Advice on new bloods please: Hi, Can anyone... - Thyroid UK

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Advice on new bloods please

Purple450 profile image
5 Replies

Hi,

Can anyone give me their insight to my new bloods, correctly taken. I have an endo appointment tomorrow and have been on levothyroxine first 3 months Teva and now a month of Accord all at 50 micrograms.

Vitamin D 49 (50-200) insufficient

Magnesium 1.07 (0.66-0.99) high

CRP 1.71 (<5.0)

Active B12 40 (37.5-150)

TSH 1.59 (0.27-4.20)

Free T4 20.4 (12.0-22.0)

Free T3 4.8(3.1-6.8)

T4 Total 123.0 (66-181)

Anti-Thyroglobulin Abs 447 (<115) high

Anti-Thyroidperoxidase Abs 154.0 (<34) high

Cortisol (Random) 172.0 (166-507)

Any advice on these blood result would be great.

Thank you

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Purple450
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SlowDragon profile image
SlowDragonAdministrator

Last dose levothyroxine was 24 hours before test?

How do you feel

What vitamin supplements are you taking

Vitamin D and B12 too low

No folate or ferritin results

Have you had coeliac blood test yet

or are you already on strictly gluten free diet

Purple450 profile image
Purple450 in reply to SlowDragon

Yes last dose was more than 24 hours before test, 6:15 the morning before the test at 9am

I’m cold, tired aching joint, terrible cramp in legs, back ache and muscle spasms, dry skin and hair falling out. Brain fog also.

I’m now on vitamin D spray.

Folate and ferritin had haemolysed so no result.

Not had a coeliac blood test yet.

I’m not on a gluten free diet, nor am I vegetarian.

I thought my hypothyroidism was caused by having a thyroid nodule and half a thyroid removed.

SlowDragon profile image
SlowDragonAdministrator in reply to Purple450

Your antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).

Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone working

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 as per NICE guidelines

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

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...

SlowDragon profile image
SlowDragonAdministrator in reply to Purple450

how much vitamin D are you taking

Test twice yearly when supplementing

Can test via NHS private testing service

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...

Purple450 profile image
Purple450

I’m using the better you D3000, when I rang for the result for the receptionist said there was no notes added to the result and to get some vitamin D from the chemist, who didn’t have any so it was Tesco. I hope it’s not too much but I can go to a lower one after this.

Can I ask your opinion, do you think the levothyroxine dose should go up from 50, or is it just the vitamins that are coursing the problems?

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