Latest results help please

[Mostew]

above monitor my health couple of weeks ago

just had TSH DONE AT GP . It’s 2.15. Range .035. To 4. 94

Wonder if I should try 50 instead of 75 mg Levo thyroxine to see if I’m feeling less easily stressed . ( Not normal for me )

I will discuss with Gp but sure he will think I’m fine !,

thanks

[Jaydee1507 Administrator]

What makes you think you need less Levo?

Your FT4 is at the top of the range but did you remember to leave 24hrs between last Levo dose & blood test? If you didnt then this is a false high.

Your TSH is over 1. Most people feel well when their TSH is at or just under 1.

How are you vitamin results looking, can you post them here?

What are you supplementing with?

[Mostew in reply to Jaydee1507]

I did leave 24 hours .Results below.

I do find it complicated !!!

[Jaydee1507 Administrator in reply to Mostew]

Are you a small person? 75mcgs and 50mcgs are small doses.

So what are your vitamin results and what supplements are you taking? These things are extremely important.

[Mostew in reply to Jaydee1507]

Yes only 5ft. And small boned , slim ……

[Jaydee1507 Administrator in reply to Mostew]

I cant see any vitamin results...

[Mostew in reply to Jaydee1507]

Someone suggested it might be a thought to lower dose a couple of weeks ago

Gp test done a couple of days ago

Serum TSH level 2.15 mu/L [0.35 - 4.94]

Ferritin

Serum ferritin level 54 ug/L [23.0 - 300.0]

Comment Ferritin < 15 ug/L may be indicative of iron deficiency.

Levels <30 ug/L can also be associated iron deficiency but are

less specific. Ferritin is an acute phase protein. Levels may

be raised in inflammatory states, kidney or liver disease and

malignancy. In these states a level within the reference range

cannot exclude iron deficiency.

B12 & serum Folate

Serum vitamin B12 level 360 ng/L [187.0 - 883.0]

Serum folate level 13.8 ug/L [3.1 - 20.5]

B12 Comment Total B12 level > 300 ng/L: Vitamin B12

deficiency unlikely. HoloTC not performed.

All tests for vitamin B12 should be

interpreted in conjunction with

haematological and clinical findings.

Neurological features of Vitamin B12

deficiency can occur without anaemia.

General Information

Service Type: New

Status: Unspecified

Provider Report ID: 2361450299 RM100 075

[pennyannie]

Hey there :

You are on a low dose of T4 already and dropping your T4 will lower your already low T3 :

It looks like you are not converting the T4 to T3 -

Do you have any current ferritin, folate, B12 and viamin D readings and ranges ?

We generally feel best with a TSH at least under 2 and realistically below 1 and towards the bottom of the range where it sits when optimally medicated.

With a T4 just over range at 22.20 and a T3 at 4.30 your conversion is coming in at around 5.20 and the accepted ratio is said to be 1 / 3.50 - 4.50 -T3/T4 - with most people feeling at their best when they come in this ratio at 4 or under.

I wonder because of your other health issues if liquid T4 could be a better option ?

[Mostew in reply to pennyannie]

Above meant for you !!

[pennyannie in reply to Mostew]

I'm sorry but I can't see what you are referring me to :

[Mostew in reply to pennyannie]

Sorry think I better leave answering everyone till later. Doing to many things at same time ….

[pennyannie in reply to Mostew]

Ok then - no worries :

[Mostew in reply to pennyannie]

So possibly liquid t4 to absorb better?

[pennyannie in reply to Mostew]

Well - I'm not sure of the implications of your other health issues but yes - liquid T4 will be much more easily absorbed.

It will be more expensive than the tablets and not sure if it requires a referral to an endocrinologist - but seems the logical first step as you are only on a tiny dose of T4 and already over the reference range.

OK - just seen you have now included some vitamins and mineral results. :

Everywhere I researched when my ferritin came in at 22 - stated that ferritin needs to be at least over 70 for any thyroid hormone to work well : I now aim for around 100 :

Your serum B12 is too low - this too neds to be maitained at optmal -

I now aim for around 500++ ( active B12 - 75 ++ )

Folate - I aim for around 20

and for vitamin D which I can't see here I aim for around 100:

[Mostew in reply to pennyannie]

Thanks . Think ill ask to see specialist...Vit D was 120 last time and i take a good high suppliment.

Ill try and up my folate and b 12

Got appountment with my ayervadic practitioner soon so will discuss with her what s best

[helvella Administrator]

Even if you did need to change your levothyroxine dose, up or down, I suggest you avoid such great leaps as 33% less (down to 50) or 33% more (up to 100).

Far more sensible to adjust by the smallest amount you can when you are anywhere near a reasonable dose. For example, down 16.7% to 62.5 or up 16.7% to 87.5.

This can be achieved by splitting 25 microgram tablets, or alternating dose (50 and 75, or 75 and 100). Some, like me, prefer to avoid alternating but others seem to have no issues with doing that.

Heavy-handed changes - whether decided by you or by a doctor - are a really major issue which can result in many months of problems.