Blood results in. Can anyone help please?

[dalzell]

serum iron level 30.3 umol (10-30) HIGH

serum transferrin 2.6 (2.0 - 3.6)

transferrin saturation index 47.5 (<55)

serum sodium 140 mmol (133 - 146)

serum potassium 5.1 mmol (3.5 - 5.3)

serum chloride 103 mmol (95 - 108)

serum urea level 4.3 mmol (2.5 - 7.8)

serum creatinine 72 umol (45 - 84)

HbA1c 32.0 mmol (20 - 41)

serum albumin 44 g/l (35 - 50)

serum alkaline phosphatase 55 u/l (30 -130)

serum inorganic phosphate 0.75 mmol (0.8 - 1.5) LOW

serum calcium 2.25 mmol

serum adjusted calcium conc 2.28 mmol (2.2 - 2.6)

serum ferritin 75.5 ug/l (13 - 150)

serum total protein 65 g/l (60 - 80)

serum albumin 44 g/l (35 - 50)

serum total bilirubin 11.3 umol (<21)

serum alkaline phosphatase 55 u/l (30 - 130)

AST serum level 25 u/l (0 - 32)

serum ALT level 27 u/l serum gamma GT level 17 u/l (0 - 33)

serum free T4 level 14.5 pmol (12 -22)

serum TSH level 1.58 mU/l (0.27 - 4.20)

Bicarbonate not available for GP sources - serum free T3 level - its blank (don't think it has been tested??)

serum vitamin B12 710 ng (197 - 771)

serum folate 11.5 ug/l (3.0 - 26.8)

THANKS FOR READING - MRI shows I have small bilateral cysts on my thyroid. x

[SlowDragon Administrator]

So looking at other posts

You’re not currently diagnosed as hypothyroid nor on any replacement thyroid hormones

Are you currently taking any vitamin supplements

If yes, what exactly?

Approximately how old are you?

You need vitamin D tested

Possibly low as calcium is on low side

[dalzell in reply to SlowDragon]

Thanks for reply. No diagnosis other than cysts on thyroid. But my face is puffy around my eyes, feel very cold, no energy, body feels sore. Im on HRT and 54 this April. No vitamin supplements. Is vitamin D related to low calcium? I appreciate your help.

[TiggerMe]

Hello, welcome aboard

Your results all look pretty good apart from the high iron level

Doesn't look like the cyst is having much effect on your thyroid, your fT4 is on the low side, though this could be your normal but without knowing what your fT3 level is it doesn't tell us much as this is the active hormone

Do you have any symptoms?

[SlowDragon Administrator]

serum inorganic phosphate 0.75 mmol (0.8 - 1.5) LOW

Link showing low vitamin D linked to low phosphate

yourhormones.info/endocrine....

NHS easy postal kit vitamin D test £31 via

vitamindtest.org.uk

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

Test twice yearly via NHS private testing service 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...

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

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...

[SlowDragon Administrator]

NHS rarely tests Ft3

You also need both TPO and TG thyroid antibodies tested for autoimmune thyroid disease aka Hashimoto’s

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.

20% of Hashimoto's patients never have raised antibodies

healthunlocked.com/thyroidu...

Paul Robson on atrophied thyroid - especially if no TPO antibodies

paulrobinsonthyroid.com/cou...

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)

Medichecks or Blue horizon offer testing of BOTH antibodies

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

[SlowDragon Administrator]

Is vitamin D related to low calcium

Yes

ncbi.nlm.nih.gov/books/NBK5....

Vitamin D plays a crucial role in calcium homeostasis and bone metabolism. With chronic and/or severe vitamin D deficiency, a decline in intestinal calcium and phosphorus absorption leads to hypocalcemia, leading to secondary hyperparathyroidism