I am a 59 year old, 74Kg male, with no other comorbidities except mild lifelong well controlled Asthma.
The tests on 10/01/2024 where all taken using the guidance given here, of no levy for 24 hours prior and no food/drink ETC before the test. The previous tests may not have been in full compliance with this guidance. I take no supplements.
My latest results are.
18/12/23 by MonitorMyHealth (NHS Lab)
Range
FT3 4.2 (3.1 – 6.8 pmol/L)
FT4 20.5 (10.5 – 22 pmol/L)
TSH 2.78 (0.27 – 4.2 mIU/L)
Vit D 61 nmol/L
HB 165 g/L
Ferritin 120 ug/L
Active B12 84 pmol/L
Folate 6.9 ug/L
TPO 9 IU/mL
10/01/24 by GP, and MonitorMyHealth
GP. MMH Range
FT3 4.4. (3.1 – 6.9)
FT4 20.5 19.2. (10.5 – 22 pmol/L)
TSH 2.77 2.98 (0.27 – 4.2 mIU/L)
Ferritin 115 ug/L
Vit B12, Serum 343 ng/L
Folate 6.9 ug/L
My main signs & symptoms since around November have been:
• Tinnitus all waking hours.
• constant mild headache
• Constant muscle aches, joint aches
• Constant brain fog, unable to focus.
• Constant mild stomach-ache with occasional waves of nausea.
• Feeling cold but I suddenly overheat on exertion and feel quite ill.
I never suffered any of the above before suffering Subacute Thyroiditis in Sept 2021, with the exception of occasional tinnitus, when I was off colour.
I volunteer at a steam museum one day a week, the next day I am completely wiped out and unable to function.
So far I felt my best in June 2023 with none of the above signs and symptoms on 75mcg of Levo.
22/06/22 by MonitorMyHealth
FT3 3.9 (3.1 – 6.9)
FT4 21.4 (12.0 – 22.0)
TSH 1.56 (0.27 – 4.2)
In July in agreement with my GP I undertook a controlled T4 reduction with not good results. reduced from 75mcg Levo to 25mcg before resuming to 75mcg on 15/11/23. I am currently on 50mcg of Accord (every month) & 25mcg of Wockhardt (last 2 months) per day, taken at night.
15/11/23022 by MonitorMyHealth
FT3 4 (3.1 – 6.9)
FT4 16.5 (12.0 – 22.0)
TSH 12.9 (0.27 – 4.2)
Strangely my T3 increased slightly but I felt terrible, and I still do. All the other bloods my GP did on the 10/01/2024 are all normal except for
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement and a week 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
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
Post discussing how biotin can affect test results
I take my Levo around 22:00, I followed your advise of moving the evening dose to the morning preceding the test day and then dose immediately after the blood draw ETC.
I am a huge supplement fan. B12's, D and C along with a dozen others, including BLACK SEED (Nigella sativa). I can not take thyroid synthetics so had to design my own treatment for my thyroid.
If you are reliant on levothyroxine can't help much as I was mis diagnosed and put on that and it almost killed me. It took me months to get my body balanced after the damage that it did to me. Just me. I was allergic to that medicine apparently. I digress. My vitamin and mineral levels were all over the place after only a few days and I had to increase all supplements and vitamin to even try to get out of bed.
I use powder supplements mixed with water in a jar ... drink the 1/3 of the jar three times a day. Start slowly with low amounts of ALL the supplements and increase over time to what is your optimum amount. Example ... some people need more B12, some more MSM, iodine, etc. Do your research and don't be afraid of asking questions. There are some excellent people and sites to assist with supplements and vitamins on the web.
Black seed is what I used for my thyroid issues. I put the seeds (or oil) in yoghurt in the morning arvo and or evening with my b12 powder (above what is in the jar). Age and pain zaps my energy and Queen Bee honey and 12s gets me going again.
Just remember if you have had any XRAYS dental work, etc it does effect your thyroid and you will get a horrible reading if bloods are taken before your body can bounce back from the RFs emitted from those.
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The results are in! 
Could somebody help me to interpret my blood test results?
TSH and FT4 blood test results over 10 year period - advice/recommendations appreciated?
FT3 at bottom of range
