Latest Medichecks Thyroud Function test. All protocols for testing followed although I had not taken my Vit D, K2 or Magnesium for 2 weeks before test as I had been away.CRP HS 2.19 mg <3
Ferritin 245 ug. 30-650
Folate serum - sample error
Vitamin B12 107 pmol. 37.5 - 188
Vitamin D 79.7nmol. 50-250
TSH 0.033 miu. 0.27-4.2
Free T3 5.1 33.1-6.8
Free Thyroxine 21.1. 12- 22
Thyroglobulin Antibodies 15.7. 0-115
Thyroid Peroxidase 10.3. 0-34
Taken 9 weeks after dose increase to 100 Levothyroxine.
Feeling much better now on the higher dose.
Medichecks Dr says I am Hyper 🙄
Apart from restarting my vit D,K2,Magnesium, anything else I should be doing?
Many thanks for your help.
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Lolalottie
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Glad to hear you are feeling much better. If you are feeling well on 100 mcg then you are converting well. They will tell you that you are hyper because of your low TSH. try and stay on on your dose and supplement regime. Lots to be gained from exercise and diet if you are not already doing it.
No you are not hyper - your T3 is in the range at just round 54% - and you are only ever over medicated when the T3 reading comes in above the range.
Once on any form of thyroid hormone replacement we must be dosed and monitored on our T3 and T4 blood tests and not a TSH seen in isolation.
The TSH was originally introduced as a diagnostic tool to help identify a person suffering with hypothyroidism and was never intended to be used once the patient had been diagnosed and taking taking thyroid hormone replacement.
No worries :
We generally feel at our best when on T4 monotherapy when the T4 i up in the top quadrant of its range - yours is at 91% as this should in turn, convert to a decent level of T3 tracking behind at around 60-70% :
The accepted conversion ratio when on T4 monotherapy is said to be 1 / 3.50 - 4.50 - T3/T4
with most people feeling better when they come in this range at 4 or under ;
So if we divide your T4 reading by your T3 reading we get your conversion ratio coming in at 4.10:
No thyroid hormone replacement works well until the core strength vitamins and minerals, those of ferritin, folate, B12 and vitamin D are up and maintained at optimal levels :
I now aim to maintain my ferritin at around 100: folate at around 20: active B12 75 ++ and vitamin D at around around 100:
I thought your ferritin looked high - but see the range is different to my Medicheck print out of 13 - 150 - so rule of thumb is a good 50% through any range if in doubt or with differing ranges.
Ferritin can also be high due to inflammation and your body is a little upset some where as your inflammation reading is close to top of it's range ?
Thankyou. My Ferritin was normal on the medichecks scale but do you think it is too high? How would I lower it?Have restarted my D3,K2 and magnesium but notice my stomach immediately becomes upset. I think this may be the magnesium? Do you know of any other options? Thanks for replying.
Vit D is getting there. You might be able to make enough naturally from the sun during the summer months, maybe you're like me and you don't. If you want to supplement then to raise your 79.7 nmol/L level to 125nmol/L then you'd be looking to take 2,500iu D3 daily according to the Vit D Council:
Have restarted my D3,K2 and magnesium but notice my stomach immediately becomes upset.
Did you start them all at the same time or stagger them with 10-14 days between each one?
Were you taking them all before or are any of them new?
Have you changed any brands?
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As for your thyroid results, you're definitely not hyper as the others have said and your conversion could be a bit better as pennyannie has explained.
I assume you took your last dose of Levo 24 hours before this test?
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My Ferritin was normal on the medichecks scale but do you think it is too high? How would I lower it?
This test was done by INUVI lab who, in my opinion, have strange ranges for ferritin which is completely at odds with County Pathology (Medichecks other lab, also Blue Horizon use them) and any GP range. I personally don't take much notice of it, I can't take it seriously.
You can't compare your ferritin level done with one lab to a result for another lab, you need to stick to the same lab for this test. As an example of this, I had my ferritin level checked by my surgery and the result was 49 (15-300). Four days later I did a test with Medichecks (County Pathology) and the result was 73.8 (13-150). No way can a ferritin level change that much in such a short time.
Which lab did your previous ferritin test and what was the result/range?
Thankyou for replying. I restarted the above vitamins after stopping them for two weeks due to headaches and nausea. I started them slowly on alternate days. My last dose of levo was 24hrs before test.
My ferritin last August was 161 (30-650) also done through medichecks.
I am thinking the dose of D3 is too high and perhaps I should only take it every other day.
Do you think it worth me trying a different form of magnesium?
I restarted the above vitamins after stopping them for two weeks due to headaches and nausea. I started them slowly on alternate days.
I would leave a lot longer between introducing each supplement. Give it at least 10 days, if any adverse reaction you should know by then, then when you add the next one give it another 10 days to see if you react to the new one and whether you get any interaction between them. The headaches and nausea might be caused by just one of them but you wouldn't know which one by introducing them all together so quickly.
My ferritin last August was 161 (30-650) also done through medichecks.
Do you take any supplements or did you eat an iron rich meal the night before your new test (liver, liver pate, etc). Your new level of 245 (30-650) puts you at 35% through range which if you go by "half way through range" is a bit below, but if you go by the quote that 90-110ug/L is optimal then it's high. I honestly don't know what to say about your level, as I said I can't take INUVI'S range seriously.
I am thinking the dose of D3 is too high and perhaps I should only take it every other day.
I explained above what dose is recommended to achieve 125nmol/L from your current level, so taking your supplement alternate days is possibly close enough. However, tablets are the least absorbable of D3 supplements and there are a lot of excipients in that tablet, you could be having an adverse reaction to one of those. Maybe consider a cleaner supplement like Doctor's Best D3 softgels which contain just D3 and extra virgin olive oil. If you reacted to that then you're one of the minority who can't take D3.
Are you taking your D3 tablets with some dietary fat and at a different time of day to your K2 so they don't both compete for the fat to be absorbed?
Your K2 is 200mcg dose I think, we only really need 90-100mcg for up to 10,000iu D3.
Do you think it worth me trying a different form of magnesium?
There are many types of magnesium so we have to check to see which one is most suitable for our own needs. The one you have, magnesium citrate, can help if you have constipation. Check out what the different forms are useful for and decide which is right for you:
The following link is included purely to describe the different forms of magnesium, ignore the fact that it mentions calcium is necessary, calcium is only necessary if you test and found to be deficient and then your GP should address that
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.
You are showing a level of inflammation, we all do, and it is not over range -
Your ferritin is not over range - given the range it is in - and your result just around 50% through it's range - so i don't think this anything to be concerned about.
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