Please can you comment on my results.

[Dizzy938]

Taken just after 0930 no medication or food and drink previously

CRP HS 1.830 mg/L (Range: < 3)

Ferritin 279.00 ug/L (Range: 30 - 650)

Folate - Serum 12.6 nmol/L (Range: 8.83 - 60.8)

Vitamin B12 - Active 113.0 pmol/L (Range: 37.5 - 188)

Vitamin D 115.0 nmol/L (Range: 50 - 250)

TSH 0.346 mIU/L (Range: 0.27 - 4.2)

Free T3 3.7 pmol/L (Range: 3.1 - 6.8)

Free Thyroxine 16.4 pmol/L (Range: 12 - 22)

Thyroglobulin Antibodies 54.30 kIU/L (Range: 0 - 115)

Thyroid Peroxidase Antibodies X 77.7 kIU/L (Range: 0 - 34)

Thank you

[SlowDragon Administrator]

How much levothyroxine are you taking

Which brand

Are you on gluten free or dairy free diet

What vitamin supplements are you taking

FT4: 16.4 pmol/l (Range 12 - 22)

Ft4 only 44.00% through range

FT3: 3.7 pmol/l (Range 3.1 - 6.8)

Ft3 only 16.22% through range

Most people when adequately treated on just levothyroxine will have Ft4 at least over 70% through range

Ft3 at least 50-60% through range

So you need 25mcg dose increase in levothyroxine

Retest again in another 6-8 weeks

Like many with Hashimoto’s….Currently poor conversion rate

[Dizzy938 in reply to SlowDragon]

I am on .75 mcg of levo Wockhart brand and have had the same one for at least two years but have noticed when I got home with me last prescription 3 boxes were Accord. They were low on stocks and the Wockhart went out of date this month too. I have been completely gluten free for a couple of years and did try lactose free but went back on milk as it didn't seem to make any difference.(not knowingly anyway)

I am taking sub lingual D3 with K2 .75ml (4000iu) every other day

B12 sublingual 1ml 1000mcg 3 times a week

Magnesium (sorry haven't got the bottle with me ) 3/4 nights a week

Zinc citrate 17.1mg about 4 times a week

The random dosing is because I am useless at remembering when to take things.

Last time I increased my dose of Levo to 100mcg I started getting palpitations which now won't go away. I have tried to isolate what sets it off but it is very random and at a rough guess it could be something to do with the HRT (1mg a night Levo in the morning) or stress.

[SlowDragon Administrator in reply to Dizzy938]

Rather than just B12

Suggest you change to 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 maintain 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....

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

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)

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

How other member saw how effective improving low B vitamins has been

healthunlocked.com/thyroidu...

Well the palpitations can be due to being UNDER MEDICATED

Suggest you get a fitness watch that does ECG too

Could be ectopic beats, again may improve with increasing dose levothyroxine

Perhaps try 87.5mcg daily

Adding 1/2 a 25mcg tablet daily

Retest in 6-8 weeks

[Dizzy938]

Thank you Slow Dragon that is nice and clear. I will go for the small tablets as I do have trouble swallowing. If I do them after breakfast can I take the zinc and selenium at the same time? It was some time ago that I was given the 1mg levo to take and didn't know about Teva not always being agreeable, also I was just told to up the dose and went straight on to 1mg so perhaps that had something to do with the palpitations. Thank you so much for your help.