Hi allI have recently had an increase in my symptoms to a point where I cannot walk more than 15 min without being exhausted. My heart rate is high, blood pressure low, headaches, joint and bone pains and body stress levels very high.
My last bloods were in May, due more tomorrow. On T4/T3 combination
Ferritin 148 (30-250)
T3 5.2 (2.4- 6)
TSH 0.001
T4 9.6 (9-19.1)
Vit 60 (50-200)
In the last 2 years been Dx. with fibroids and non- alcohol fatty liver.
I am very worried as have been stable for about 2 years now.
Unfortunately cannot afford any supplements like I used to, so wondering if it is now all catching up on me.
Any ideas will be great
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Do you always get same brand levothyroxine at each prescription
Which brand
Same question for T3
are you taking any other vitamin supplements apart from vitamin D
Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
On T3 - day before test split T3 as 2 or 3 smaller doses spread through the day with last dose 8-12 hours before test
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement and add a separate vitamin B Complex after a week
Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.
If Vegetarian or vegan likely to need ongoing separate B12 few times a week
Igennus B complex popular option too. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose
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
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
Given your very low B12, before you start supplementing again, I would ask the doctor to test you for pernicious anaemia. If you have that condition supplements won't help and you need to be diagnosed and prescribed injections of B12. Once you start to supplement your blood levels will look high and throw the doctor off. The experts think anything below 500 is deficient. Your very low folate could also be a clue towards the B12 issue.
Other than that, it looks like you might benefit from a small reduction in T3. It's quite high in your results and would have been higher if you had taken the T3 at the recommended number of hours before the test. I would not suggest dropping a whole 5mcg in one go though. 2.5mcg would be a better test.
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