Thyroid and peri-menopause: Hi, I've had some... - Thyroid UK

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Thyroid and peri-menopause

Probiotic profile image
4 Replies

Hi,

I've had some blood tests done since I started peri-menopause. The symptoms causing me the biggest problems is lack of appetite with brain fog/depression but these symptoms aren't constant but fluctuate. One week I'm buzzing with physical and mental energy and big appetite and another week I have no appetite, no energy and brain fog/depression and wanting to curl up into a ball.

My last TSH result was 3.88mU/L (0.27 - 4.2) range

My last T4 result was 11.6 pmo/L (10.5-24.5) range

Serum Ferritin 12ug/L (up from 8ug/L) (30 - 400)

Other notable results

Red blood cell count 4.84 (3.8 - 4.8)

Red blood cell distribution width ( 16.5% (11.6 - 14)

My biggest priority is to raise my ferritin levels without getting constipation until I get further medical diagonosis. I read on here about BERSERKER Desiccated Beef Liver capsules and wondered if this would be a good source, I currently am taking Ferroglobin capsules but have had to stop because of lack of appetite and they cause constipation.

I would be grateful for any insight on the above.

Many thanks

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4 Replies
SlowDragon profile image
SlowDragonAdministrator

Your GP should be doing full iron panel test for anaemia

Any obvious reason for very low ferritin

Heavy periods?

Vegetarian or vegan?

cks.nice.org.uk/topics/anae...

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

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...

healthunlocked.com/thyroidu...

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. ‘

SlowDragon profile image
SlowDragonAdministrator

Ft4 level is low

For full Thyroid evaluation you need TSH, FT4 and FT3 tested

Also both TPO and TG thyroid antibodies tested at least once

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

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

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Only do private testing early Monday or Tuesday morning.

Link about thyroid blood tests

thyroiduk.org/testing/thyro...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism

thyroiduk.org/signs-and-sym...

Tips on how to do DIY finger prick test

See detailed reply by SeasideSusie

healthunlocked.com/thyroidu...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

Hedgeree profile image
Hedgeree

Hi Probiotic,

Welcome to the forum 😊

You've come to the right place for support and guidance. Admin and forum members have much lived experience of thyroid issues. SlowDragon has given you a lot of information and links to consider.

I would also want to curl up into a ball with a ferritin level of 12ug/L! You probably feel quite symptomatic with such low ferritin. I know how unwell I feel with ferritin in low 30's part of range and the challenge of trying to increase and maintain levels.

As SlowDragon has mentioned many on the forum have had success raising their ferritin with the Three Arrows supplement. You can read some relevant posts as SlowDragon has provided links to them.

Best wishes.

Probiotic profile image
Probiotic

I've had some private bloods done. Notable results are:-

T3 2.97

T4 0.87

TSH 7.17

Oestradial 1802

LH 12.2

B12 432

Ferritin venous 47.9

Serum Iron FE 3.99

CRP 65.21

ALT 51.5

eGFR 76.3

I have been bleeding quite heavily and the 3 arrows super heme iron capsules stuff me up with constipation after a few days... I've been eating chicken livers..

I've got a private consultation with a menopause specialist GP at Harley Street on Monday and I had an ultrasound which was clear regarding endo, fibroids, cysts, cancer.

Advice appreciated

Thanks

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