Elderly mum's blood test results back - Thyroid UK

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Elderly mum's blood test results back

Pinkpetite profile image
31 Replies

Hello everyone, I wrote a few weeks ago about my mum's predicament, feeling so utterly exhausted and the amount of weight she has put on. I have some of her blood test results, and due to the 2 results that are above range they are repeating some of the tests.

Unfortunately I only have her T3 (or fortunately as they were good to agree to it), I've asked them to look to see if her TFT has been overlooked.

I can see her T3 is dire so that may explain her exhaustion and big weight gain, plus she seems very oedematous in her face to me, much more than last year. Hoping they'll find her T4 and TSH results for me next week so I can take a look at those too, and post them here. She also gets very bad cramps in her calves - do any of these results explain this?

Why would her ferritin be above range?

Is her B12 too low?

Anyone know why her platelets would be a little high?

Serum ferritin 192 (13.0 - 150) - above range

Serum folate 2.8 (2.1 - 26.8)

Serum B12 266 (197 - 771)

Vit D 66.1 (>50)

HbA1c 39 (25 - 41)

Free T3 3.2 (3.1 - 6.8)

Platelets 436 (150 - 410) - above range

My mum doesn't take any supplements at the moment. Does her Vit D need to be higher? Does she need supplements to get all her Vit D, folate and B12 levels up or does she need more thyroxine?

Any pointers would be very helpful, thank you.

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31 Replies
Regenallotment profile image
RegenallotmentAmbassador

classic hypo results from where I’m sitting even without TSH and t4, did they test antibodies? She may be auto immune. Raised ferritin can indicate inflammation needs looking at. D round 100 will feel better. (Go for D3 with K2 2000iu and test again in 3 months, NHS won’t give it but it does help) I found Thorne Basic B Complex the best for being B12 and folate up. She’ll benefit from trying gluten and dairy free but might want to test for coeliac first. That helps the gut absorb the good stuff. Cramp can be resolved with magnesium which helps with D absorption so try Magnesium Glycinate if bowels are normal/sensitive or Magnesium Citrate if regularly constipated. Only do one thing at a time, 2 weeks between each new thing including diet. Start with B Complex. Note Biotin in it affects thyroid blood test results so stop for a few days before testing. I take a separate B12 and folate on those days otherwise my fingers tingle. Photo of our D3 +K2 collection and magnesium all off Amazon 🌱

Regenallotment profile image
RegenallotmentAmbassador in reply toRegenallotment

Thorne basic B from iHerb website discounted if you use their app.

Photo of D3 K2 supplements
Pinkpetite profile image
Pinkpetite in reply toRegenallotment

Can I just ask is iherb from the USA? As I stopped ordering supplements from abroad due to the extra costs imposed.

radd profile image
radd in reply toPinkpetite

Pinkpetite,

iHerb are based in the US, with warehouses in other countries equally far from UK. I ordered from them once by mistake (brain fog) and my package took weeks to arrive.

Regenallotment profile image
RegenallotmentAmbassador in reply toPinkpetite

it seems to come quite quickly for me and they were on Amazon for a while, someone is also distributing via eBay same stuff all sealed. I’ve tried others but they don’t work. I’ve also lobbied Solgar to copy the formula that went high up for review internally but I haven’t heard back. I had a London parcel take 5 weeks in March I think things are a bit better now 🌱

Pinkpetite profile image
Pinkpetite in reply toRegenallotment

Thanks, do they still come out cheaper? I thought with the extra taxes imposed that they ended up the same price as ordering from the UK?

helvella profile image
helvellaAdministrator in reply toPinkpetite

If you order from uk.iherb.com/ (that is, the special UK sub-site), your basket will show UK VAT. There should be nothing to pay over what the basket and delivery show.

However, there is a limit to the value of a single order:

Due to customs regulations, the amount of "Subtotal" can not exceed £115.32 per order.

I do not know how long they take to deliver but, when I have used them in the past, they have been reasonable - not next day, but not weeks!

Pinkpetite profile image
Pinkpetite in reply tohelvella

Oh great! Thank you for this.

Pinkpetite profile image
Pinkpetite in reply toRegenallotment

Thank you for your reply, I will get my mum on those supplements. I know she won't go gluten and dairy free, she is nearly 87 and quite resistant to change her diet. The want to repeat the FBC and ferritin in 3 weeks time so I'll have to be careful with the B complex, maybe best to wait till after the second blood test. Do you recommend waiting 2 weeks between each new thing so you can see the effect?

Regenallotment profile image
RegenallotmentAmbassador in reply toPinkpetite

yes waiting helps figure out what causes what if you get a reaction or something does or doesn’t suit. Sensible to wait 😊

Pinkpetite profile image
Pinkpetite in reply toRegenallotment

Is it just an average 300mg dose daily of magnesium she would need?

Regenallotment profile image
RegenallotmentAmbassador in reply toPinkpetite

the one I bought says take 2 tablets to get 300 but I only take 1 tablet a day, I’m a sensitive flower 🌸🌱 and it lasts twice as long 👍

TiggerMe profile image
TiggerMeAmbassador in reply toPinkpetite

I've had my daughter and mother outlaw on these which haven't caused any upset and cover several bases... 2 rather than 4 🤷‍♀️

amazon.co.uk/Magnesium-L-Th...

Pinkpetite profile image
Pinkpetite in reply toTiggerMe

Thanks, they do look good, may get these for myself too!

TiggerMe profile image
TiggerMeAmbassador in reply toPinkpetite

I was trying to avoid the ones that could cause upset, you can use a magnesium oil or cream, think I have some from Better You 🤗

I love and Epsom Salts bath

Regenallotment profile image
RegenallotmentAmbassador

another observation for you, my swelling especially face didn’t improve for over 12 months, got worse before better, but 5 months into low dose T3 it’s finally on the move. But everything else has to be tip top before T3 otherwise it doesn’t work. Takes patience 🌱

Pinkpetite profile image
Pinkpetite in reply toRegenallotment

Yes and also wondering if my mum also needs more thyroxine.

Pinkpetite profile image
Pinkpetite in reply toRegenallotment

Also wanted to add that I doubt my mum will get T3 now at her age, 87, and wouldn't be able to cope with all the monitoring necessary. I'm hoping the GP will increase her thyroxine and if not, I'll get her seen by a private endo - if I can find one that really does listen and act accordingly.

SlowDragon profile image
SlowDragonAdministrator

She’s clearly had her dose levothyroxine reduced inappropriately

Low vitamin levels tend to lower TSH

TSH is all many medics look at

Vitamin levels tend to be low when on levothyroxine and especially as we get older

Only add one supplement at a time. Then wait at least 2 weeks to assess before adding another

Starting with Vitamin D which is inadequate

Then add magnesium…..

Get GP to test for Pernicious Anaemia before starting on a separate B12 ……then week after starting this add separate vitamin B complex

Ferritin often high after menopause. Not unusual. Request GP check iron and full iron panel to check only ferritin is high ….not iron too

Get thyroid antibodies tested for autoimmune thyroid disease (hashimoto’s)

Pinkpetite profile image
Pinkpetite in reply toSlowDragon

Thank you for your replies, just got the time to go through them properly this morning. I'm hoping to get her TSH and T4 results tomorrow, but clearly going by the T3 things are not looking good. My mum has been on thyroxine for 40years, she was diagnosed when I was young. My daughter too is hypothyroid plus my aunt and cousin - so it runs in the female side of the family. Probably Hashimotos yes. I will try and get the GP to test her antibodies but, if I remember rightly, they won't show up properly as she's been on thyroxine too long? I will ask for the pernicious anaemia test and add in vit D straightaway.

Pinkpetite profile image
Pinkpetite in reply toSlowDragon

They are repeating her ferritin and FBC - is FBC the iron and full iron panel?

SlowDragon profile image
SlowDragonAdministrator in reply toPinkpetite

no - FBC = a full blood count

Pinkpetite profile image
Pinkpetite in reply toSlowDragon

Does it matter which magnesium glycinate I get her? Is there a certain dose she will need? Her diet is not great as she has dementia, tends to nibble sweet things and not have a big appetite for meals.

SlowDragon profile image
SlowDragonAdministrator in reply toPinkpetite

if she tends to have constipation

Calm vitality magnesium power

Magnesium citrate

Dissolve in warm water and drink straight away

Start with just 1/2 teaspoon

Alternative that doesn’t affect gut

Thorne Magnesium capsules

Mix of mag citrate and mag malate

Empty capsule into cup and add water

Take afternoon or evening at least 4 hours away from Levothyroxine

SlowDragon profile image
SlowDragonAdministrator

vitamin D and magnesium

GP will often only prescribe to bring vitamin D levels to 50nmol.

Some areas will prescribe to bring levels to 75nmol or even 80nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

But with thyroid disease, improving to around 80nmol or 100nmol by self supplementing may be better

pubmed.ncbi.nlm.nih.gov/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Test twice yearly via NHS private testing service when supplementing 

vitamindtest.org.uk

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...

It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average

Vitamin D and thyroid disease 

grassrootshealth.net/blog/t...

Vitamin D may prevent Autoimmune disease 

newscientist.com/article/23...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

Pinkpetite profile image
Pinkpetite in reply toSlowDragon

Thank you I've noted all this.

SlowDragon profile image
SlowDragonAdministrator

once GP tested for PA……assuming they won’t give B12 injections

Low B12 symptoms 

b12deficiency.info/signs-an...

methyl-life.com/blogs/defic...

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 

B12 drops 

natureprovides.com/products...

Or

B12 sublingual lozenges 

uk.iherb.com/pr/jarrow-form...

cytoplan.co.uk/shop-by-prod...

B12 range in U.K. is too wide

Interesting that in this research B12 below 400 is considered inadequate 

healthunlocked.com/thyroidu...

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid) 

This can help keep all B vitamins in balance and will help improve B12 levels too

Difference between folate and folic acid 

healthline.com/nutrition/fo...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.

thyroidpharmacist.com/artic...

B vitamins best taken after breakfast

Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule) 

Thorne currently difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay 

Other options 

healthunlocked.com/thyroidu....

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

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

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 levels high enough to slowly reduce then possibly stop B12

Pinkpetite profile image
Pinkpetite in reply toSlowDragon

Thanks, do you know how long it takes to get the B12 up? She does have a lot of tingling in her right hand, due to a nasty shoulder fracture which wasn't repaired properly - I'm hoping the B vitamins help this a little, and perhaps the magnesium - any thoughts?

Pinkpetite profile image
Pinkpetite in reply toSlowDragon

Also wanted to ask re the Higher Nature Thyroid Support Formula which tested positive for me - whether it would be any good for my mum? It has tyrosine in it which I think helps with motivation and I wondered if it would possibly help her, or is this one to stay away from? It has iodine in it too.

SlowDragon profile image
SlowDragonAdministrator in reply toPinkpetite

personally I wouldn’t

It contains iodine not recommended unless tested and found deficient

Levothyroxine contains all the iodine she’s likely to need

Maybury profile image
Maybury

Folate ..is very low ...b12 not ideal ...

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