We'd be really grateful for any feedback on my husband's thyroid test results taken at 8.45am before breakfast. (Blue Horizon Gold). He has been diagnosed with chronic fatigue syndrome for 10 plus years and there is a history in his family of thyroid problems. We are trying to get a clearer picture of any underlying health issues as well as to identify nutrition and supplement needs.
Ferritin: ............................... 349 (Greek m g/L think that's micrograms?)
Normal range ( NR ) 30 - 400
CRP : .................................... 0.85 mg/L NR <5.0
Vitamin D (25OH) .......................... 22 nmol/L NR 50 - 200
TSH ...........................................1.79 mU/L NR 0.27 - 4.20
Free T3 .....................................4.4 pmol/L NR 3.1 - 6.8
T4 Total ....................................67.1 nmol/L NR 66 - 181
Free T4 .....................................18.2 pmol/L NR 12.0 - 22.0
Cortisol (random) .................320 nmol/L NR 73.8 - 507.0
Serum Folate ...........................11.90 nmol/L NR 8.83 - 60.8
Vitamin B12 ............................239 pmol/L NR 145 - 569
Magnesium ..............................0.97 mmol/L NR 0.66 - 0.99
Immunology
Anti-Throidperoxidse ............... <9.0 IU/ml NR <34
Anti-Thyroglobulin ..................... 11 IU/ml NR <115
Obviously the Vitamin D is very low, and we'd be very grateful for any comments and a possible next step forward. Many thanks.
Written by
Rainfern
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So, as you said, your vit D is very low. As is your vit B12. Both need supplementing.
Free T3 .....................................4.4 pmol/L NR 3.1 - 6.8
This is low-ish. Especially compared to your FT4:
Free T4 .....................................18.2 pmol/L NR 12.0 - 22.0
So, you don't convert very well. This could be due to your low vit D/B12, though. And might improve when those are optimised.
From your profile I gather that you don't have a thyroid diagnosis, and are not on any thyroid hormone replacement, is that correct? Well, despite the low T3, you don't appear to be hypo at the moment, and your antibodies are negative. I would say improve your nutrients and see if that improves your FT3.
Thank you greygoose. This is very helpful. My husband can now start on D and B12 supplements and I shall do the same as we eat the same (low meat) diet and if anything my husband spends more time outside in the light than I do.
My only question would be at what dose should we start and is there a particular brand you would recommend?
I don't know much about vit d, so can't advise you on what to take. If I were you, I'd write a new question asking just that.
For the B12 start with a sublingual methylcobalamin (B12) of 1000 mcg for a couple of weeks. There's not much choice as far as that goes, so whatever you can find. Then, add a B complex - Thorne basic B is a good one, or Igennus. Take the B12 plus the B complex until the B12 is all gone, then continue with the B complex.
Sorry, I got confused about who I was talking to, but you're asking for your husband, of course.
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement and a week or so 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
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 until over 500
Post discussing how biotin can affect test results
The present review of the literature regarding B12 status among vegetarians shows that the rates of B12 depletion and deficiency are high. It is, therefore, recommended that health professionals alert vegetarians about the risk of developing subnormal B12 status. Vegetarians should also take preventive measures to ensure adequate intake of this vitamin, including the regular intake of B12 supplements to prevent deficiency. Considering the low absorption rate of B12 from supplements, a dose of at least 250 μg should be ingested for the best results.3
Slow Dragon you are wonderful. Can’t thank you enough for sharing your knowledge and the work you’ve put in to this post. Husband very grateful and is making GP appt and will get started with vitamin D.
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