Fasting home blood test: Following my previous... - Thyroid UK

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Fasting home blood test

KingJohnVII profile image
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Following my previous post in which I reported my results from 20/02/24, I did a fasting home test from "monitor my health" on 18/03/24 to try to get a more accurate picture. These are the results:

18/03/24:

TSH: 4.47 (0.27-4.2) (20/02/24: 5.37)

FT4: 15 (12-22) (20/02/24: 13.8)

FT3: 4.1 (3.1-6.8)

TPO: 9 IU/mL (under 35 is normal)

I admit I'm surprised that TSH is lower on the most recent fasting test than the previous afternoon test which followed a breakfast with B-vits and a couple of coffees. I though that fasting would give a higher number, i.e., more under-active. FT4 and FT3 are too low in the scale. I think I've fallen into the grey area of "sub-clinical hypothyroidism" that's unlikely to be treated by my NHS doctor as I'm apparently "normal", or at least not under-active enough to be prescribed thyroxine.

Any comments from other readers would be most welcome! Thank you.

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SlowDragon profile image
SlowDragonAdministrator

Vit. B12: 301 pg/mL (197-771)

Folate: 3.7 ng/mL (2.9-26.8)

From previous post

These are incredibly low

How long had you been taking Vitamin B complex before test

ideally you should be tested for Pernicious Anaemia BEFORE starting on B vitamins

But if GP unhelpful, you will need to just start

Low B12 symptoms

b12deficiency.info/signs-an...

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

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...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid supplements

thyroidpharmacist.com/artic...

B vitamins best taken after breakfast

Igennus B complex popular option. 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...

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

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...

Post discussing start B12 injections

healthunlocked.com/thyroidu...

In 2-3 months

Retest thyroid again including BOTH TPO and TG antibodies 6-8 weeks after starting on vitamin B complex

You will need to test via Medichecks or BH to get both antibodies

Significant minority of Hashimoto’s patients only have high TG antibodies (thyroglobulin)

recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus BOTH TPO and TG antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes BOTH TPO and TG antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Only do private testing early Monday or Tuesday morning.

Link about thyroid blood tests

thyroiduk.org/testing/thyro...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism

thyroiduk.org/signs-and-sym...

Tips on how to do DIY finger prick test

support.medichecks.com/hc/e...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

If both antibodies are negative

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis

healthunlocked.com/thyroidu...

Paul Robson on atrophied thyroid - especially if no TPO antibodies

paulrobinsonthyroid.com/cou...

Gluten intolerance is often a hidden issue too.

Request coeliac blood test BEFORE considering trial on strictly gluten free diet

KingJohnVII profile image
KingJohnVII in reply to SlowDragon

Many thanks Slowdragon. That’s a huge amount of info to absorb, but I’ll do my best. I’ve already used my 30 minutes of concentration span today, and the iron band around my forehead is tightening its grip. It will be frustratingly slow progress!

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