Help with blood results

[giggy63]

These are my blood results ftom 16th jan 24 could anybody give any advice on them. Been feeling tired and achey the last few weeks! Many thanks...

[Jaydee1507 Administrator]

Can you post a clearer image? Struggling to read this one.

[giggy63 in reply to Jaydee1507]

Sorry

Sorry bout that.

[Jaydee1507 Administrator in reply to giggy63]

You don't say what dose you are on.

Did you allow 24 hours between last dose of levo and blood test?

Free T4 (fT4) 20.8 pmol/L (12 - 22) 88.0%

Free T3 (fT3) 4.8 pmol/L (3.1 - 6.8) 45.9%

Your FT3 was higher a year ago but not sure what doses the results relate to. You may need a dose increase.

Your CRP is quite high. Is there a reason for that? It will be throwing your ferritin result off so that although it looks good it may not be.

Other vitamins looking good.

[giggy63 in reply to Jaydee1507]

Ime on 150mcg levo and did wait 24hrs before. I also have arthritis and have a cold..

[Jaydee1507 Administrator in reply to giggy63]

You could try a 12.5mcg increase if GP will agree to it.

Omega 3 is good for arthritis and inflammation.

[Poppycat999 in reply to giggy63]

Hi Giggy63 If your TSH is 0.006 l thought that meant you are on too high a dose of levothyroxine but everyone seems to be saying increase your dose I'm totally confused now.

My endo lowered my levothyroxine as my TSH was 0.99 mind you l dont feel so good TSH now 1.9

Just thought l would let you know

[SlowDragon Administrator]

How long ago did you learn your hypothyroidism was autoimmune (hashimoto’s)

Assuming you aren’t yet on gluten free diet

Has GP done coeliac blood test

If not get tested BEFORE considering trial on strictly gluten free diet

As per NICE guidelines

nice.org.uk/guidance/ng20/c...

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances.

Most common by far is gluten.

Dairy is second most common.

A trial of strictly gluten free diet is always worth doing

Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential

A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies

While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first

Assuming test is negative you can immediately go on strictly gluten free diet 

(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially) 

Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

drknews.com/changing-your-d...

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

pubmed.ncbi.nlm.nih.gov/296...

The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported

nuclmed.gr/wp/wp-content/up...

In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned

restartmed.com/hashimotos-g...

Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.

Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial

With loads of vegan dairy alternatives these days it’s not as difficult as in the past

Post discussing gluten

healthunlocked.com/thyroidu...

Personally I found dairy free has significantly helped with weight loss

[giggy63 in reply to SlowDragon]

Thank you. Ive known since 2017 i have hashis. Was tested for coeliac many years ago but can this change because it was negative at the time!

[SlowDragon Administrator in reply to giggy63]

I wouldn’t bother retesting

But instead consider starting on strictly gluten free diet

You might be astounded

[giggy63 in reply to SlowDragon]

Thank you so much i will do..

[TiggerMe Ambassador]

Mostly good... but you aren't converting to fT3 very well, could be that the cold has hampered this? Perhaps up your Vit D a little aiming for 100-150 🤗

[giggy63 in reply to TiggerMe]

Thank you all soooo much...

[giggy63 in reply to TiggerMe]

Is it worth trying a small amount of t3?

[TiggerMe Ambassador in reply to giggy63]

Do you have some?

[giggy63 in reply to TiggerMe]

No but maybe if someone pm me i might be able to purchase some?

[TiggerMe Ambassador in reply to giggy63]

If I were you I'd request a referral to see an Endo, ask Thyroid UK to send you the list and you can then name the one you would like to be referred too

[giggy63 in reply to TiggerMe]

Thank you.

[Jaydee1507 Administrator in reply to giggy63]

Be very wary buying T3 without prescription. You may just need a small Lev o dose increase as your results really aren't that far off.

⚠️ IMPORTANT! When you receive a message with a recommendation, please do not assume it is genuine!

Scammers are joining the forum on a very regular basis and messaging members with their assertions that they have successfully purchased xyz medication from zyx source.

First, do check the profile of the member that sent you the message. (You can find their profile by searching for their name in the member list here healthunlocked.com/thyroidu...

Are they a long term member with an active forum posting history? (Just be cautious and check with admin)

Or are they a recently joined member with little or no posting history? (Do be very suspicious and check with admin)

**** Scammers even join our forum and post a 'fake' story about their thyroid journey, that includes mention of self sourcing their thyroid meds. This is to encourage members to ask them where they purchase their medication without prescription.****

-------

Once you have what you think may be a genuine recommendation, you are strongly encouraged to message an Admin to ask whether the admin team have any feedback on the source you've been given.

Please also tell admin the member name/s that messaged you so that we can check them out if necessary.

Admins are not allowed to recommend sources, but we can tell you what, if any, feedback we've received about the source you've been given.

⚠️ Don't part with your much needed money until you are as sure as you can be that the source is genuine.

Read the full post: healthunlocked.com/thyroidu...

[giggy63 in reply to Jaydee1507]

Thank you for that..