Recent results feedback appreciated

[Starmen]

Here are my recent results . I followed all guidance as recommended here prior to testing CRP. 0.43mg/L. (<3)

Ferritin 52 ug/L. (30-650)

Folate-serum 34.5 nmol/L. (8.83-60.8)

Vitamin B 12 -active 92 pmol/L (37.5-188)

* Note change of reference range 23/10/22

Vitamin D 91 nmol/L (50-250)

Total 25 (OH) vitamin D<25nmol/L is deficient

Total 25(OH) vitamin D 25-50 nmol/L may be inadequate

Total 25(OH) vitamin D 50nmol/L is sufficient in most people

Total 25 (OH) vitamin D level >250 nmol/L

*Note change of reference 23/10/22

TSH 0.57mIU/L. (0.27-4.2)

Free T3. 3.6 pmol/L. (3.1-6.8)

Free Thyroxine 17.2 pmol/L. ( 12-22)

Thyroglobulin antibodies. 13.6 kiu,/L (0-115)

Thyroid Peroxidase Antibodies. 300.6 kiu/L (0-34)

I stopped taking vitamin B12 when my results reached optimum levels I have noticed it has dropped. Is there a maintenance dose I should take?

What do the changes in ranged mean?

(Vitamin D and B12)?

I take Thorne Basic b complex selenium

Vitamin D 3 +K2 100 ug daily and magnesium citrate.

Thanks in advance

[SeasideSusie Remembering]

Starmen

CRP. 0.43mg/L. (<3)

Nice and low, shows no inflammation which means that your ferritin level wont be raised due to inflammation

Ferritin 52 ug/L. (30-650)

Low, and I can't take INUVI's reference range seriously considering if Medichecks had sent this test to County Pathology the range would be 13-150. I see from previous posts you're having trouble raising this as a vegetarian.

Folate-serum 34.5 nmol/L. (8.83-60.8)

Quite a nice level, folate is recommended to be at least half way through range which yours just about is. It won't hurt to continue with the B Complex.

Vitamin B 12 -active 92 pmol/L (37.5-188)

I stopped taking vitamin B12 when my results reached optimum levels I have noticed it has dropped. Is there a maintenance dose I should take?

Your level appears to have dropped from 138 to 92 in the space of 4 months since stopping B12 but due to the change in range we should look at percentage.

Currently 36.21%, previously 89.33% so that's quite dramatic. If this was me I'd start the B12 again and perhaps take alternate days and retest in 3 months. Of course you will need the B Complex as well as it should be taken when taking B12.

Vitamin D 91 nmol/L (50-250)

Vitamin D 3 +K2 100 ug daily and magnesium citrate.

The Vit D Council, Vit D Society and Grassroots Health all recommend a level of 100-150nmol/L with a recent blog post on Grassroots Health recommending at least 125nmol/L.

What is the dose of D3 that you take?

TSH 0.57mIU/L. (0.27-4.2)

Free T3. 3.6 pmol/L. (3.1-6.8)

Free Thyroxine 17.2 pmol/L. ( 12-22)

Shows poor conversion, FT4 is 52% through range with FT3 just 13.51%. Increasing ferritin should help, some experts say the optimal ferritin for thyroid function is 90-110ug/L.

Thyroglobulin antibodies. 13.6 kiu,/L (0-115)

Thyroid Peroxidase Antibodies. 300.6 kiu/L (0-34)

TPO antibodies confirm Hashimoto's which you're aware of.

What do the changes in ranged mean?

It means they may have recalibrated the testing equipment. Nothing to worry about, it's where in range your result lies not the actual range itself. If you're comparing a result with a previous one and the ranges have changed then you work out the percentage through range, here is a calculator:

thyroid.dopiaza.org/

[Starmen in reply to SeasideSusie]

Thanks for replying. I will start taking the vitamin B12 again as suggested I take a combined Vitamin D3 K2

Vitamin D3 component is 4,000 iu

Should I increase this ?.

[SeasideSusie Remembering in reply to Starmen]

Vitamin D3 component is 4,000 iu

Should I increase this ?.

No, no need to increase. You might even need less if you make Vit D naturally from the sun. Do you know if you do? But it might be worth continuing with that dose for now, retest end of October to check your level to make sure you don't need to adjust dose for the winter months.

[Starmen in reply to SeasideSusie]

Ok thanks . I don't get much sun as I am on metherexate for rheumatoid arthritis advice is to stay out of sun on this treatment I am also a freckly red head so have never been in the sun much

[SeasideSusie Remembering in reply to Starmen]

OK, so makes sense to not drop your dose during the summer.

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 current level of 91nmol/L = 36.4ng/ml

On the Vit D Council's website

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

you would scroll down to the 4th table

My level is between 30-40 ng/ml

you will see they recommend 2,500iu D3 to reach 50ng/L (125nmol/L_ and 4,600iu to reach 60ng/L (150nmol/L) so continuing with 4,000iu seems about right for now.

[Starmen in reply to SeasideSusie]

Thanks again for this. I have to say I am feeling so much better following the advice from everyone here and have seen improvements slowly but surely. I realise it is ongoing and a work in progress and I need to keep on top of this self care.

[SlowDragon Administrator]

As you are vegetarian you are likely to need separate B12 for 3-4 days a week as well as daily vitamin B complex

Are you on strictly gluten free and dairy free diet?

[Starmen in reply to SlowDragon]

Thank you for this I am gluten free but not dairy free .

[SlowDragon Administrator in reply to Starmen]

perhaps consider trying dairy free too

A lot easier these days with lots of vegan alternatives available

[Starmen in reply to SlowDragon]

Yes I think I will try this thanks

[SlowDragon Administrator in reply to Starmen]

If your conversion rate remains terrible likely to need addition of T3 prescribed alongside levothyroxine

perhaps get Dio2 gene test done

thyroiduk.org/deiodinase-2-...

List of thyroid specialists and endocrinologists who are likely to prescribe T3

healthunlocked.com/thyroidu...

[Starmen in reply to SlowDragon]

Thanks 👍