I've just had results from medichecks and would like some advice pls on my levels, if any are sub-optimal and what they should be.
Quick recap: I have Hashimoto’s (Dx 13yrs ago), am hypothyroid (Dx 2yrs ago, been on levothyroxine since), now take 100mcg levothyroxine 6 x/week and 75mcg 1x/week. 4yrs ago tested positive antiparietal cell antibodies (negative IF antibodies). I'm perimenopausal, not on HRT yet.
I'm not currently taking any supplements but need to start again (stopped 2yrs ago when started levothyroxine mainly because I wanted to leave a 4hr gap so nothing interfered - but then forget!)
I know I posted 4 months ago asking for similar advice but haven't gotten around to starting supplements yet. I think I remember ferritin is better closer to 100 but I couldn't find my previous post.
Results July'23
CRP - 0.461 (0-5)
Ferritin - 77.7 (13-150)
Folate - 12.6 (>3.89)
Active B12 - 35.2 (37.5-150)
Vit D - 73.6 (50-200)
TSH - 0.396 (0.27-4.2) - 3.21%
FT3 - 5.2 (3.1-6.8) - 56.76%
FT4 - 20.9 (12-22) - 89%
FT3/FT4 ratio - 1:4
TgAb - 909 (<115)
TPOAb - 362 (<34)
My antibodies have increased by 100 each since July last year (possibly due to perimenopause?)
I know that my B12 levels are low and want to reach all the optimal levels for hashimotos so I can at least try to feel my best before the menopause starts
Any other advice would be greatly appreciated too,
Thanks
Written by
bollin
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CRP nice and low which means your ferritin result should be accurate. Some experts say the optimal ferritin level for thyroid function is 90-110ug/L. Your level isn't too bad, maybe boost it with plenty of iron rich foods in your diet eg liver, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, other iron rich foods:
If you do then list them to discuss with your GP and ask for testing for B12 deficiency and Pernicious Anaemia. Do not take any B12 supplements or folic acid/folate/B Complex supplements before further testing of B12 as this will mask signs of B12 deficiency and skew results and if you have B12 deficiency and it is not detected and treated then this could affect your nervous system. B12 deficiency should be treated before starting folic acid because folic acid can sometimes improve your symptoms so much that is masks B12 deficiency.
Vit D - 73.6nmol/L (50-200) = 29.44ng/ml
The Vit D Council, Vit D Society and Grassroots Health all recommend a level of 100-150nmol/L (40-60ng/ml) with a recent blog post on Grassroots Health recommending at least 125nmol/L (50ng/ml).
You might want to check out a recent post that I wrote about Vit D and supplementing:
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.
TSH - 0.396 (0.27-4.2)
FT3 - 5.2 (3.1-6.8) - 56.76%
FT4 - 20.9 (12-22) - 89%
FT3/FT4 ratio - 1:4
TgAb - 909 (<115)
TPOAb - 362 (<34)
Antibodies fluctuate all the time, that's the nature of Hashi's, but they're not a problem, they have a job to do (they mop up the mess after an autoimmune attack on the thyroid).
FT4 is good, FT3 might be a bit better balanced with FT4, optimising key nutrients may help there, and some people with Hashi's find supplementing with selenium helps; however, it's suggested that you might want to test first to check your level but some people say taking 100mcg is considered a safe amount without testing. If supplementing with selenium avoid selenite or selenate forms and look for a yeast bound selenium or selenium L-selenomethionine
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