Results Advice

[RosieTheRoo2023]

Hi

Due to a vast array of hypothyroid symptoms I recently had a thyroid test which showed:

6th July:

TSH 2.7 (0.3-4.9)

FT3 3.9 (2.43-6)

FT4 13 (9-19)

TPO 156.2 (<5.6)

TGA 43.1 (<4.1)

Cholesterol 6.4 (total)

Then rested including more tests:

25.7.23

RBC all normal except

MCV 104.1 (81-98)

Total cholesterol 5.46 (0-5)

LDL 3.73 (<3)

HDL 1.73 (<4)

CRP1.79 (0-5)

Iron 25.3 (5.8-34.5)

TIBC 49.6 (45-81)

UIBC 24.3 (24.2-70.1)

Transferrin sat 51 (20-50)

Ferritin 89.7 (13-150)

Folate serum 3.69 (>3.89)

Active B12 >150 (37.5-150)

Vitamin D 124 (50-124)

TSH 1.4 (0.27-4.2)

FT3 3.55 (3.1-6.8)

FT4 12.9 (12-22)

TPO 123 (<34)

TGA 291 (115)

Adrenal hormones DHEA & cortisol normal.

Had been taking B12, vitamin D & K2.

Test taken at 9am fasted. Not on Levothyroxine.

Plan at present is simply to feel better. Already ditched caffeine & alcohol. Now going to trial 3months gluten and dairy free. Not too concerned about coeliac testing as I have never had noticeably more flatulence or loose stool associated with gluten intake. Can’t wait any longer to start changes. Any thoughts or advice greatly appreciated.

Thank you 😊

[RosieTheRoo2023]

Missed off range for folate: 3.89-19.45

[SlowDragon Administrator]

Good plan re trailing Gluten Free and dairy free

Rather than just taking B12 take a daily vitamin B complex

Remember to stop vitamin B complex 5-7 days before any blood test. Instead during that week take a separate folate supplement

How much vitamin D have you been taking

Are you taking any magnesium too (best taken in evening)

[RosieTheRoo2023 in reply to SlowDragon]

Hi

Vitamin D 4000iu.

Magnesium glycinate 1500mg at night.

Just starting a B complex instead.

[RosieTheRoo2023 in reply to SlowDragon]

I’m anxious to feel better but seem to be feeling worse. Had to have two naps just to get through today.

Folate has arrived so I’ll start taking it tonight.

Are my T3 & T4 levels low enough to make me feel so tired? The constipation is an issue too, taking laxatives twice a day to stay regular. Fed up with being cold too 😳.

Should I see a private GP with a view to asking for levothyroxine?

[SlowDragon Administrator in reply to RosieTheRoo2023]

Oh yes you’re clearly hypothyroid with such low Ft4 and Ft3

Early stage Hashimoto’s it can take a while for TSH to rise

With high thyroid antibodies, low Ft4 and Ft3 and symptoms you need a thyroid specialist endocrinologist who will look past low TSH

List of thyroid specialists and endocrinologists

healthunlocked.com/thyroidu...

[RosieTheRoo2023 in reply to SlowDragon]

Thank you, I’ll have a look x

[SlowDragon Administrator]

Low folate

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)

This can help keep all B vitamins in balance and will help improve B12 levels too

Difference between folate and folic acid

healthline.com/nutrition/fo...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid.

thyroidpharmacist.com/artic...

B vitamins best taken after breakfast

Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule)

Thorne currently difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay

Other options

healthunlocked.com/thyroidu....

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening,

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Interesting article by Dr Malcolm Kendrick on magnesium

drmalcolmkendrick.org/categ...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

[J972 in reply to SlowDragon]

SlowDragon Interesting article on magnesium. I’m wondering, are there any risks involved in supplementing with magnesium despite blood tests indicating adequate levels? I suppose I’m really asking, is there a toxic dose?

[SlowDragon Administrator in reply to J972]

Not as far as I am aware

Many, many members supplement magnesium

Blood test is unreliable it only tests what’s in the blood not in the cells

Many Soils are depleted of magnesium and food’s have lower levels than in the past

Gluten free diet is also low in magnesium

[J972 in reply to SlowDragon]

Thanks, that’s useful to know 👌