at 100 so time to increase that slightly.
B12 is not great considering you're on Basic B. You may need separate B12 sublingual or spray. Look for methylcobalmine.
Most people feel well when when their TSH is at or below 1. Looking at your free numbers you have room in both for an increase in Levo. Go prepared with info from here about the need for a lower TSH - see tattybogle pinned post.
Your cholesterol is high as you need a dose increase and not enough thyroid hormone at the moment. That should lower once you're on a higher Levo dose.
I think you need a bit more B12 than you're currently getting. Definitely need both B complex & separate B12 spray/sublingual.
Would you take both the basic B complex as well as the B12?
I just thought I'd add, if you take B12 then it's important to also take a B Complex, to keep all B vitamins in balance.
Vitamin B12 364 (145-569) Currently taking Thorne Basic B
The unit if measurement for your test will be pmol/L (correct me if I'm wrong although that is the same range as my GP surgery which is pmol/L). This equates to 493.22pg/ml.
According to an extract from the book, "Could it be B12?" by Sally M. Pacholok:
"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".
"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."
You might be able to raise your B12 level just by taking a good quality B Complex containing methylcobalamin and methylfolate but to be sure you could take 1 lx bottle of a sublingual methylcobalamin B12 along with a B Complex, that should raise your B12 enough then you could continue with just the B Complex, remembering to leave B Complex off for 3-7 days before any blood test.
If you find Thorne Basic B is hard to get or gets expensive (as happens from time to time), these alternatives are almost identical and a bit more budget friendly, I have been using the first one for a few months now.
The thing to remember about vit B testing that unless you have been free of any sumplementation of B12 including B12 added in foods or energy drinks for at least 4 months, your blood test result is essentially meaningless in terms of diagnosing deficiency or pernicious anemia and if you are not absorbing well no oral/spray or sublingual B12 will really work in your cells though it might be circulating in your bloods with falsely elevated levels. B12 is much more about symptoms than testing.
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