Thanks. I wanted to know if my vitamins were correct as I often feel tired tbh. I have a lm NHS blood test for my dose increase mid March but I was curious about all the other markers like T3 as well.
Antibodies are the debris count for the damage being done to your thyroid due to being under attack, some people can lower these numbers by cutting out gluten and or dairy which can add to the bodies immune system confusion
By the time most of us get diagnosed they say the thyroid has been 90% destroyed
I followed the guidance and yes tested before 9am no food just water and last dose was 24hrs before . I didn’t know what I had but now know it’s Hashimotoa thank you! I don’t have a goitre that I’m aware of (my dad had one for years and ignored it then developed cancer in his thyroid so I am careful to check for any lumps or bumps).
My CRP HS Was high at 4.210 - I was/am at the very end of a cough/cold so assuming this could be the cause?
I would blame your cough/cold as well, and wouldn't worry about it.
A story I've told several times ...
I saw a program on TV several years ago which included a patient (who was not an actor) getting her CRP measured. She had a chest infection which required antibiotics and her CRP was 50.
It's one of the things I find annoying about doing my own testing... I don't know what levels would cause a doctor to take notice if a result was high or low in range, or over or under range.
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.
Significant minority of Hashimoto’s patients only have high TG antibodies (thyroglobulin)
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
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
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
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
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
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