Help with results

[Annoynomice]

I feel not quite right (which could be the menopause). I have auto immune thyroid disease and am on levo 125 x 6 days, 1 day 100. I was diagnosed about 5 years ago and gradually increased my dose to the level it is on today.

I take a B complex tablet, 25mg vitamin D and 25mg K2 daily.

I'm wondering if I need to reduce my levo and by how much (e.g. currently 1 days at 100g should I change to 2 day at 100g). I also think I need to increase my vitamin D.

I have a confession to make, I literally took my levo - 30 mins before I did my test (I just forgot to suspend it out of habit but I am hoping that even if my TSH is lowered that the other thyroid results are ok. I did stop my B supplement for 2 days

My Medichecks results are;

Thyroid

Tsh (0.27-4.2) – 0.183

Free t3 (3.1 – 6.8) – 4.5

Free thyroxine – (12-22) 21.2

Crp hs (<3) - 0.37

Vitamins

Ferritin 30-150 – (115)

Folate (8.83-60.8) - >45.4

Vitamin B12 (37.5-188) – 121 – using a B complex tablet

Vitamin D – ( 50-250) - 73.4 – 25mg vitamin D and 25mg K2

So do I reduce my levo and increase my vitamin D and by how much.

[SlowDragon Administrator]

Ft4 is falsely high as you took levothyroxine before test

FT3: 4.5 pmol/l (Range 3.1 - 6.8)

Ft3 only 37.84% through range

Suggest you retest correctly 6-8 weeks after increasing vitamin D supplement

Are you on strictly gluten free diet and/or dairy free diet

If not get coeliac blood test BEFORE trialing gluten free

3-4 months later try dairy free as well

[Annoynomice in reply to SlowDragon]

Many thanks SlowDragon, I'll increase my vitamin D.

I've tested for Coeliac 2 years ago and it was negative. I'm not diary free or Gluten Free.

[SlowDragon Administrator in reply to Annoynomice]

Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances.

Most common by far is gluten.

Dairy is second most common.

A trial of strictly gluten free diet is always worth doing

Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential

A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies

As your test was negative you could consider strictly gluten free diet 

Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

drknews.com/changing-your-d...

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

pubmed.ncbi.nlm.nih.gov/296...

The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported

nuclmed.gr/wp/wp-content/up...

In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned

restartmed.com/hashimotos-g...

Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.

Recent discussion re Gluten Free on here

healthunlocked.com/thyroidu...

Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial

Hashimoto’s and leaky gut often occur together

[Annoynomice]

Gluten Free might be something I try in Winter as it'll be difficult over the Summer.