Thyroid results

[Rockingdog54]

Hi I've struggled years with an underactive thyroid I have just received latest results wondered if anyone can help

[Jaydee1507 Administrator]

Well thats just a TSH & FT4 and we do really need to see a full thyroid panel of TSH, FT4 & FT3 for a true picture of whats happening. All that said though and your TSH is far too high and FT4 too low although no reference range is shown.

What hormones are you taking currently?

What supplements are you taking?

What are your latest results for ferritin, folate, B12 & D3?

[Rockingdog54 in reply to Jaydee1507]

They gave me 5mg folatè 2 days.ago i havingprìvàte.test tomorrow in çase its pernicious añemia

Filè

[Jaydee1507 Administrator in reply to Rockingdog54]

Are you on levo or NDT? Whatever you are on you need an increase!

If they are investigating pernicious anaemia I assume your B12 is low?

[Rockingdog54 in reply to Jaydee1507]

B12

Ptd

[Jaydee1507 Administrator in reply to Rockingdog54]

Low folate wouldnt indicate PA.

So how have your thyroid levels got so low and what are you taking?

[Rockingdog54 in reply to Jaydee1507]

I take 150 mcg thyroxine daily

[Jaydee1507 Administrator in reply to Rockingdog54]

So what has changed inbetween May when your levels although not optimal were much lower, and now?

How do you take your Levo? Its suggested to take on an empty stomach 1 hour away from food or caffeine containing drinks.

[SlowDragon Administrator]

on replacement thyroid hormones we should be on high enough dose for TSH to always be below 2

Many (Most?) people when adequately treated will have TSH around or under 1

On just levothyroxine Ft4 at least over 60-70% through range

Ft3 at least 50-60% through range

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 or NDT - day before test split T3 as 2 or 3 smaller doses spread through the day with last dose 8-12 hours before test

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Only do private testing early Monday or Tuesday morning.

Link about thyroid blood tests

thyroiduk.org/testing/thyro...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism

thyroiduk.org/signs-and-sym...

Tips on how to do DIY finger prick test

See detailed reply by SeasideSusie

healthunlocked.com/thyroidu...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

[Catseyes235]

I hope you’re receiving treatment I.e. replacement thyroxine as well for your hypo symptoms !, it is going to take a while to recover so you’ll have to be patient…wishing you the best..

[Rockingdog54 in reply to Catseyes235]

Thank you so much x

[SlowDragon Administrator in reply to Rockingdog54]

B12 on low side

What are most recent vitamin D, folate, ferritin results

What vitamin supplements are you taking

[Rockingdog54 in reply to SlowDragon]

Totally confused I don't take vitamin

Results

[SlowDragon Administrator in reply to Rockingdog54]

On levothyroxine we must have GOOD vitamin levels

Many (most?) thyroid patients need to supplement vitamin D, magnesium, vitamin B complex

Low B12 symptoms

b12deficiency.info/signs-an...

methyl-life.com/blogs/defic...

With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement and a week later add a separate vitamin B Complex 

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

B12 drops

natureprovides.com/products...

Or

B12 sublingual lozenges

uk.iherb.com/pr/jarrow-form...

cytoplan.co.uk/shop-by-prod...

B12 range in U.K. is too wide

Interesting that in this research B12 below 400 is considered inadequate

healthunlocked.com/thyroidu...

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....

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) and continue separate B12

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

helvella.blogspot.com/p/hel...

[Rockingdog54 in reply to SlowDragon]

Thank you sooooo much I will have a good read x

[Rockingdog54 in reply to Rockingdog54]

I halve been given these

Pills

[SlowDragon Administrator in reply to Rockingdog54]

Prescription from GP presumably?

Start separate B12 first ideally before adding folic acid

Once your folic acid prescription finishes, take daily vitamin B complex instead