Have an appointment with a private Endo in Glasgow soon and am trying to interpret these results . Don't know if myTSH is low. but has been going down since 16 nov 22 what does this trend indicate if anything.
Results are as follows 6.52, 5.32, 0.87, 0.49 and my latest 0.43. Will hopefully have a new set of results from Medichecks in time for appointment.
TSH 01/08/2023 at 13.37 value 0.43 mU/L
free t4 17/01/2023 at 08.25am value 15.4
free t3 01/08/2023 at 13.37 value 4 pmol/L
Thyroid peroxidase antibody level 539 iu/ml
Vitamin b12 20/07/2023 at 14.10pm Value 1339pg/mL suspect this is indeed low though
Vitamin D 20/07/2023 AT 14.10 pm Value 61 nmol/L
Serum folate 20/07/2023 at 14.10pm value 4.12 ng/mL
Serum ferritin value 53.9 ng/mL
The only vitamin i am taking is 1000mg twice a day.
Thanks
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gerrycrilley1
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Sorry but we absolutely need ranges to make any sense of those results. You usually find the range in brackets after the result. Ranges vary from lab to lab, so we need the ranges that came with your results.
TSH 01/08/2023 at 13.37 value 0.43 mU/L
Does that mean that the blood draw was at 1.37 pm? If so, your TSH would be at around it's lowest point. It would have been higher before 9 am.
Thyroid peroxidase antibody level 539 iu/ml
I should imagine that is positive. I've never seen a top of TPOab range higher than that. So, you have Autoimmune Thyroiditis - aka Hashi's - did you already know that?
Vitamin b12 20/07/2023 at 14.10pm Value 1339pg/mL suspect this is indeed low though
The result is 1339? That is very high, not low. Do you supplement B12?
The only vitamin i am taking is 1000mg twice a day.
You don't say which vitamin you're taking, only how much.
ALWAYS do 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)
Suggest you work on improving low vitamin levels and then get TSH, Ft4 and Ft3 tested in 6 weeks
Ferritin extremely low for a bloke
Are you vegetarian or vegan
vitamin D is too low
Obviously 1000iu is not high enough dose
Suggest you increase to 3000iu daily
Retest in 3-4 months
GP will often only prescribe to bring vitamin D levels to 50nmol.
Some areas will prescribe to bring levels to 75nmol or even 80nmol
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)
Post discussing how biotin can affect test results
was just reading a link from sleepy bunny from PA society about different types of iron deficiency. Haemochromatosis runs In my family. My brother and sister both have the condition . Could this have a bearing on my symptoms. Think I need to get checked.
presumably you knew your hypothyroidism was due to autoimmune thyroid disease?
About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high thyroid antibodies
Autoimmune thyroid disease with goitre is Hashimoto’s
Autoimmune thyroid disease without goitre is Ord’s thyroiditis.
Both are autoimmune and generally called Hashimoto’s.
Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease
In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)
If not already on gluten free diet GP should do coeliac blood test
Has that happened
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances.
Most common by far is gluten.
Dairy is second most common.
A trial of strictly gluten free diet is always worth doing
Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential
A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first
Assuming test is negative you can immediately go on strictly gluten free diet
(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial
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Vits tested
Medication for subclinical hypothyroidism 
Can I discontinue Levothyroxine 50mg ? I started getting thyroid problems after taking antidepressants and mood stabilizers. Not taking now.
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