thyroid / vitamin results

[Ari3]

hello ,

Haven’t posted here for a while . I am on 2 grains of NDT and having hypothyroidism/ Hashimotos. Recently I have done thyroid test and vitamins . Could anyone give any suggestions ? My naturopath nutritionist told me to not skip my thyroid med before test as it would should show exact numbers on that moment I am having and not when iam not using or skipping med . As I could download only one picture the other part of blood results are as follows :

tsh 0.01 mIU/L ranges (0.27-4.2)

Free t3 6.8 pmol/L ranges (3.1-6.8)

Free t4 14.8 pmol/Lranges ( 12-22)

Thyroglobulin antibodies 22 klu/L ranges (0-115)

Thyroid peroxide antibodies 130 klU/L ranges (0-34)

P.s this is feedback from my nutritionist :

Your vitamin levels look good and your iron looks good. Your CRP is looking really good too. I'm not a Doctor as you know but I think your TSH is too low and you may be over-medicated. This can strangely cause tiredness as your body may be making more reverse T3 to block too much thyroid hormone stimulating the tissues. I recommend you speak to a Doctor or endocrinologist about medications.

Thank you

[SlowDragon Administrator]

TSH is almost always very low on NDT

How do you feel?

[Ari3 in reply to SlowDragon]

I do not have any hyperthyroid symtoms at all no racing heart or anything like that . I have low pancreatic elastase they discovered but that’s another issue iam resolving with doctors now which might make me feel tired . I have gained a bit weight and a bit constipated . Again I assume it’s due to pancreatic elastase is low . Iam taking digestive enzymes from nutritionist while waiting for gastroenterologist. Any suggestions about vitamin levels ?

[SlowDragon Administrator in reply to Ari3]

Vitamin levels look good

I would stay on current dose and retest again in another 8-10 weeks

[Ari3 in reply to SlowDragon]

Feeling little tired want to sleep

[SlowDragon Administrator]

actually folate ….top of range is 60

What vitamin supplements are you taking

Did you stop B complex before test?

[Ari3 in reply to SlowDragon]

Yes I stopped b complex two days before test as instructed . Iam on various supplements such as b complex ultra , probiotics , prebiotics , glutathione with NAC , selenium , magnesium , vitamin d, omega 3, zinc, vitamin c .

[pennyannie]

Hello Ari :

When optimally medicated on NDT you will likely have a low/suppressed TSH and your T4 likely lower in the range than when on T4 - Levothyroxine monotherapy BUT with a T3 proportionately much higher in the range than when on T4 monotherapy.

How long did you leave between last dose and blood draw and do you split your dose ?

Your results look good - what about symptoms - any improvements in symptoms of hypothyroidism ?

Your antibodies are over range - so presume you have Hashimoto's AI disease so liable to some ' swings ' in symptoms as this auto immune disease attacks and disables your thyroid.

I don't have Hashimoto's - many forum members following the research and suggestions of Dr Izabella Wentz who herself has this health issue-

thyroidpharmacist.com

[Ari3 in reply to pennyannie]

I took my thyroid ndt 1 grain at 6am and did finger prick test at 10 am as my nutritionist said she wants to see how iam doing when iam on it at that moment not when iam off the thyroid med (like people don’t take last dose 10-12 hours NDT before bloods ) I have never done this as always I have taken 10-12 hours since last dose . I take 2 grains at 6 am and than 2 pm .

[pennyannie in reply to Ari3]

Ok then - as I understand things - NDT takes time to peak in the blood and why it's recommended to wait the 10/12 hours to measure ' the peak ' - but consistency of timing and blood tests is more important :

I take my NDT 1 + 1/2 grains at around 2/3 am and wake up around 3 hours later -

if I wait around 8/10 hours - fasting - my results are very similar to yours.

I do not take a second dose.

I'm with Graves Disease post RAI thyroid ablation 2004 :

[HodorO-H]

Hello. I’m on NDT - ERFA THYROID 60mg and take 2.75 grains a day - 1.75 at 0700 and 1 at 1500. My results are very similar to you. My TSH IS 0.008. My GP panics, but my private specialist thyroid GP is very happy that TSH is surprised, T3 high in range and T4 low in range. My symptoms are now minimal (although like you a bit tired). It took over a year to find my optimal dose. 3 grains was too much (made me sweat all the time), 2.5 grains was too little (started aching). My Vit D is hard to keep in range. Others are now ok. I also have a CFTR mutation and take creon (digestive enzyme) and am coeliac, so GF diet.

Good luck!

[Ari3 in reply to HodorO-H]

What is CFTR ? Bless u u have nearly the same things as I do . Iam just doing ultrasound for my pancreas and liver today than been referred as urgent for gastro specialist . I feel like my stomach is so full even after small meal and I can’t eat much indigestion and I have gained weight my nutritionist put me on temp digestive enzymes to help me little with symptoms but she said creon is the best . Did u have the same symptoms as me and did it improve by Creon do u need to be on them all life ?

[HodorO-H in reply to Ari3]

Poor you! It’s awful not digesting properly.

CFTR mutation is a genetic issue - mine presented with chronic pancreatitis as a child (operation to replumb my pancreas in my 20s), and then recurrent chest infections. It wasn’t diagnosed properly until my mid 40s (I’m 54) as atypical cystic fibrosis. I was in constant stomach pain until I had the op. I can not digest fats. Creon changed everything for me - I can eat normally now. I still burp and feel bloated, but pain is very infrequent. My coealiac diagnosis was late too, as the CFTR masked it. Being GF has really helped with any residual stomach ache.

Good luck!