Blood test results: Hi I have just got my blood... - Thyroid UK

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Blood test results

Dadof5 profile image
7 Replies

Hi I have just got my blood test results back from Randox Health,

I tested at 0800hrs Monday morning with no Levothyroxine for the previous 24hrs and Vitamin D at 1800hrs the previous evening.

Could somebody take a look at the results and give there opinion. This the first time I have ever tested the antibodies so am interested to see what you people think.

TSH 2.110 mIU/L (0.35 - 5.3) 35.6%

Free T4 (fT4) 15.90 pmol/L (11.9 - 21.6) 41.2%

Free T3 (fT3) 4.7 pmol/L (2.8 - 6.5) 51.4%

T4:T3 Ratio 3.383 

Thyroglobulin Antbodies (TgAb) 17.6 IU/mL (≤ 115)

Thyroid Peroxidase Antibodies (TPO) 58.9 IU/mL (≤ 34)

Regards

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Dadof5
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Jaydee1507 profile image
Jaydee1507Administrator

So you have positive TPO antibodies which mean you have Hashimoto's or autoimmune thyroid disease. Definitely worth trying a strictly gluten free diet to see if it helps symptoms. Some Hashi people also benefit from eliminating dairy from their diet but only start one thing at a time.

Your TSH is above 2 so you need a dose increase. Make appointment with doctor and take evidence with you for keeping TSH Lower. healthunlocked.com/thyroidu...

At the moment it looks like you are converting well.

Whats happening about vitamin supplementation? What are you taking now to raise your level of D3 and B12?

You had some good advice in this reply to your previous post. healthunlocked.com/thyroidu...

Dadof5 profile image
Dadof5 in reply toJaydee1507

Hi I am planning to see the doctor again soon to discuss stopping my Metformin for a trial period to see how it affects my TSH.

I have been taking Sainsburys vitamin d max strength 75ug tablets for about a week now and have been eating a lot more pate for a few weeks prior to that.

I have also brought some B12 that I am planning to start next week.

Jaydee1507 profile image
Jaydee1507Administrator in reply toDadof5

What type of B12 did you buy? Methyl is recommended here and usually a good active/methyl B complex to keep all the B's in balance.

Your TSH looks about right for the levels of T4 & T3 that you have.

SlowDragon profile image
SlowDragonAdministrator in reply toDadof5

Any vitamin D tablets you swallow need to be at least 4 hours away from levothyroxine

75ug vitamin D is 3000iu

Retest thyroid and vitamin levels 6-8 weeks after 25mcg dose increase in levothyroxine

How much levothyroxine are you taking and which brand

Do you always get same brand levothyroxine at each prescription

If not already taking magnesium supplement look at adding one afternoon or evening

healthline.com/nutrition/is...

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Interesting article by Dr Malcolm Kendrick on magnesium 

drmalcolmkendrick.org/categ...

Vitamin K2 mk7

If your vitamin D doesn’t contain vitamin K2 …..look at buying a different one next time that does

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.

There’s a version made that also contains vitamin K2 Mk7. 

One spray = 1000iu

amazon.co.uk/BetterYou-Dlux...

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

SeasideSusie profile image
SeasideSusieRemembering in reply toDadof5

Dadof5

Sainsburys vitamin d max strength 75ug tablets

I would suggest that you ditch this inferior supplement and buy a decent one.

Tablets are the least absorbable of Vit D supplements. D3 is fat soluble so must be taken with some fat for absorption. Oil based softgels (eg Doctor's Best) are ideal, some people like Better You oral spray (but works out expensive and is not as "clean" a supplement as Doctor's Best.

Your 75mcg D3 = 3,000iu.

2 months ago your Vit D tested at 35nmol/L. This is very low and you're not taking enough D3.

You might want to check out a recent post that I wrote about Vit D and supplementing:

healthunlocked.com/thyroidu...

and you can check out the link to how to work out the dose you need to increase your current level to the recommended level.

Your level of 35nmol/L = 14ng/ml

On the Vit D Council's website

web.archive.org/web/2019070...

you would scroll down to the 2nd table

My level is between 10-20 ng/ml

The Vit D Council, the Vit D Society and Grassroots Health all recommend a level of 100-150nmol/L (40-60ng/ml), with a recent blog post on Grassroots Health mentioning a study which recommends over 125nmol/L (50ng/ml).

So now you look at how much is needed to reach 50ng/ml and you'll see that they suggest 4,900iu per day. Nearest is 5,000iu. You can buy Doctor's Best softgels for £16.99 for 360 or £10.69 for 180 here:

dolphinfitness.co.uk/en/doc...

or £9.98 for 180 here:

bigvits.co.uk/doctor-s-best...

These are far superior to your supermarket ones (we never suggest supermarket or high street supplements).

Retest after 3 months.

Once you've reached the recommended level then a maintenance dose will be needed to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. This can be done with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:

vitamindtest.org.uk/

Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3. You will have to buy these yourself.

D3 aids absorption of calcium from food and Vit K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc. 90-100mcg K2-MK7 is enough for up to 10,000iu D3.

D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking D3 as tablets/capsules/softgels, no necessity if using an oral spray.

For Vit K2-MK7 my suggestions are Vitabay, Vegavero or Vitamaze brands which all contain the correct form of K2-MK7 - the "All Trans" form rather than the "Cis" form. The All Trans form is the bioactive form, a bit like methylfolate is the bioactive form of folic acid.

Vitabay and Vegavero are either tablets or capsules.

Vitabay does do an oil based liquid.

Vitamaze is an oil based liquid.

With the oil based liquids the are xx amount of K2-MK7 per drop so you just take the appropriate amount of drops.

They are all imported German brands, you can find them on Amazon although they do go out of stock from time to time. I get what I can when I need to restock. If the tablet or capsule form is only in 200mcg dose at the time I take those on alternate days.

Another "all trans" one worth considering if the others aren't availaable:

amazon.co.uk/Vitality-Biore...?

Another important cofactor is Magnesium which helps the body convert D3 into it's usable form.

There are many types of magnesium so we have to check to see which one is most suitable for our own needs:

naturalnews.com/046401_magn...

explore.globalhealing.com/t...

and ignore the fact that this is a supplement company, the information is relevant:

swansonvitamins.com/blog/ar...

Magnesium should be taken 4 hours away from thyroid meds and as it tends to be calming it's best taken in the evening. Vit D should also be taken 4 hours away from thyroid meds. Vit K2-MK7 should be taken 2 hours away from thyroid meds. Don't take D3 and K2 at the same time unless both are oil based supplements, they both are fat soluble vitamins which require their own fat to be absorbed otherwise they will compete for the fat.

Don't start all supplements at once. Start with one, give it a week or two and if no adverse reaction then add the next one. Again, wait a week or two and if no adverse reaction add the next one. Continue like this. If you do have any adverse reaction then you will know what caused it.

I have also brought some B12 that I am planning to start next week.

I hope you haven't bought these from Sainsburys or the high street. Do they contain methylcobalamin or cyanocobalamin. Methylcobalamin is the recommended form.

B Complex is also required when taking B12, this is because it keeps all the B vitamins in balance.

Dadof5 profile image
Dadof5

I’m going to start this and then add a B complex in a few weeks

B12 solos
Jaydee1507 profile image
Jaydee1507Administrator in reply toDadof5

That looks good.

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