Advice please.

[lisan1]

Advice again please? On 87.5 t4

TSH 0.23(0.4-4.2)

Ft3 4.2 (3.5-6.5)

Ft4 15 (12-23)

What to do with TSH under range? Do you guys think it would be good idea to try 75t4 and add 5 T3 back in?

[SlowDragon Administrator]

you need next increase in Levothyroxine

Up to 100mcg daily

Retest in 6-9 weeks

Previous post

healthunlocked.com/thyroidu...

What are your vitamin results

[lisan1 in reply to SlowDragon]

Am supplementing vit D and iron to raise levels.

[SlowDragon Administrator in reply to lisan1]

Iron at least 4 hours away from Levothyroxine and 2 hours away from vitamin D tablets

Vitamin D mouth spray can be only an hour away from Levothyroxine. Tablets at least 4 hours

Retest vitamin D twice year when supplementing

How much vitamin D are you taking

Retest full iron panel 3-4 times a year if self supplementing iron

[lisan1 in reply to SlowDragon]

Just got these iron levels Iron 17

Ferritin 38

Tibc 65

Didnt get any ranges

[SlowDragon Administrator in reply to lisan1]

Did you test iron early morning, fasting, avoiding iron rich food day before test and stopping iron supplements 5-7 days before test

Ferritin is low

Can’t say for others without ranges

Medichecks iron panel test

medichecks.com/products/iro...

Look at increasing iron rich foods in diet

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

List of iron rich foods

dailyiron.net

Links about iron and ferritin

irondisorders.org/too-littl...

davidg170.sg-host.com/wp-co...

Great in-depth article on low ferritin

oatext.com/iron-deficiency-...

drhedberg.com/ferritin-hypo...

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.

healthunlocked.com/thyroidu...

Posts discussing Three Arrows as very effective supplement

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Iron patches

healthunlocked.com/thyroidu...

Thyroid disease is as much about optimising vitamins as thyroid hormones

healthunlocked.com/thyroidu...

restartmed.com/hypothyroidi...

Post discussing just how long it can take to raise low ferritin

healthunlocked.com/thyroidu...

Iron and thyroid link

healthunlocked.com/thyroidu...

Posts discussing why important to do full iron panel test

healthunlocked.com/thyroidu...

Good iron but low ferritin

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Chicken livers if iron is good, but ferritin low

healthunlocked.com/thyroidu...

Shellfish and Mussels are excellent source of iron

healthline.com/nutrition/he...

Iron deficiency without anaemia

healthunlocked.com/thyroidu...

Ferritin over 100 to alleviate symptoms

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Great research article discussing similar…..ferritin over 100 often necessary

ncbi.nlm.nih.gov/pmc/articl...

Low Iron implicated in hypothyroidism

healthunlocked.com/thyroidu...

Ferritin range on Medichecks

healthunlocked.com/thyroidu...

Inflammation affecting ferritin

healthunlocked.com/thyroidu...

Updated reference ranges for top of ferritin range depending upon age

healthunlocked.com/thyroidu...

Thank you for your incredible patience while you have been awaiting the outcome of our ferritin reference range review. We conducted this with Inuvi lab, which has now changed the reference ranges to the following:

Females 18 ≤ age < 40 30 to 180

Females 40 ≤ age < 50 30 to 207

Females 50 ≤ age < 60 30 to 264

Females Age ≥ 60 30 to 332

Males 18 ≤ age < 40 30 to 442

Males Age ≥ 40 30 to 518

The lower limits of 30 are by the NICE threshold of <30 for iron deficiency. Our review of Medichecks data has determined the upper limits. This retrospective study used a large dataset of blood test results from 25,425 healthy participants aged 18 to 97 over seven years. This is the most extensive study on ferritin reference ranges, and we hope to achieve journal publication so that these ranges can be applied more widely.

Costs of iron infusion 2024

healthunlocked.com/thyroidu...

Cambridge iron clinic

cambridgeironclinic.com

[lisan1 in reply to SlowDragon]

Just managed to get the rangesTibc 47-80

Iron 9-34

Ferritin 10-291

[SlowDragon Administrator in reply to lisan1]

Changed bottom of ferritin range to 30

(as per NICE guidelines)

Ferritin 38 ug/L (30 - 291) 3.1%

Iron  17  (9 - 34) 32.0%

TIBC 65  (47 - 80) 54.5%

[lisan1 in reply to SlowDragon]

Would it be safe for me to supplement iron with these results?

[SlowDragon Administrator in reply to lisan1]

yes

Retest after 3-4 months

TIBC

webmd.com/a-to-z-guides/wha...