blood test red

[Bobby25]

so I paid for private results because the doctor doesn’t seem to be helping what do these results tell me

[SlowDragon Administrator]

was test early morning, ideally before 9am and only water to drink between waking and test and last dose Levo 24 hours before test

What vitamin supplements are you taking

[Bobby25 in reply to SlowDragon]

Test was at 830 slipped the levothyroxine that morning, was done on an empty belly. And only vit c and d I take daily but didn’t for a few days beforehand

[SlowDragon Administrator in reply to Bobby25]

how do you feel

How much vitamin D are you taking

Suggest you retest again in another 2-3 months including vitamin D, folate, B12 and ferritin

3 months ago your ferritin was pretty low at 48

healthunlocked.com/thyroidu...

Have you been increasing iron rich foods in your diet

[Bobby25 in reply to SlowDragon]

I have been trying was going to take a supplement but have read so much about the effects of too much iron that I’ve been too scared.

I also had this on my blood work

Results

[Bobby25 in reply to Bobby25]

I also had this

Results

[SlowDragon Administrator in reply to Bobby25]

High Thyroid antibodies confirms cause of your hypothyroidism is autoimmune thyroid disease

About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high TPO and/or high TG 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.

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

Low vitamin levels are extremely common when hypothyroid, especially with 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...

[Bobby25 in reply to SlowDragon]

Thank you for taking time out of your day for me. So I’m thinking I’ll start taking a lower dose of 50 and then 75 on opposite days to see how that goes and then reset and try to really concentrate on iron foods and to look at the gluten tests. Do you think that’s a good way forward or should I cut back to the 50 altogether but then my reading was 2: something?

[SlowDragon Administrator in reply to Bobby25]

If you don’t feel over medicated/hyper you could stay on this dose until retest in 2 months

Ft3 is nowhere near top of range

If you feel a bit over treated …..try reducing to 50mcg once a week and 6 days at 75mcg

Or twice a week

How much do you weigh in kilo

[Bobby25]

65.3

Thank you again honestly thank you

[SlowDragon Administrator in reply to Bobby25]

So likely eventually to be on around 100mcg daily