Had some NHS blood tests done December 2022 and March 2023 and was diagnosed with persistent low TSH levels and had follow up appointment with local doctor but no further action required
So did advanced thyroid test with medichecks and the results today were
TSH 0.27 miu/l . Range is 0.27 to 4.2
Free T3 5.3 pmol/l . Range 3.1 to 6.8
Free thyroxine 13.1 pmol/l . Range 12 to 22
Does this mean I could have subclinical hyperthyroidism , I have the usual aches , pains and tiredness
Was diagnosed with antiphospholipid syndrome few years ago , current medication is clopidogrel , atorvastatin and lansoprazole.
Medichecks are advising a follow up test in 4 months time which I will do .
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If you have an underactive thyroid (hypothyroidism), treatment may be delayed until this problem is treated. This is because having an underactive thyroid can lead to an increased cholesterol level, and treating hypothyroidism may cause your cholesterol level to decrease, without the need for statins. Statins are also more likely to cause muscle damage in people with an underactive thyroid.
Being hypothyroid results in high cholesterol and low vitamin levels
Lansoprazole will lower vitamin levels even further
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement and add a separate vitamin B Complex after a week
Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.
If Vegetarian or vegan likely to need ongoing separate B12 few times a week
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12 until high enough
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