Per past posts, I think you are on 50 mcgs Levo for the past 4 weeks? You are still under-replaced, which is to be expected as you are on a starter dose, so also assume you are planning to titrate towards 75 mcgs in another couple weeks?
Your iron panel is severely deficient - both iron and ferritin, and your transferrin saturation is too low which will be impacting your body’s ability to use T3.
D also needs a supplement plan to get you above 100.
Others will come along to comment on other results.
Feel awful most of the time - heart palpitations, shortness of breath, freezing cold, fatigue.... Yes, been taking 50mcgs since 26th January I have appointment with endocrinologist on 19th but since Saturday 24th I have been adding 12.5mcgs every other day and will do every day in a few more days.
about 3 times a week of 3 drops of a 22 mg but just saw that that is only equal to 0.4ml so nowhere near the 22mgs each time - would need to have 1.2ml to get 22mgs - thats what ive been doing wrong!
Let me know if you are open to taking a heme iron supplement instead (basically dehydrated beef spleen… but not as gross as it sounds, it’s just powdery in a clear capsule), check out the Three Arrows.
It absorbs at least 3x better than non-heme iron sources, does not cause any stomach upset, and can be taken with our without food.
I started my daughter on it, and because I knew it was so well absorbed, I made sure to recheck levels at 5-6 weeks. Lo and behold, her iron went to top of range in that short time.
Now….. in a month or so when you do get your iron up, feel free to post again and tag me. Because it will take months/years to increase your ferritin. And that’s a trickier balancing act.
It is a great product, so many people on the board use it, me and my daughter included. Do not be put off by the website - which feels a little unpolished!
When you get them, read this page for dosing guidance:
For reference, my daughter is 140 pounds and took 2 capsules a day (2 x 40 mgs) for that 5-6 weeks.
Lastly, very important. Excess iron is toxic and causes irreversible organ damage. Our bodies have no way to excrete excess iron, so it settles in our organs.
You want to target about 55 - 70% through range. As you get close, you will need to stop supplementing and focus on an iron rich diet. Your ferritin will not increase quickly at all. Those parts are a whole other endeavor!
I was very scattered replying to the back and forth. Wanted to sum it up. Somewhat because you still need advice on B and Folate which I don’t know enough about to give you.
Levo - titrating to 62.5 is a good plan. Don’t be tempted to rush into 75 even though you will get there soon. Thyroid hormones in our body take 6-8 weeks to settle.
Iron - tackle with three arrows when it comes, continue your drops if you’d like, but less than 20 mgs a day will likely do nothing for you, but as I said above, stay vigilant. With non heme supplements I’ve heard testing every three months is a good target, but no longer.
D - use that calculator above! Target 100. Search the forum for good advice on D (ie, there’s a mouth spray recommended) and ALSO…
Vitamin K - Take your D WITH vitamin K (mk-7 to be specific), which helps the D get to your bones and teeth where you need it. Otherwise it could calcify in your blood/veins which doesn’t do you any good at all! Recommended on K is at least 100 mcgs a day but I’ve also read it is 100 mcgs per 1000 ius of D (personally to correct my current D deficiency I’m taking 7500 d with 400 mk-7 just to hit somewhere in the middle, but that’s just me)
FORUM BEST PRACTICE RECOMMENDATIONS- introduce supplements one at a time and wait a couple/few weeks before starting another to make sure you can isolate the cause if you start to have new issues.
Also - I know nothing about these, but I think you will need to supplement these:
- B12 - don’t quote me but I think it should be around 500??
- Folate - I have no idea but others will
Lastly
- Magnesium is recommended here also… I’m just looking into it myself and so will be perusing this and deciding on that shortly too:
You are so early days that you have a lot of very normal and expected issues, and the above actions are solid … then after a few time periods of adding/increasing, come back and the board can help you fine tune.
FORUM BEST PRACTICE RECOMMENDATIONS- introduce supplements one at a time and wait a couple/few weeks before starting another to make sure you can isolate the cause if you start to have new issues.
So if not currently taking any vitamin D….start with that ….then add magnesium
Followed by B12 and folate
By then your 3 arrows iron supplement should have arrived
Vitamin D
GP should prescribe 1600iu everyday for 6 months, but likely to improve faster if self supplement at higher dose….perhaps 2000iu - 3000iu daily
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
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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