Hello everyone,I posted a while ago and I now have my private blood results for thyroid through blue horizon which I will include below. Hopefully someone can help me decipher them a little better.
I didn't take my levo for a little over 24 hrs, no food and just a little water before test at 7am. I have taken 150mcg levo for 4 yrs now.
But the gp rang me due to my FSH hormone results being sky high at 44.8. He says all my symptoms are due to menopause. He says there is no correlation with my thyroid.
He prescribed me folic a is a few weeks ago because my folate was low and I have been on prescribed vitamin D for years.
I do not disbelieve I am menopausal because i know i am but some of my symptoms just do not seem to be true completely to that alone. Apart from hot flashes, missing periods, insomnia I also have :
Dizziness,
Weak arms and legs after dizziness,
Fast pulse,
High blood pressure at times
I also have metabolic syndrome and my lipids/cholestral are very high results.
My thyroid test results were:
CRP HIGH 7.20 <5.0 mg/L
Ferritin 24.2 13 - 150 ug/L
Magnesium 0.94 0.7 - 1.0 mmol/L
Hormones
Cortisol (Random) 428.0 6am - 10am 166 - 507 nmol/L New range
4pm - 8pm 73.8 - 291
Thyroid Function
TSH 0.62 0.27 - 4.20 mU/L New range & unit
T4 Total 139.0 66 - 181 nmol/L
Free T4 19.3 12.0 - 22.0 pmol/L
Free T3 4.51 3.1 - 6.8 pmol/L New range
Immunology
Anti-Thyroidperoxidase abs 27 <34 IU/mL New units
Anti-Thyroglobulin Abs 19 <115 IU/mL New units
Vitamins
Vitamin D (25 OH) 56 Optimal 75-200 nmol/L New range
Adequate 50-<75
Insufficient 25 -<50
Deficient <25
B12-Active 51.2 37.5 - 150 pmol/L New range
Serum Folate 38.80 8.83 - 60.8 nmol/L
Many thanks in advance.
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Demitria
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Serum ferritin level is the biochemical test, which most reliably correlates with relative total body iron stores. In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency.
Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing. It’s possible to have low ferritin but high iron
Test early morning, only water to drink between waking and test. Avoid high iron rich dinner night before test
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
We have received further information the lab about ferritin reference ranges. They confirm that they are sex dependent up to the age of 60, then beyond the age of 60 the reference range is the same for both sexes:
Males 16-60: 30-400 ug/L
Female's: 16-60: 30-150
Both >60: 30-650
The lower limit of 30 ug/L is in accordance with the updated NICE guidance and the upper limits are in accordance with guidance from the Association of Clinical Biochemists. ‘
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement
Once you finish folic acid prescription……start on daily 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
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
Hi there, Thank you for replying with all that info. Much appreciated. I'm a little foggy about the vitamins I need to get but I will have a slower read through it all again.
Am I right in saying that the folic acid isn't much help without other vitamins?
I will increase my vitamin d to 2 tablets a day and hopefully that should help.
I am not vegan or vegetarian and do not follow gluten free diets either.
I am rhesus negative blood group A and have been aware of how it feels to be anaemic when I've had my pregnancies before. I would say that my symptoms could very well be down to poor vitamins.
I did ask the gp of it is Hashimotos which caused my thyroid issues and he said lost likely.. is there other supplements for this or like you say, if I get sorted with the vitamins then hopefully I will feel better.
Am I right in saying that the folic acid isn't much help without other vitamins?
The various B vitamins are a "family" - taking just X or Y can upset the apple cart e.g. high folate can mask B12 deficiency. Personally I detest folic acid, it's inactive and needs very good liver function to do the conversion to something useful.
CRP HIGH 7.20 <5.0 mg/L that means you have too much inflammation going on - it's likely your liver is a bit stressed - poor conversion also points to that I think, plus at the moment your liver has the menopausal hormone "dance" to deal with.
There are many botanicals (in various forms e.g. tinctures/teas) that can help with inflammation. (If you use them), ditching any omega 6 polyunsaturated oils would also help - broadly speaking Omega 6 = pro inflammatory, Omega 3 = anti inflammatory (but I would argue the point with myself when it comes to farmed salmon because (sadly) their diet is disgusting).
Just to mention, B vits are synthesised in our guts (where also more neurotransmitters are made then in the brain). Eating inulin rich foods (e.g. onions etc) gives PREbiotic nourishment to create a good/better environment for PRObiotic substances to thrive.
Thank you for your response. I am a little confused, I'm not going to lie because I also have the menopause situation too and wonder about supplements for that too.
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