Blood test taken without medication and food at 9 am, followed protocol re avoiding biotin before etc. Medication 100 mg levothyroxine ( accord)
CRP - 0.14 < 3
Ferritin 23 (30 - 150)
B Active 73 (37.5 - 188)
Folate Serum 31.9 (8.83 - 60.8)
Vit D 98 (50 - 250)
Thyroid Antibodies TPA 352 (0 - 34)
TSH 3.77 (0.27 - 4.2)
Free T3 3.1 (3.1 - 6.8)
Free Thryoxine 18 (12 - 22)
Had a full iron panel - all normal and in range
IRON 27.8 (5.8 - 34.5 )
TIBC 64.2 (45 - 81 )
UIBC 36.4 (24.2 - 70.1 )
TRANSFERRIN SATURATION 43.3% 20 - 50
I take vit d/k2 spray, magnesium, b12 recommended on this site, vit c.
symptoms - trouble sleeping, racing heartbeat, palpitations, restless legs, muscle twitching. Tired but wired. Cold hands and feet.
GP has increased me to 125 ( have just started taking the extra 25 as half amounts for time being as am sensitive to increases. Have noticed that the 25 tablets are from mercury pharma and not accord is this a problem
I have made an appointment with private endo in 2 weeks. What should i be asking him/doing. Levo has always worked for me with no problems until the end of last year when i started to feel awful. I am 50 and perimenopausal and am on prog/oestrogen so thinking thats affecting everything too
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Hopeful129
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GP has increased me to 125 ( have just started taking the extra 25 as half amounts for time being as am sensitive to increases. Have noticed that the 25 tablets are from mercury pharma and not accord is this a problem
Not necessarily a problem. It's suggested that we stick to the same brand to avoid any problems, although some people can take any brand and some do need to stick to the same brand. Accord don't make a 25mcg tablet, if you want to stick to Accord you'd need to have 50mcg tablets prescribed and split them.
Your results do suggest that you are undermedicasted and they also show poor conversion, although ideally one would want to see TSH 1 or below to be sure.
We need optimal nutrient levels for good conversion to take place and your ferritin level is a major problem where this is concerned. Some experts say that the optimal ferritin level for thyroid function is 90-110ug/L.
• Low in range indicates lack of capacity for additional iron
• High in range indicates body's need for supplemental iron
Saturation
• optimal is 35 to 45%
• higher end for men
You can see that your iron panel is good and does not show the need to supplement with iron. This leaves low ferritin which you can try to help raise through diet by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet
Would be better 100 plus. You should be taking B Complex if you are taking B12. I would finish your current supply of B12 then just continue with B Complex.
Folate Serum 31.9 (8.83 - 60.8)
Should be 35 plus with that range. Hopefully you're taking B Complex which will help.
Vit D 98 (50 - 250)
Close to the recommended level of 100-150nmol/L so depending on how much you take you might want to consider whether to carry on with current dose of, as summer is approaching, maybe find your maintenance dose.
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