Medichecks review for undiagnosed Dad

[ZDA23]

Hi, I posted a few days ago about my Dads medichecks results in 2021. healthunlocked.com/thyroidu...

Below is a screenshot of his new results. What would be your next steps be (apart from Vit D supplement!).

[SlowDragon Administrator]

Give a copy of these results to his GP

Request GP retest thyroid levels in 6-8 weeks

Meanwhile improving low vitamin D

GP should prescribe 1600iu everyday for 6 months

NHS Guidelines on dose vitamin D required

ouh.nhs.uk/osteoporosis/use...

GP will often only prescribe to bring vitamin D levels to 50nmol.

Some areas will prescribe to bring levels to 75nmol or even 80nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

But improving to around 80nmol or 100nmol by self supplementing may be better

pubmed.ncbi.nlm.nih.gov/218...

vitamindsociety.org/pdf/Vit...

Once Improve level, very likely he will need on going maintenance dose to keep it there.

Test twice yearly when supplementing

vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.

There’s a version made that also contains vitamin K2 Mk7.

One spray = 1000iu

amazon.co.uk/BetterYou-Dlux...

perhaps initially 2000iu daily

It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average

Retest in 3 months

Might need higher dose in winter than summer

Vitamin D and thyroid disease

grassrootshealth.net/blog/t...

Vitamin D may prevent Autoimmune disease

newscientist.com/article/23...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Interesting article by Dr Malcolm Kendrick on magnesium

drmalcolmkendrick.org/categ...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

Starting levothyroxine - flow chart

Two tests with TSH over 5

gps.northcentrallondonccg.n...

[TiggerMe]

As SD says, time to involve his GP and check that they accept these results, some of them absolutely refuse to acknowledge anything but NHS lab result 🙄... if not you need to get them to retest him asap as they are unlikely to start treating him until he has had 2 consecutive above range TSH results and they often like to leave 3 months between retesting

p.s. make sure he only agrees to blood tests before 9am, else chances are his TSH will drop within range later in the day 🤗 you'll be wasting your breath explaining that to the receptionist so make sure he has another reason like transport issues or other commitments 😉 perhaps you book it for him?