Blood test results Thyroid : Hey, So I... - Thyroid UK

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Blood test results Thyroid

DamagingGiraffe profile image

Hey,

So I experimented with Metavive II Porcine Thyroid Complex 80mg for a few months, as I had many symptoms, but then I came off it and finally got a blood test about a month later privately, these results seem ok, but just wanted to double check as Free T4 is on the lower end. My ferritin is 9 if that matters and not sure if high magnesium is an issue.

Magnesium High 1.02 range 0.7-1.0

Cortisol random 195 range 166-507

TSH 1.69 range 0.27-4.20

T4 total 91.3 range 66-181

Free T4 13.8 range 12-22

Free T3 4.89 range 3.1-6.8

Anti-throidperoxidase abs 9 range <34

Anti-throglobulin abs 12 range <115

Thanks

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DamagingGiraffe
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SlowDragon profile image
SlowDragonAdministrator

what time of day was test done

What vitamin supplements are you currently taking

Ferritin under 30 is deficient

Request/insist GP do full iron panel test for anaemia

Are you vegetarian or vegan

Male or female

Approx age and pre or post menopause

cks.nice.org.uk/topics/anae...

Serum ferritin level is the biochemical test, which most reliably correlates with relative total body iron stores. In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency.

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

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...

Effective supplement 

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. ‘

DamagingGiraffe profile image
DamagingGiraffe in reply to SlowDragon

Thanks, it was done at 10am.

I eat red meat regularly, perhaps every other day and fruit for vitamin c, so I struggle to believe I am truely low. My doctors did a full iron panel test last year I think, as my ferritin was 7, I think it came back within range, same as b12 and folate, but I can't hold of my previous results as my doctors are getting a new system and are only taking emergency appointments.

I have just bought some liver, so hoping that helps.

SlowDragon profile image
SlowDragonAdministrator in reply to DamagingGiraffe

are you male or female (please add on profile)

Heavy periods?

if eating red meat and no obvious reason for anaemia you need testing for coeliac disease too

nice.org.uk/guidance/ng20/c...

1.1.1 Offer serological testing for coeliac disease to:

people with any of the following: 

persistent unexplained abdominal or gastrointestinal symptoms 

faltering growth

prolonged fatigue 

unexpected weight loss

severe or persistent mouth ulcers

unexplained iron, vitamin B12 or folate deficiency

type 1 diabetes, at diagnosis

autoimmune thyroid disease, at diagnosis

irritable bowel syndrome (in adults)

first‑degree relatives of people with coeliac disease.

DamagingGiraffe profile image
DamagingGiraffe in reply to SlowDragon

Thank, female 33 years old, light periods, pre-diabetic, fatty liver, doctors have run the coeliac disease blood test many times. I will ask my doctors if they will further blood tests.

SlowDragon profile image
SlowDragonAdministrator in reply to DamagingGiraffe

so if had coeliac test done you can now try strictly gluten free diet

Many, many people are gluten intolerant not coeliac, especially with possible thyroid issues

Ever had ultrasound scan of thyroid

20% of Hashimoto's patients never have raised antibodies 

healthunlocked.com/thyroidu...

 

Paul Robson on atrophied thyroid - especially if no TPO antibodies 

 paulrobinsonthyroid.com/cou...

DamagingGiraffe profile image
DamagingGiraffe in reply to SlowDragon

Thanks, will do. Since my TSH is within range I wonder if they would allow an ultrasound but I will ask. I have a permanent feeling of a lump in my throat and sometimes have difficulty swallowing pills, but that may be irrelevant.

SlowDragon profile image
SlowDragonAdministrator in reply to DamagingGiraffe

GP may not agree

They tend to suggest lump in throat is “anxiety “

Often referred to as globus hystericus

patient.info/digestive-heal...

Do you have post nasal drip

Or

Acid reflux or bloating or IBS

LOW stomach acid, common when hypothyroid, often misdiagnosed as high stomach acid

Low stomach acid often results in low vitamin levels

medicalnewstoday.com/articl...

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...

Protect your teeth if using ACV with mother 

healthunlocked.com/thyroidu...

Beads profile image
Beads in reply to SlowDragon

The doc asked me if I had a post nasal drip when I said I felt a lump in my throat and had trouble swallowing pills sometimes. What’s the connection please?

My answer was no, but I’ve since realised I’m quite often a bit stuffy.

Sorry if I’m hijacking the thread a bit.

SlowDragon profile image
SlowDragonAdministrator in reply to Beads

suggest you write a new post with most recent thyroid and vitamin results

Always test early morning and last dose levothyroxine 24 hours before test. Test TSH, Ft4 and Ft3

Looking at previous posts your vitamin levels were poor and cholesterol increased. Suggesting under medicated

Vitamin levels need retesting annually

There’s nothing on your profile

Do you have Hashimoto’s.

If yes ….are you dairy free or gluten free

DamagingGiraffe profile image
DamagingGiraffe in reply to SlowDragon

Thanks, I have another question, the doctors keeps running tsh test, and it's gone from 2.4 to 1.69 since taking NDT for a 3 months, surely i should have a decent rise in free T4, yet its on the lower end. A low TSH and low T4 indicates hypothyroidism due to a problem involving the pituitary gland. Am I reading too much into this with only one blood test, or should I ask to investigate the pituitary gland, or is my free T4 simply lower because of nutritional deficiencies.

SlowDragon profile image
SlowDragonAdministrator in reply to DamagingGiraffe

First steps are always to get all four vitamins tested at improve and maintain at optimal levels

Ferritin is going to take considerable work to improve and maintain at good level

Alanna012 profile image
Alanna012 in reply to DamagingGiraffe

Metavive isn't the same as NDT it has no declared hormone content. Some people end up with low T4 & T3 on it. Others do well. And some only do well taking a fair amount of capsules. That might be partly why you may initially have felt well, then less so later.

RedApple profile image
RedAppleAdministrator in reply to DamagingGiraffe

' taking NDT for a 3 months, surely i should have a decent rise in free T4, yet its on the lower end.'

You should not assume that an OTC thyroid glandular will have the same effect as a prescription strength desiccated thyroid product. But even when actively taking prescription strength NDTs, FT4 tends to be low, whist FT3 is good. The T3 in desiccated thyroid will bring down the TSH. Some people find they need to add a lowish dose of levothyroxine (T4) to their desiccated thyroid to bring the FT4 up sufficiently to feel well.

'but then I came off it and finally got a blood test about a month later'

So, if you've not been taking any thyroid support at all for a month, either OTC or prescription, then this blood test gives a good indication of your own thyroid levels. You are negative for thyroid antibodies, so no autoimmune thyroid disease. The TSH, FT4 and FT3 levels suggest your thyroid is functioning reasonably ok at this point. It's doubtful that any doctor will agree to further investigation of your thyroid or pituitary function with those test results.

Perhaps focuss your attention on dietary aspects as the possible root cause of your symptoms (e.g. vitamins D, B12, ferritin), and consider trialling a totally gluten free diet as suggested by SlowDragon

DamagingGiraffe profile image
DamagingGiraffe in reply to RedApple

Thanks, that makes sense, i initially felt good on metavive and felt like i lost some water weight but it didn't last. I have quite a few health issues and hoped thyroid was the missing piece but I think i will move on, looking at nutritional deficiencies.

RedApple profile image
RedAppleAdministrator in reply to DamagingGiraffe

As you are going to move on from thyroid being the root of your issues, I'm going to close this post to further comments so that people don't continue to comment here. if you need further help at some point, feel free to start a new post.

SlowDragon profile image
SlowDragonAdministrator in reply to DamagingGiraffe

Thanks, it was done at 10am.

So your cortisol is quite low

Come back with new post once you get recent vitamin D, folate and B12 results

SlowDragon profile image
SlowDragonAdministrator

Essential to test B12, folate and vitamin D too

Jaydee1507 profile image
Jaydee1507Administrator

If your ferritin is 9 then thats deficient and likely causing you all manner of unpleasant symptoms. See infographic below.

NICE guidelines state that a level of 30 or less is a deficiency. Suggest discussing this with your GP who will hopefully prescribe iron.

You should also get a full iron panel done.

What were your other vitamin levels - folate, B12, D3?

How do you feel now?

low ferritin symptoms
DamagingGiraffe profile image
DamagingGiraffe in reply to Jaydee1507

Thanks, full iron panel done in the past and within range, also B12 and folate, but never had vit D tested. I do feel like crap, cold hands, headaches, and brain fog/light headedness. I am reluctant to take iron as I have never felt improvement in the past and I eat a lot of meat, I can't see how I am missing anything diet wise. I have wondered if I am low in copper or vit A.

Jaydee1507 profile image
Jaydee1507Administrator in reply to DamagingGiraffe

Iron/ferritin is notoriously slow and difficult to raise. If one type doesn't work for you then try another. Taking iron with something containing vitamin C like orange juice can help it absorb.

This may not even be diet related, just you're losing more than you are consuming or not absorbing as well as others.

Some members have reported good results from this product. threearrowsnutra.com/en-uk/...

Also, 'within range' is not good enough. You could be 1 point from deficient and thinking you're OK. Do share the results that you have.

DamagingGiraffe profile image
DamagingGiraffe in reply to Jaydee1507

Thanks, unfortunately my doctors are on the verge of closing, they now have temporary contracts and a new system underway, so all my previous results are not available at the moment, I wish i had saved them at the time! I'm hoping to get an appointment at some point, hopefully get more recent tests done. I would just order them privately, but i currently have no income.

SlowDragon profile image
SlowDragonAdministrator in reply to DamagingGiraffe

Suggest you test vitamin D now

NHS easy postal kit vitamin D test £31 via

vitamindtest.org.uk

Aiming for vitamin D at least over 80nmol minimum

Meanwhile…..Work on improving low ferritin…..likely to take at least 6-12 months to bring ferritin up to at least 70 minimum

Retest thyroid and vitamin levels 3-4 months time

List of private testing options and money off codes

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Monitor My Health also now offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65 

(Doesn’t include thyroid antibodies) 

monitormyhealth.org.uk/full...

10% off code here 

thyroiduk.org/getting-a-dia...

Only do these private testing early Monday or Tuesday morning. 

Regenallotment profile image
Regenallotment

I have so many questions for you, I am intrigued.

What do you make of Metavive II?

How does it compare to T4/T3?

Why did you stop?

So are those results from after a month of no thyroid hormone replacement?

What symptoms did you have at the time of the blood test?

Sorry if I’m too much but I’m really interested to hear your experience.

🌱

DamagingGiraffe profile image
DamagingGiraffe in reply to Regenallotment

I am not sure I can be much help, sorry! I have no thyroid diagnosis or previous thyroid blood tests to compare to, i have never previously taken medication for thyroid, so I took metavive out of curiosity only for 2-3 months, I initially felt better and feel a lot better than i do now, but I gradually started to feel cold and tired, so i stopped, then did this blood test about a month later. My asthma has gone since I took metavive, which is amazing and it hasnt come back yet... I Thought that perhaps I wasnt converting to T3 due to fatty liver, but my free T3 looks fine i think. I have no previous blood tests to compare to, but my TSH (the only thing my doctors will test) has gone down since metavive. I have lots of symptoms and hormone issues, that come and go, doctors useless and keep running the same tests, so i experiment with supplements, but without regular blood tests i have no idea whats going on!

Regenallotment profile image
Regenallotment in reply to DamagingGiraffe

thanks for sharing, interesting to see how you go over time, 🌱

tattybogle profile image
tattybogle

They will probably not consider central hypothyroidism at the moment , because they won't think fT4 13.8 [12-22] is low enough for that diagnosis. If it's below range it's much easier to get them to consider central hypo .

How many weeks is it since you stopped taking any thyroid hormone ?

To get any diagnosis you will need to be off any thyroid hormone for a few months to allow the body to get back to it's own settled levels of TSH / fT4 .. taking thyroid hormone can alter TSH / fT4 levels for quite a long while after you stop.

if it's only been a month since you stopped taking metavive , I suggest you stay off it and test your TSH / fT4 again after another 6-8 weeks have passed. Results may be different then .

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