Thyroid bloods if anyone can have a peep? - Thyroid UK

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Thyroid bloods if anyone can have a peep?

madeline05 profile image
19 Replies

Hi folks, so finally got my thyroid bloods back,

any ideas? thank you so much x

Anti-Thyroid Peroxidase Ab's 1.4 IU/mL range 0 - 8.9

Free T3 5.4 pmol/L Range 3.8 - 6.0

Free T4 14.4 pmol/L Range 7.9 - 14.4

TSH 3.03 mIU/L Range 0.38 - 5.33

Other bloods.

Vitamin B12 170 ng/L Range 140 - 844

Serum Folate 6.0 ng/mL 3.1 - 19.9

Serum Ferritin 18 ng/mL 11 - 307Pr

25-OH Vitamin D 29 nmol/

Cholesterol 5.7 mmol/L

WBC 5.9 x10^9/L Range 4.4 - 11.3

RBC 4.23 x10^12/L Range 3.9 - 5.3

Some of the others have told me about y normal bloods bu just thought Id add them here to show an overall picture. x

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19 Replies
Jaydee1507 profile image
Jaydee1507Administrator

You had lots of advice re terribly low vitamin levels here: healthunlocked.com/thyroidu...

Your TSH although within the normal range is above 2. TSH above 2 could be an indication of an issue, but your Free hormone results look really good.

TPO antibodies negative but no result for Tg (thyroglobulin) antibodies which you would have to get done privately as NHS doesn't test them.

Overall if you can get on top of your low vitamins then likely you will be feeling a lot better.

madeline05 profile image
madeline05 in reply toJaydee1507

Hi Jaydee1507

I got fantastic advice re my vitamins for sure and went straight out today and bought them all and started today also, so pg I will start feeling better.

So what you are saying is good news jaydee1507 with regards to my thyroid bloods.. My gp has referred me to a endocrinologist as I still have a multinodular thyroid with one nodule 2.6 cm. I wonder how this could come about id my thyroids bloods are good? any ideas anyone?

SlowDragon profile image
SlowDragonAdministrator in reply tomadeline05

Don’t start all supplements at once

Only add one at a time

Ideally you should be tested for Pernicious Anaemia via GP BEFORE starting any B12 or vitamin B complex

GP MUST do full iron panel test for anaemia

You may need iron transfusion, definitely iron supplements

Waiting at least 10-14 days to assess after starting vitamin D before starting another ….probably magnesium next

Retest full thyroid and vitamin levels including TG antibodies at 2-3 months after adding last vitamin supplement

Likely to take many months to improve ferritin unless you get transfusion

Would suspect your thyroid is responsible for very poor vitamin levels

madeline05 profile image
madeline05 in reply toSlowDragon

oh really slowdragon 😟

I am really thinking about changing my GP, not impressed at all at all.

I got a text from him saying all my bloods were within normal range and he would refer me to endo. That was it. Nothing about low vitamins zilch. Its just not good enough IMO. I mean I'd love to know if there is other gps out there that go the extra mile or is this it?

SlowDragon profile image
SlowDragonAdministrator in reply tomadeline05

Vast majority of GP’s (and endocrinologists) not trained in or interested in vitamin levels and the importance of maintaining OPTIMAL levels

According to your GP results all are “within range “ ……therefore “normal “

NICE guidelines are clear that Ferritin below 30 is deficient……but extremely rare to see lab ranges that have been changed to reflect this

SlowDragon profile image
SlowDragonAdministrator in reply tomadeline05

Do you have Low B12 symptoms ?

b12deficiency.info/signs-an...

methyl-life.com/blogs/defic...

if yes …..push GP to run testing for pernicious anaemia

B12 is low (though within range)

As you are virtually vegetarian, low B12 could merely be mix of vegetarian diet and thyroid issues

If GP won’t test

Start B12 supplements 2 weeks after adding magnesium

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 your serum B12 is over 500 (or Active B12 level has reached 70), you 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

Highly effective B12 drops

natureprovides.com/products...

Or

B12 sublingual lozenges

uk.iherb.com/pr/jarrow-form...

cytoplan.co.uk/shop-by-prod...

B12 range in U.K. is too wide

Interesting that in this research B12 below 400 is considered inadequate

healthunlocked.com/thyroidu...

Low folate

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)

This can help keep all B vitamins in balance and will help improve B12 levels too

Difference between folate and folic acid

healthline.com/nutrition/fo...

B vitamins best taken after breakfast

Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule)

Thorne currently difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay

Igennus B complex popular option too. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose

Post discussing different B complex

healthunlocked.com/thyroidu...

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

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

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

healthunlocked.com/thyroidu...

helvella.blogspot.com/p/hel...

SlowDragon profile image
SlowDragonAdministrator in reply tomadeline05

Ferritin

cks.nice.org.uk/topics/anae...

Serum ferritin level is the biochemical test, which most reliably correlates with relative total body iron stores. In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency.

Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing.

It’s possible to have low ferritin but high iron

Test early morning, only water to drink between waking and test. Avoid high iron rich dinner night before test

Medichecks iron panel test

medichecks.com/products/iro...

Look at increasing iron rich foods in diet

Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption

List of iron rich foods

dailyiron.net

Links about iron and ferritin

irondisorders.org/too-littl...

davidg170.sg-host.com/wp-co...

Great in-depth article on low ferritin

oatext.com/iron-deficiency-...

drhedberg.com/ferritin-hypo...

This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.

healthunlocked.com/thyroidu...

Posts discussing Three Arrows as very effective supplement

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Iron patches

healthunlocked.com/thyroidu...

Thyroid disease is as much about optimising vitamins as thyroid hormones

healthunlocked.com/thyroidu...

restartmed.com/hypothyroidi...

Post discussing just how long it can take to raise low ferritin

healthunlocked.com/thyroidu...

Iron and thyroid link

healthunlocked.com/thyroidu...

Posts discussing why important to do full iron panel test

healthunlocked.com/thyroidu...

Good iron but low ferritin

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Chicken livers if iron is good, but ferritin low

healthunlocked.com/thyroidu...

Shellfish and Mussels are excellent source of iron

healthline.com/nutrition/he...

Iron deficiency without anaemia

healthunlocked.com/thyroidu...

Ferritin over 100 to alleviate symptoms

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Great research article discussing similar…..ferritin over 100 often necessary

ncbi.nlm.nih.gov/pmc/articl...

Low Iron implicated in hypothyroidism

healthunlocked.com/thyroidu...

Inflammation affecting ferritin

healthunlocked.com/thyroidu...

Updated reference ranges for top of ferritin range depending upon age

healthunlocked.com/thyroidu...

Thank you for your incredible patience while you have been awaiting the outcome of our ferritin reference range review. We conducted this with Inuvi lab, which has now changed the reference ranges to the following:

Females 18 ≤ age < 40. 30 to 180

Females 40 ≤ age < 50. 30 to 207

Females 50 ≤ age < 60. 30 to 264l

Females Age ≥ 60. 30 to 332

Males 18 ≤ age < 40 30 to 442

Males Age ≥ 40 30 to 518

The lower limits of 30 are by the NICE threshold of <30 for iron deficiency. Our review of Medichecks data has determined the upper limits. This retrospective study used a large dataset of blood test results from 25,425 healthy participants aged 18 to 97 over seven years. This is the most extensive study on ferritin reference ranges, and we hope to achieve journal publication so that these ranges can be applied more widely.

madeline05 profile image
madeline05 in reply toSlowDragon

ahh that great slowdragon, lots of links for me to read, thanks so much. I have to start doing some research on ferritin and Iron, im not exactly sure what ferritin is but Im learning which is good and interesting actually.

thanks so much again xxx

SlowDragon profile image
SlowDragonAdministrator in reply tomadeline05

Iron and ferritin are complex

Many GP’s don’t seem to understand the interconnections between the two

Basically ferritin is storage form of iron

Its possible to have low ferritin but good iron

And, especially with any inflammation, high ferritin but low iron

So important to test full iron panel as iron supplements shouldn’t be taken if iron is high

If iron is good, but ferritin low…..then only way to improve ferritin is with iron rich diet….not supplements

madeline05 profile image
madeline05 in reply toSlowDragon

Oh my goodness you are so knowledgeable you should have your own practice we would all come to you hahah.

A wealth of information, thank you.

I'm so grateful to this site.

xxx

Jaydee1507 profile image
Jaydee1507Administrator in reply tomadeline05

Thyroid nodules can do strange things like putting out spurts of hormone at odd times. They are unpredictable.

It would be better of your TSH was at 2 or under but it does vary throught the day and you haven't said what time of day these bloods were taken?

High street vitamins are not always the best ones. What did you buy?

madeline05 profile image
madeline05 in reply toJaydee1507

I wonder what makes them grow if my levels are ok....questions questions questions.

I bought better 4uD3000+K2 ORAL SPRAY

BETTER4U B12 1200UG SPRAY

THEN once thats finished to move onto(Natures plus source of life Garden) b complex with 400ug folate .

I also bought Viridian 100% organic Woman 40+ omega Oil.

and lastly Active Iron advance 25mg per capsule

Jaydee1507 profile image
Jaydee1507Administrator in reply tomadeline05

The B complex you have does have active/methyl vitamins but may not be high enough dose for you. Compare it to this one, especially the level of B12.

You have other ones recommended in your other post but see what your blood levels are.

Thorne B ingredients.
madeline05 profile image
madeline05 in reply toJaydee1507

thank you jaydee1507, what the name of this product? Thorne B? certainly higher b12 x

Jaydee1507 profile image
Jaydee1507Administrator in reply tomadeline05

That label is from Thorne Basic B which can be hard to track down sometimes, do a google search for suppliers. Similar products are available by other manufacturers.

Slightly cheaper options with inactive B6:

amazon.co.uk/Liposomal-Soft...

Contains B6 as P5P an active form:

bigvits.co.uk/thorne-resear...

healf.com/products/basic-b-...

Explanation about the different forms of B6:

helvella.blogspot.com/p/hel...

B complex comparison spreadsheet:

healthunlocked.com/thyroidu...

madeline05 profile image
madeline05 in reply toJaydee1507

brilliant thank you x

greygoose profile image
greygoose

Is your FT4 really 14.4, slap-bang on the top of the range? Or is there a typo somewhere?

madeline05 profile image
madeline05 in reply togreygoose

Hi Greygoose, no thats what is on the report, tis a bit odd isn't it. 14.4

Silly question but if its high what does that mean?

greygoose profile image
greygoose in reply tomadeline05

Could mean various things. Are you taking thyroid hormone replacement - levo, etc.? If so, could mean you're taking too much or just enough. If you have Hashi's it could mean that you're having, or just coming down from, a Hashi's 'hyper' swing.

But, even stranger than the high FT4 is the high TSH. It's far too high for someone with an FT4 level like that. And, your FT3 level is 72.73%, so you're not hypo. So, it could also mean that your thyroid is being over-stimulated, possibly by antibodies. You would need further investigation to find out what it means exactly.

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