My brother has been in poor health for a good couple of years.. finally he has had some blood tests done
TSH. 20 (0.3-5.5)
T4. 8.3 (10-22)
Requested T3 and antibodies but were not done!
another blood test Wednesday morning at 9 am he has requested them again with ESR and CRP
B12. 271. (197-771)
Folate 2.5 (2.1-26.8)
Alanine aminotransferase 38 (0-35)
A1C level 42 (25-41)
Cortisol 287 (133-537)
Haematocrit 0.46 ( 0.4-0.5)
Total white blood count 10.2 (4-10)
Vitamin D 25.1 > 50
Cholesterol 5.6
HDL 3.4
Non high density 4.3
Serum cholesterol/HDL 4.4
Serum triglycerides 2 ( 0.5-2.3)
Blood draw was taken at 11am none fasting
The Dr has put him on antibiotics for stomach pains.. he does have a stomach condition
I am going to start him on my thyroxine ( mercury pharma) after blood test on Wednesday as I don’t think he can wait until the 13th Feb when he is seeing his doctor
My brother is around 6ft so would the starting dose still be 50mcg? He is feeling very ill
many thanks for your help
Written by
Bean101
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Obviously very hypo. What other conditions does he have as this really will have an impact on any lived experience advice we can give? It is extremely important to join the dots as often doctors don’t they are trained to treat symptoms.
One important thing how much does he weigh and how old is he? (That two things - hypo brain 😬)
It is extremely important to join the dots as often doctors don’t they are trained to treat symptoms.
I would just like to add, to be clear, that doctors are trained to treat symptoms as separate diseases, and have no idea that a bunch of symptoms can indicate that it's just one disease causing them all. They have no idea about symptoms of hypothyroidism - which, admittedly is difficult because they are all non-specific and could all be caused by 'other things'. And, every hypo has their own individual symptom list. But, which is more the more likely scenario: a patient has 36 different diseases with one symptom each? Or she has one disease with 36 symptoms? But of an exaggeration but still a possibility.
So a non fasting 11am blood draw, means his bloods would probably be even worse had they been taken under forum guidelines. Your brother must be feeling very unwell. As well as starting Levo,I hope his other tragic results like folate and B12 etc will be addressed. Wishing him well.
As you’re probably aware, within range is not the same as optimal. Suggest that you write a post on the pernicious anaemia page of this site to get their take.
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement
A week later add a separate vitamin B Complex
Then once his serum B12 is over 500 (or Active B12 level has reached 70), he 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
Thank you slow dragon, myself and both sisters have Hashis.. I want to start him on Thyroxine after his blood test at 9am Wednesday morning.. I thought evenings would be a good starting place to take it but I’m not sure how much to start him on..
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