don’t know what’s happening : previous test 3... - Thyroid UK

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don’t know what’s happening

Kowbie profile image
16 Replies

previous test 30 may 23 at 8/30 on 150 thyroxine 12 and half t3

Tsh 0.02 (0.27-4.2). T4 17.9(10.5-22) t3 4.3(3.1-6.8)

Mention to the dr about what you had said about iron panel/ chronic disease,she said yes your thyroid wasn’t sure if she was doing it although she’d book me to have bloods I had already sent to medichecks for a test these are the results .

Thyroxine 150 and t3 went up to 25

Tsh 0.007 (0.27-4.2) t4-17.2(12-22) t3-4.8(3.1-6.8) don’t know what’s gone on here

Crp 3.08 (0.3) ferritin 138(30-650) folate 3.6(8.83-60.8) vit b12 63.3(37-188) vit d87.9(50-250)

Thyroglobulin 16(0-115) thyroglobulin peroxide antibody 12-6(0-34).

These are what the dr did , she hasn’t done a full iron panel, haemoglobin level 145(115-165)

White blood cell 7.2 10-9/L(4.10-11). Platelet count 174 (135-450) 10.9/L red cell 4.99(3.8-4.8)

Haematocrit 0.431 (0.37-0.47)L/L. Nucleated red blood cell 0.10*9/L mean cell volume 86.4 f/l (80-100). Mean cell haemoglobin 29.1pg(27-34). Red blood cell distribution 13.8%(10-15%)

Neutrophil count 4.5(2-7.5). Lymphocyte count 1.9 (1.10-4.10). Monocyte count 0.4 (0.2-1.10)

Eosinophil count 0.3 (0-0.5). Basophil count 0.0 (0.02-0.1). Erythrocyte sedimentation 27 (0-30)

Viscosity level 1.88 (1.5-1.72). Creatinine kinase level 59 (25-200)

Hope I haven’t made too many mistakes, at the moment I don’t know what’s happening I couldn’t believe t3 level this time still not feeling that great I’m going to put a picture on of t3 that I’m taking thankyou all hope your all getting there and see some light at the end of the tunnel thanks

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Kowbie
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16 Replies
SlowDragon profile image
SlowDragonAdministrator

Was test done early morning, ideally just before 9am, only drinking water between waking and test and last dose levothyroxine 24 hours before test

Important- day before test did you split the T3 as 3 doses….half tablet waking, 1/4 tablet mid afternoon and 1/4 tablet between 9pm and 11pm

Folate and B12 are low

What vitamin supplements are you taking

Kowbie profile image
Kowbie in reply toSlowDragon

Oh sorry I meant to put that in it was done 8/30 in the morning only water last thyroxine 24 hours before and split t3 which is a bit hard so I think it was probably 3/4 of tablet when I took thyroxine and last bit was about 12hours before test thankyou for getting back to me ,

Kowbie profile image
Kowbie in reply toSlowDragon

I have been taking vit d and magnesium glycinate and was just going to start taking some b12

SeasideSusie profile image
SeasideSusieRemembering

Kowbie

When did you take your last doses of Levo and T3 before the test? Last dose of Levo should be 24 hours and the day before the test T3 should be split into 2 or 3 doses and last dose 8-12 hours before test. This all avoids any false high or false low results.

Increases in T3 should be by 1/4 of a tablet at a time so really you should have gone from 12.5 to 18.75mcg and waited 6-8 weeks for levels to settle rather than going from 12.5 to 25mcg.

Crp 3.08 (0.3) - I think the range might be <3

CRP is elevated which means there is some inflammation.

ferritin 138(30-650)

Ferritin is falsely elevated due to inflammation confirmed in CRP result, so you don't have your normal ferritin level reflected here.

folate 3.6(8.83-60.8)

This is extremely low and shows folate deficiency. You should speak to your GP who will probably prescribe a course of folic acid. You should retest after you've finished the course. You probably wont get any more prescribed but you should continue with a B Complex to maintain your new folate level.

However, see comment under B12 below and don't start folic acid before further investigation, if necessary, into B12.

vit b12 63.3(37-188)

Active B12 below 70 suggests testing for B12 deficiency according to Viapath at St Thomas' Hospital:

viapath.co.uk/our-tests/act...

Reference range:>70. *Between 25-70 referred for MMA

There is a link at the bottom of the page to print off the pdf to show your GP.

Do you have any signs of B12 deficiency – check here:

b12deficiency.info/signs-an...

b12d.org/submit/document?id=46

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.

If you don't have any symptoms then you could take a B12 sublingual (methylcobalamin) along with a good quality bioavailable B Complex, I'd suggest using one bottle of B12 then retest and if Active B12 is then over 70 stop the B12 and just continue with the B Complex.

When taking B Complex we should leave this off for 3-7 days before any blood test as it gives false results.

B Complex brands popular here are

Thorne Basic B - can be difficult to find and can be expensive

Vitablossom Liposomal B Complex - from hempoutlet.co.uk

Yipmai Liposomal B Complex - same as Vitablossom and from Amazon

Pink Tribe Liposomal B Complex - from Amazon

vit d87.9(50-250)

Not too bad although the Vit D Council, Vit D Society and Grassroots Health all recommend a level of 100-150nmol/L.

Your T3 brand is the one I use and I've not noticed any problems with it.

Kowbie profile image
Kowbie in reply toSeasideSusie

Thankyou for getting back to me , test was 24 hours before for thyroxine I split t3 but it was probably about three quarters that I took with t4 , and the other quarter about 12 hours before test , I do feel weak not that much energy have to keep sitting down after I’ve done something I’m terrible with remembering things they have said something wrong with my liver do I still need ironpanel doing as well I thought the test from medichecks did serum iron as mine was only 10 last time from drs , but it didn’t thankyou again I’ll see what I can get drs to do , what do I do about t3 , I didn’t just start taking the 25 I took a bit extra for a week and a half and then went up to the 25 , I don’t know what to do now but thanks for your help.

SeasideSusie profile image
SeasideSusieRemembering in reply toKowbie

I've taken these results from one of your previous replies and I believe the test was done in May:

Iron level serum 10.6(5.83-34.5umol/L

Transferring level 2.37(2-3.6g/l

Transferrin saturation 20%(15-50%

Ferritin level 119ug/L no range

So according to rt3-adrenals.org/Iron_test_... optimal levels are

Serum iron: 55 to 70% of the range, higher end for men - yours is 16.64% so is rather low.

Saturation: optimal is 35 to 45%, higher end for men - yours is 20% so again rather low.

Total Iron Binding Capacity (TIBC) or Transferrin: Low in range indicates lack of capacity for additional iron, High in range indicates body's need for supplemental iron - yours is 23.13% through range.

Ferritin: hard to comment without a range and without know if there is any inflammation which CRP test would show.

So your serum iron and saturation suggest you may benefit from some iron supplementation but your transferrin is low in range which suggests you don't. It's quite common with an iron panel to have conflicting results like this.

In reply to your previous post about these resuts humanbean said they could suggest Anaemia of Chronic Disease

healthunlocked.com/thyroidu...

She gave you a couple of links about this, did you read them?

As iron is complicated then I'm afraid I'm not in a position to suggest what you should do in the light of the possibility of anaemia of chronic disease, maybe discuss with your GP as your symptoms may be connected with that.

Here is BMJ's article about anaemia of chronic disease:

bestpractice.bmj.com/topics...

Kowbie profile image
Kowbie in reply toSeasideSusie

I did but I don’t always take things in , I did ask gp if she would do iron panel,as to what was said about anemia of chronic disease she just looked at me and said your thyroid , I think I’ll try and write to drs in e consult to put down all the things , thanks again I hope your keeping well.

SlowDragon profile image
SlowDragonAdministrator in reply toKowbie

Work on improving very low B12 and deficient folate

Then retest again in 6-8 weeks

I would stay on same dose levothyroxine and T3 for now

Try splitting T3 as 2 doses every day…..1/2 tablet waking and 2nd 1/2 tablet Approx 10 hours later

Or as 3 doses per day

1/2 tablet waking, 1/4 tablet mid afternoon and 1/4 tablet at bedtime

Cut T3 with a sharp craft scalpel or a pill cutter

Scalpel like this

amazon.co.uk/Swann-Morton-D...

Kowbie profile image
Kowbie in reply toSlowDragon

thankyou I will stay on the same dose then thankyou for your advice

SlowDragon profile image
SlowDragonAdministrator in reply toKowbie

personally I find 3 small doses of T3 per day give’s superb results

Kowbie profile image
Kowbie in reply toSlowDragon

Thankyou I’ll give it a go ,it’s just sorting out when to eat not too close to them that’s why I took them all at once , thought I couldn’t go wrong like that but thanks for your help

SlowDragon profile image
SlowDragonAdministrator in reply toKowbie

waking dose and bedtime dose are easy

Mid afternoon….just avoid anything other than water for 45mins before and after taking T3 ideally

You don’t have to be rigid on time of mid-afternoon dose…..can move it to fit around activities

Kowbie profile image
Kowbie in reply toSlowDragon

Thanks very much for your support, really appreciated it, hope you’re well in yourself as well

greygoose profile image
greygoose

How many weeks gap between the two tests?

Kowbie profile image
Kowbie in reply togreygoose

Hello it was 30 may when I had the previous one done , and 26 July so 8 weeks

greygoose profile image
greygoose in reply toKowbie

OK, that's fine, then. :)

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