I have been feeling a little low and tired lately so decided to pay for a private test. The doctors comments suggest that all ok even though TPO elevated. Thought I would post results in case I am missing something and for any suggestions:CRP HS = 2.37 (<3) inflammation marker
FERRITIN = 66ug/l (30 -650)
Folate serum = 31.5nmol/l (8.83 -60.8)
B12 = 63pmol/l (37.5-188)
Vit D =67mol/l (50-250)
TSH 2.55 (.27 -4.2)
Free T3 = 4.6 (3.1-6.8)
Free Throxine T4 = 18.1 (12-22)
Thyroglobulin antibodies = 17.4 klu/l (0 - 115)
TPO = 43.2 KLU/L (0-34)
Test was taken before meds early morning on empty stomach . Tpo out of range and vits seem low to me. Would be grateful for some knowledgeable advice. Thanks.
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There is room for you to go up a bit with the Levo, but I would concentrate on getting your vits sorted first, as they are all pretty low. Ask your GP for ferritin and look on here for the best Vit D to take as there is a huge wealth of knowledge about this. With the vits so low, the levo will not be working as it should. Once you get these sorted, get another test and see if it has helped your thyroid levels. Hope you feel better soon,
Yes, of course, but I thought it may be useful to flag to your GP that the levels are low, so then he would write a prescription and it would be on your record, so they may even read the record and check it again for you. Sorry, my train of thought got derailed at some point!
Check the type of suppliment on here - multivitamins dont pass the sniff test!
I have commented on your other post about this and it would be best to do an iron panel before considering any iron supplements, you may have good serum iron and saturation levels in which case supplementing with iron would take them too high and cause iron overload.
Folate serum = 31.5nmol/l (8.83 -60.8)
Folate is recommended to be at least half way through range which is about 35 plus with that range. Yours isn't too bad but there's room to improve.
B12 = 63pmol/l (37.5-188)
Active B12 below 70 suggests testing for B12 deficiency according to Viapath at St Thomas' Hospital:
If you do then list them to discuss with your GP and ask for testing for B12 deficiency and Pernicious Anaemia. Do not take any B12 supplements or folic acid/folate/B Complex supplements before further testing of B12 as this will mask signs of B12 deficiency and skew results and if you have B12 deficiency and it is not detected and treated then this could affect your nervous system. B12 deficiency should be treated before starting folic acid because folic acid can sometimes improve your symptoms so much that is masks B12 deficiency.
If you don't then you could supplement with sublingual methylcobalamin B12 1000mcg along with a good quality B Complex which will help balance all the B vitamins and will also improve your folate level. One bottle of B12 should be enough and when that's finished just continue with the B Complex.
Vit D =67mol/l (50-250)
You might want to check out a recent post that I wrote about Vit D and supplementing:
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 3,700iu per day. Nearest to buy is 4,000iu, cheapest is to buy 5,000iu and take 6 days a week instead of 7.
Retest after 3 months to check levels and adjust dose if necessary. Vit D should be tested twice a year when supplementing to see if seasonal adjustment to dose is necessary.
Don't forget D3's important cofactors Vit K2-MK7 and magnesium that are mentioned in my post I link to above.
I'm going out now but will be back later so if you want further explanation or suggestions for good quality supplements then please ask, reply to this post so that I get notified or tag me by putting @ before my user name (no space) and I will get notified.
TSH 2.55 (.27 -4.2)
Free T3 = 4.6 (3.1-6.8) = 40.54% through range
Free Throxine T4 = 18.1 (12-22) = 61% through range
These results suggest that you could do with an increase in your Levo. The aim of a treated hypo patient on Levo only, generally, is for TSH to be 1 or below with FT4 and FT3 in the upper part of their reference ranges.
Thyroglobulin antibodies = 17.4 klu/l (0 - 115)
TPO = 43.2 KLU/L (0-34)
Raised TPO antibodies suggest autoimmune thyroid disease (Hashimoto's) which is the most common cause of hypothyroidism.
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