Hello, I’ve had an underactive thyroid for 8 years after having my first child, looks like Hashimotos.
Currently taking 100mcg levothyroxine and 15mcg liothyronine (10mcg on waking and 5 around 3pm).
Also on HRT patches as am mid 40s and perimenopausal.
I’m gluten free, have had SIBO in the past. Going on liothyronine last year seemed to help gut issues and not so bloated now.
Head injury 15 years ago, fatigue started after that.
my blood results seem better than they have for a long time but I feel more exhausted (despite sleeping better) and physically weaker than ever. Brain fog and concentration still awful. Whole body aches. Always hungry! I’m probably a low weight for my height but slowly gaining weight.
Blood test at 9am, didn’t take meds before. Last dose of levo was about 26 hours before test. Last dose of liothyronine 3pm day before.
I’d love your thoughts on my results please. Ferritin is better than normal (usually low 30s) and everything looks ok but I am really struggling energy wise 😬 Hard to get up and move, everything feels very difficult.
I’m an active person and really aching all over for days after moderate exercise. Also low mood.
I take vitamin C, D, fish oils and magnesium. Sometimes iron supplement but can cause constipation.
Thanks so much in advance for your wonderful wisdom, it’s greatly appreciated 🙏 😊
I’ll upload a photo of results.
Some FBC results:
HGB 123 (range 115-157)
Platelets 152 (150-450)
HCT 0.367 (0.370-0.490)
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The FT3 is a false low due to longer than 8-12hrs for last dose of T3.
Your FT4 is a little on the low side. Suggest increasing Levo slightly.
We need OPTIMAL levels of vitamins for our thyroid hormone to work well.
B12 is too low. Aim for over 500 serum B12.
Are you vegan or vegetarian? If not:
B12 - do you have symptoms of B12 deficiency? The reference range for B12 is very wide and cut off point too low. theb12society.com/signs-and...
If you do then you should discuss this with your doctor for further tests for Pernicious Anaemia.
If not, then start with a methyl B12 sublingual spray or lozenge for a week, then add a good B complex. Once you run out of the separate B12 just continue with the B complex.
Ferritin should be around 90 - 100 for best use of thyroid hormone. Suggest increasing iron rich foods in diet and eating them often. Chicken livers, pate, red meat etc
Thank you so much for your quick and helpful reply Jaydee. I eat meat, fish and a little butter and cheese. Good idea to take B12 / B complex thank you; I’ll start that. Maybe some symptoms of low B12 - i feel very weak and I am finding walking and speaking harder than normal, also vision can be blurry (seeing optician next week) and feel low and hard to remember things.
Should ask for a PA test next time I see my doc?
I could ask for higher levo dose but didn’t really feel better til I added T3.
Thank you for reminding me to eat more red meat etc. I feel better when I eat more of it. Never known my ferritin to be more than in the 50s. I do have quite heavy periods, sometimes few days, sometimes a week or more which doesn’t help.
Thanks again for your help! Much appreciated. I hope you’re well 😊
Thank you Jaydee. I’ll make more chicken liver pate, was delicious last time.
As I last took my meds the day before the test, I wonder if my T4&T3 were at a good point in the range the day that I took them? I always assume testing 24 hours later sees them at their lowest point? I feel especially exhausted every day from 3pm onwards!
Thats why we suggest to test 24hrs for Levo & 8-12hrs for T3, otherwise its guesswork. Perhaps make a note in your calendar when you are testing to remind you of the timings.
Proprioception, not knowing your body in physical space, is a classic symptom of b12 deficiency. This causes walking issues. But gait changes & foot drop are early symptoms on their own.
Do know that the PA test is 50% fallible. Telling you that because bizarrely enough a high majority of doctors are unaware of that fact. You probably should not start supplementing until you have the test. And there are many other reasons for b12 deficiency besides PA. Everything you listed about speaking, feeling weak, remembering and vision can be due to b12 deficiency.
Please do not expect any doctor, including specialists, to understand what b12 deficiency can do to a body. Not only do many not understand but they can make choices that can affect one's outcomes adversely. I will find you some great links and post them below. It is really important that you fully educate yourself, so that you are prepared for doctor's erroneous statements, if the issue is b12 deficiency.
I would also suggest you consider pushing for a sleep study to cross things off as well. Sleep apnea can cause some of the issues listed as well.
Obviously some of these issues can be due to the thyroid, but it is good to cross many possibilities off.
Hi Litatamon, thanks so much for your wisdom, information and the video, those poor people 😔 . So important to raise awareness so others don’t suffer like that. Pretty sure I don’t have sleep apnea but then I’m not sure how I’d know 😆
I’ve bought some spray B12 and tablet vitamin B complex so hope that helps.
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.
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
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
Thanks so much for your advice and wisdom 🙏 update : endo said my results are fine, which I do agree with - they’re as good as they get for me, but B12 does seem lower than usual so I’ve got some B12 spray and a B complex which I’ll take as you’ve advised, thank you 😃 I guess won’t do any harm? I’ll eat more red meat too 😋
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Feedback on private Blood tests please, before my Endo appt.. 
Your views in my blood results please
Would anybody be able to help me with my results? Still feel awful
Can you please look at my latest blood results? 
