I’ve not been on here in a very long time as I’ve had a lot of family issues. But I’ve had a lot of health problems of late like tiredness, sleep problems etc. so spoke to a new doctor and she suggested I do some bloods.
I was wondering if there was someone who could shine a light on them for me please??
the bloods were taken at 8am with no Levo for 24 hours before. I take 100mcg of Levothyroxine, am a vegetarian, gluten free too.
Here are my results:
Serum thyroglobulin level is 0.1 ug/L
reference range ( 3.5 - 77.0 )
Thyroglobulin autoantibodies was 4000 iu/mL
reference range is ( 115.0 )
TSH was 0.07 mu/L
reference range ( 0.27 - 4.2 )
T4 level 19.7 pmol/L
reference range ( 12.0 - 22.0 )
Thyroid peroxidase ab's is 600 ku/L
reference range ( 34.0 )
Serum vitamin B12 level 219 ng/L
reference range ( 197.0 - 771.0 )
Serum folate level 2.9 ug/L
reference range ( 3.0 - 20.0 )
Serum ferritin level 43 ug/L
reference range ( 13.0 - 150.0 )
any help would be greatly appreciated
Xx
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HappyBadger
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Was FT3 tested? It’s really helpful to have this alongside FT4 to see how well you are converting. Do you have readings for vitamin D? This is another key vitamin to support thyroid health.
Optimising key vitamins is really important with Hashimotos (antibodies show you are positive for this auto immune condition).
I aim for Folate to at least half way through range (yours is actually below range) I managed to raise my level using Thorne Basic B.
Likewise, I aim for Ferritin to be half way through range (Some point to 90-110ug as optimal) Look to improve your intake of iron from food in the first instance(I know this is more difficult to achieve in vegetarian diets). This website is useful:
I looked at your previous post, where you were given great advice about improving key vitamins by the late (& greatly missed) Seaside Susie and others. It’s often worth rereading posts; I do this a lot myself!
If your GP doesn’t test FT3/ vit D, you need to look to test privately (as many members do, myself included).
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.
As Vegetarian or vegan likely to need ongoing separate B12 at least 3-4 times a week, or possibly daily
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
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
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
If taking iron supplements, stop 5-7 days before test
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.
Thank you for your incredible patience while you have been awaiting the outcome of our ferritin reference range review. We conducted this with Inuvi lab, which has now changed the reference ranges to the following:
Females 18 ≤ age < 40 30 to 180
Females 40 ≤ age < 50 30 to 207
Females 50 ≤ age < 60 30 to 264
Females Age ≥ 60 30 to 332
Males 18 ≤ age < 40 30 to 442
Males Age ≥ 40 30 to 518
The lower limits of 30 are by the NICE threshold of <30 for iron deficiency. Our review of Medichecks data has determined the upper limits. This retrospective study used a large dataset of blood test results from 25,425 healthy participants aged 18 to 97 over seven years. This is the most extensive study on ferritin reference ranges, and we hope to achieve journal publication so that these ranges can be applied more widely.
My GP has been prescribing ferrous sulfate 200mg once a day and folic acid 5mg one a day. He only prescribed these because I was adamant that I was low. These don’t seem to be doing much for me though. I was taking the Thorne basic B but the GP said I should stop as my b12 was getting too high.(nowhere near the top of the range) oh and I was as told my calcium level was high too.
I’m now seeing a different GP on Monday to discuss all my thoughts on my vitamin levels and thyroid levels. And I’m going to ask for a Vitamin D test too.
I had very low iron levels several times, my ferritin dropped to 6, I was taking iron tablets through much of my childbearing years. I was prescribed ferrous fumarate 3 times a day, iron sulphate can be really harsh on the digestive system, with wind and bloating very common.
Ferrous fumarate is better tolerated and there is also ferrous gluconate, which is gentler still. You will probably need more than one tablet a day to get levels up.
Just spotted something to add to your list when you talk with your GP. You mentioned high calcium levels - could point to a parathyroid issue (not thyroid, another set of glands nearby) you would need to have parathyroid hormone levels tested in the same blood draw as calcium and vit D to see their relationship to each other as they interact. I am not well versed on this but was something pointed out to me in one of my own posts. If you can face some more reading (I can see admins have already given you lots of work to do 😁) I found this site quite informative. hyperparathyroiduk.com/
Likely the worst issue you are facing is low/deficient vitamin levels.
B12 & ferritin do suffer particularly if not eating meat.
For B12, start with a methyl B12 sublingual spray or lozenge for a week, then add a good B complex. Once you run out of the separate B12 and you know your level is good just continue with the B complex.
What a phenomenal connection. Thank you for sharing it with us. When I'm not on enough T3 I get lower back discomforts. And when I add 5mcg T3 I feel like it's all gone the discomforts. Thank you again for this information.
Your TG and TPO antibodies are quite high. You won't feel well while nursing Hashimotos. If you can't get testing for common food allergies, you could try dropping gluten, dairy, and soy from your diet to see if the antibody levels drop.
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