Can anyone please help with the results of my blood test? I have both Hashimoto and Grave and have been on Lexo for the past few years, currently 125mg. TSH came back very low at 0.07 (was 1.3 a year ago) and T4 high at 25 (15 a year ago). Unfortunately no T3 despite our request. Folate is low and serum ferritin on the low side too (27ugl range 13-150)Not too sure how much iron supplements I should take.? From the results, have I gone hyper? What is the next step? Reducing Levothyroxin and have a new blood test in a couple of month? I am constantly tired and really need to sort it out. Thank you!
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gaellea
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With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement
Once you finish prescription folic acid…..look at add a separate vitamin B Complex
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
Post discussing how biotin can affect test results
Thank you very much for all you advise. I have a follow up with the doctor next week so will make sure to follow your advice. Blood test was done at 9.20 and took Levo more than 24h before that. No too sure if I should reduce it or stop it? Does the results suggest I have gone hyper instead of hypo? It is very confusing. Thank you once again for your help.
You likely currently have poor conversion of Ft4 (levothyroxine) to Ft3 (active hormone) because vitamin levels are low
Poor conversion results in high Ft4 and low Ft3
Obviously with no Ft3 test …..you’re in the dark
Low Ft3 results in low vitamin levels
Low vitamin levels result in low Ft3
It’s a vicious circle
So many (most? ) patients on levothyroxine we need to supplement vitamin D, separate magnesium and daily vitamin B complex continuously
Initially you need B12 first to improve low B12 up over 500. But in few months maybe able to slowly reduce and stop B12, just remaining on vitamin B complex to maintain optimal folate and B12
Likely vitamin D is low too ……unless you’re supplementing?
Thank you so much for taking the time to reply, I will follow your advise, hope my doctor will agree as her recommendation on the test results I received was to decrease Levo. I don’t currently take supplements. Will start with B12 as suggested and will also ask for Vit D test. Thank you!
When diagnosed Graves and Hashimotos which antibodies were found positive in your blood test and were both AI diseases diagnosed at the same time- and when was this ?
Were you initially prescribed an Anti Thyroid drug for Graves - and ultimately given definitive treatment such as a thyroidectomy or RAI thyroid ablation and then prescribed T4 - thyroid hormone replacement ?
I was diagnosed firstly with Graves 13 years ago after the birth of my son. I was on Carbimazole. Probably a year later was diagnosed with Hashimoto and started Levothyroxine and have been on it ever since until a few months ago when I was hyper again (I was on 100mcg Levo, reduced it and finally stopped). No other treatment. Not sure what to do next, have an appointment with the GP on Friday so any advise is very welcome.
Both Graves and Hashimoto's are Auto Immune diseases - Graves multi organ with Hashimoto's targeting only the thyroid and eyes.
Both tend to happen in women at times of raised thyroid hormone levels - so at puberty, pregnancy and menopause - with stress and anxiety being common triggers for Graves - and with pregnancy the triggers are more likely to be early stage Hashimoto's.
The early stages of Hashimoto's present with high over range thyroid hormones and is often confused with Graves - and why it is important to check which antibodies were found in the initial blood test -
so unless you have a positive antibody reading for Graves - and positive TRab / TSI or TSH Thyroid Receptor results and ranges - I'm tending to think you likely were with Hashimototo's from the outset - though I'm happy to be proved wrong.
Hashimoto's is not mdicated with an Anti Thyroid drug such as Carbimazole as the thyroid hormoes fall back down into range by themselves and the patient ultimately become hypothyroid and needs to b prescribed thyroid hormone replacement - T4 - Levothyroxine.
Sorry - I've just seen this post is a year old - and SDragon seems to have covered all the bases anyway - apologies !!
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