could someone interpret my blood results please? I have a phone conversation with my Endo next week and would like to be prepared. Many thanks.
Haemaglobin 112
Red cell count 3.69
Haematocrit 0.331
Serum ferritin 19
Serum vitamin B12 882
Serum TSH 0.11
Serum Free T4 17
Serum Free T3 3.8
Thank you in advance
Silverangel
Please add reference ranges that came with your results so that we can interpret them, ranges vary from lab to lab so we need your lab's ranges.
Did you follow our protocol for testing :
* Test no later than 9am
* Nothing to eat or drink except water before the test
* Last dose of Levo 24 hours before the test
* If you take T3 or NDT then last dose should be 8-12 hours before the test (splitting the dose the day before into 2 or 3)
* No biotin or B Complex or any supplement containing Biotin for 3-7 days before the test
My earliest test I was able to get was 9.30am I checked what I needed to do on here before so followed all advice.
Ranges are :
Haemaglobin 125-165
Red cell count 3.8-5.8
Haematocrit 0.37-0.47
Serum Ferritin 30-330
Serum Vitamin B12 197-771
Serum TSH 0.27-4.2
Serum Free T4 11-22
Serum Free T3 3.1-6.8
Hope that’s the info you need. Thanks for your very prompt reply.
Haemaglobin 112 (125-165)
Red cell count 3.69 (3.8-5.8)
Haematocrit 0.331 (0.37-0.47)
All suggest anaemia.
Serum ferritin 19 (30-330)
Suggests iron deficiency and combined with above results looks like iron deficiency anaemia. Speak to doctor who should really do an iron panel to confirm iron deficiency and should prescribe iron tablets, take each one with some Vit C to help absorption and help prevent constipation. Make sure you levels are monitored regularly, should be every 2-3 months, iron panel is important to monitor to ensure serum iron and saturation percentage dont go over range.
B12 is good. Do you supplement?
Folate should have been tested as well as B12 and folate work together.
Was Vit D tested ?
Serum TSH 0.11 (0.27-4.2)
Serum Free T4 17 (11-22)
Serum Free T3 3.8 (3.1-6.8)
Both FT4 and FT3 are low in range if you take only Levo.
If taking combo meds then FT4 might be OK for you but FT3 is low. What thyroid meds are you taking, I'm guessing with such a low TSH you're taking Levo plus T3 or NDT.
How do you feel?
Yes, I’m taking 100 mcg thyroxine and 10 mcg of Liothyronine in two 5mcg doses. I feel exhausted, I’m constantly sweating have gained lots of weight and just want to sleep all day. My folate is within range and my Vit D is also within range. Thank you for your very fast reply it is much appreciated.
My folate is within range and my Vit D is also within range.
Within range doesn't necessarily mean they are at optimal levels.
Vit D is recommended to be 100-150nmol and folate is recommended to be at least half way through range .
Your FT3 level shows that you could do with an increase in your dose of T3, 5mcg now and retest in 6-8 weeks.
Hi Again,
My serum folate is 3.5 from a range of 2.4 - 17.5
I’m assuming where is says Bone Profile these are the Vitamin D tests? The results are below.
Serum Calcium is 2.32 range 0.232 - 2.784
Adjusted Calcium is 2.35 range 2.2 - 2.68
Serum Inorganic Phosphate is 1.1 range 0.77 - 1.61
I had a bone density scan after I broke my wrist and was found to be at risk and was put on Vitamin D tablets which I take 2 tablets twice a day. I have been taking these for over a year.
Hope all that makes sense?
Silverangel
OK, so folate is very low, it's recommended to be at least half way through range which would be 10 plus with that range. Consider taking a B Complex to improve your level.
Popular B Complex brands here are:
Thorne Basic B - can be hard to get and can be expensive
Vitablossom Liposomal B Complex - from hempoutlet.co.uk
Yipmai Liposomal B Complex - same as Vitablossom just branded for Amazon
Pink Tribe Liposomal B Complex - also from Amazon
The Vit D test shows as 25-Hydroxyvitamin D or similar. What you have above is a bone profile which doesn't include Vit D, it has to be ordered as a separate test and many GPs are unwilling to do this.
What Vit D tablets do you take and what's the dosage?
I take Adcal-D3 caplets 750mg/200 I.U I take 2 x twice a day.
!!! Haemaglobin 112 (125-165)
!!! Red cell count 3.69 (3.8-5.8)
!!! Haematocrit 0.331 (0.37-0.47)
!!! Serum ferritin 19 (30-330)
Serum vitamin B12 882 (197-771)
Serum TSH 0.11 (0.27-4.2)
Serum Free T4 17 (11-22)
Serum Free T3 3.8 (3.1-6.8)
The results with three exclamation marks are under the range.
The Haemoglobin is quite substantially below the range indicating that you are anaemic. Since your Ferritin (iron stores) is also substantially below the range it is likely that your anaemia is caused by iron deficiency. Your low RBC (Red Blood Cell Count) will probably be a result of your anaemia as well and should improve when your iron levels start to improve.
Your doctor should prescribe iron supplements (iron salts) for you. Please note that there are many kinds of iron supplements and are not all alike. You might find the ones your doctor prescribes to be poorly tolerated. Some alternatives to the prescribed iron salts are discussed in the following two links. They are not prescribed and would have to be bought online. Doctors won't prescribe them.
healthunlocked.com/thyroidu...
healthunlocked.com/thyroidu...
You could ask your doctor to give you a full iron panel and another Full Blood Count after 2 - 3 months of supplementing just to be sure that you are absorbing something from your supplements. Be aware that improving iron can take many months - don't expect everything to be fine in the first three months.
Your anaemia, low ferritin, and low RBC will be causing lots of fatigue and breathlessness.
Some useful links :
labtestsonline.org.uk/tests...
labtestsonline.org.uk/tests...
...
Your B12 is above range - this is fine. B12 is not poisonous.
In order for the body to make use of the B12 you have you need adequate levels of folate too. If you haven't had this tested then it is a good idea to ask your doctor to test it for you.
takecareof.com/articles/ben...
If folate is low :
The best folate supplement for many people is methylfolate. Avoid folic acid, which is what doctors usually prescribe. Anyone with a (very common) MTHFR gene problem can't absorb folic acid very well and they end up with high levels of unmetabolised folic acid in their bloodstream which is not a good state to be in. Methylfolate can be used by the body without issue by most people with or without MTHFR problems. In people who are very low in folate there is a possibility they will get side effects from it. Info on this problem and how to overcome it :
mthfr.net/methylfolate-side...
I'll let someone else go through your thyroid results, I'm very tired right now.
Thank you that is very helpful and a very quick reply 😊😊
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