How much D3 do you take and have you added vitamin K2 to help it go to the bones?
Which B12 do you take and how much is in it?
Its usually recommended to take a good methyl/active B complex to help keep all the B's in balance. This B complex has all the right vitamins at a not unreasonable cost for 90 days supply(also contains folate). Once B12 is good (over 500) you can stop the stand alone B12 and just continue with the B complex. amazon.co.uk/Liposomal-Soft...
Consider starting levothyroxine at a dosage of 1.6 micrograms per kilogram of body weight per day (rounded to the nearest 25 micrograms) for adults under 65 with primary hypothyroidism and no history of cardiovascular disease.
In the majority of patients 50-100 μg thyroxine can be used as the starting dose. Alterations in dose are achieved by using 25-50 μg increments and adequacy of the new dose can be confirmed by repeat measurement of TSH after 2-3 months.
The majority of patients will be clinically euthyroid with a ‘normal’ TSH and having thyroxine replacement in the range 75-150 μg/day (1.6ug/Kg on average).
The recommended approach is to titrate thyroxine therapy against the TSH concentration whilst assessing clinical well-being. The target is a serum TSH within the reference range.
……The primary target of thyroxine replacement therapy is to make the patient feel well and to achieve a serum TSH that is within the reference range. The corresponding FT4 will be within or slightly above its reference range.
The minimum period to achieve stable concentrations after a change in dose of thyroxine is two months and thyroid function tests should not normally be requested before this period has elapsed.
Comprehensive list of references for needing LOW TSH on levothyroxine
Hi, Am overweight really, am 17 half stone, although put a lot on since this hormone treatment, looking at the contents you attached, probably 70 %, fatigue for ma y years and even more since the hormone treatment, bad back, ridged finger nails for as long as I remember, I've had the hoarse voice pre levo meds, and acid reflux has practically gone due to being on the levo, although prescribed omoprozol 2 years ago after surgeon discovered a scar on my bowel when having camera down my throat, been of the. Foe 2 weeks as don't want to be taken them forever
Presumably you followed our advised protocol for thyroid testing, ie
* Test no later than 9am
* Nothing but water before test (some foods and drinks can affect TSH)
* Last dose of Levo 24 hours before test
* No biotin, B Complex or any supplement containing biotin for 3-7 days before test
HbA1c: 35 mmol/mol 20.00 - 41.00mmol/mol
Nice result.
Ferritin 225 ug/L 15.00 - 200.00ug/L
C reactive protein level: 7 mg/L 0.00 - 7.00mg/L
Your CRP is at the top of the range, this suggests inflammation somewhere (CRP is a non-specific inflammation marker). Ferritin rises with inflammation so we can say that your ferritin level is very likely falsely raised due to inflammation and your normal level would be lower than that.
Serum iron: 55 to 70% of the range, higher end for men - yours is 26.32% so it's low
Saturation: optimal is 35 to 45%, higher end for men - yours is 32% so is a little on the low side for a male
Transferrin: Low in range indicates lack of capacity for additional iron, High in range indicates body's need for supplemental iron - yours is at the very bottom of the range so suggests no need to supplement
Ferritin: Low level virtually always indicates need for iron supplementation; High level with low serum iron/low saturation indicates inflammation or infection; High level with high serum iron and low TIBC indicates excess iron; Over range with saturation above 45% suggests hemochromatosis.
Your serum iron and saturation could be higher, transferrin suggests no supplementation needed, ferritin is difficult to say as we have a raised level due to some inflammation.
I would be very wary of self supplementing with iron tablets, if you decide that's what you want to do then please do an iron panel every couple of months to keep an eye on your serum iron and saturation. Medichecks does a Home Iron Test which includes the full iron panel plus CRP so that's a good one to monitor with. If supplementing with iron keep this away from thyroid meds by at least 4 hours and take with Vit C to aid absorption and help prevent constipation. Also keep iron away from any other medication and supplements by 2 hours.
These results suggest undermedication. Ask GP for an increase of 25mcg in Levo dose and retest in 6-8 weeks. The aim of a treated hypo patient on Levo only, generally, is for TSH to be 1 or below with FT4 and FT3 in the upper part of their reference ranges, if that is where you feel well.
As you take D3 then you should test twice a year to check levels and to see if you need to seasonally adjust. Do you take D3's important cofactors - Vit K2-MK7 and magnesium?
As you take B12 you should be taking a B Complex as well to keep all B vitamins balanced. Do you have B12 deficiency or Pernicious Anaemia? If not then you should test B12 whilst supplementing to see where your level is, if it's near top of range for Total B12 or 100 plus for Active B12 then you don't need to supplement with B12.
Thanks sue, It's a lot to take in but I have prostate cancer, stage 2, had radio therapy in june this year,don't know if maybe the CRP reading may relate?
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Blood tests for comments please
Am I poisoning myself with iron supplements? Blood test.
Iron Blood Test
