Would anyone give their interpretation of the following blood test results (ref.range in the brackets and those out of the ranges in bold letters)?
ALAT 19 (<34)
ASAT 22 (15-35)
GGT 9 (9-36)
FERRITIN 4,2 (10-204)
B12 340 (138-652)
HEMOGRAM:
Hb 132 (121-150)
Hct 42,5% (37-45%)
WBC 6,7 (4,1-9,7)
RBC 5,42 (4,1-5,2)
MCV 78,4 (82-95)
MCH 24,4 (28-33)
MCHC 311 (322-356)
RDW-CV 16,5% (12-15%)
Plt 179 (157-372)
Pct 0,21% (0,18-0,38)
MPV 11,9 (9,2-12,3)
PDW 18,8 (10,1-16,2)
Neut 3,45 (1,9-6,7)
Eo 0,17 (0,02-0,4)
Baso 0,03 (0,01-0,08)
Mono 0,57 (0,24-0,8)
Lymph 2,5 (1,3-3,1)
IG% 0,3% (0-0,5%)
IG 0,02 (0-0,03)
NRBC% 0,0/100WBC
NRBC 0,00
It took me a light year to type them all, couldn't copy them directly, since I'm quite dizzy and on a sick leave this week. I'm working as a dish washer at the cafe since the beginning of April. It's been a race! Physically exhausting 9-hour shifts and I worked nearly 200 hours in April. I've already been hypothryoid, anemic and with weak adrenal glands for a decade at least but during the work rally I started to have daily diarhhea (especially in the morning before work), fingers dying and becoming numb at night (certainly from the work), and especially from the end of April till now weakness, dizziness and greatly increased sensitivity to cold (hands and feet getting really cold too). I was supposed to work only 3 days this week, so I decided to pause this madness and get to the doctor. She said that since hgb is ok then it's preanemic state. But my ferritin has been so low alsp for a decade..getting only close to 40 at the max. And elevated RBC should be the bodies attempt to compensate the anemic situation (lack of oxygen or whatever). I had also rather low blood pressure which is unusual for me. I'm getting this weakness coming like waves that I have to lay down or feel extremely sleepy. I've been self-medicating with T3 and small doses of HC daily and it has worked for me quite fine. Also vitamin C, magnesium and iron if I feel or remember (but I tend to feel like my body doesn't want an iron supplement which is not quite logical, right?). I seem to be allergic too, I was prescribed a med for that. Taking it for the second day and not feeling anything bad from it. The weakness feels like some heaviness pushing me to the ground. It's weird sensation. Even subtle change in my body posture can trigger a weird feeling of "feeling how my blood is moving". Another weird addition is that my sense of smell is too strong at times that makes me sick, sounds can feel louder too.
Now I'm supplementing with iron (heme form), taking ACV tablets (helps to balance digestion and avoid constipation/diarhhea), vit. D (it was kind of low a couple months ago), methyl B complex drops (includes B12), T3 and HC as usual, Mg as needed.
I suspect overworking has just made my body go in some survival state and adrenals may be blocking everything...don't know. Hope this gives some sort of picture to help me figure out what can be going on. Keeping going...
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Nipitiri
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Test 6-8 weeks after being on constant unchanging dose and brand Levo and T3 and (ideally) at similar activity level
Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
T3 ….day before test split T3 as 2 or 3 smaller doses spread through the day, with last dose approximately 8-12 hours before test
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
Oh! Thank you very much! The doc also wanted to test thyroid levels and wouldn't do it without me skipping the med for 24 hours. I skipped the testing therefore cause I thought and knew I wouldn't have even seen the next day after skipping T3 for that long 😁. I actually have taken the same T3 brand for a few years now (sometimes some other brands shortly in between) so that it's divided in 3 doses and I take it at certain times of the day. Every time the thyroid tests have been almost identical (rather high fT3, basically nonexistent fT4 and suppressed TSH) which is quite obvious while on T3 only. I have tried adding T4 (also in the form of NDT) but it makes me more sick. I can assume that being overwhelmed by my work and maybe having too much coffee have impacted me so that something (anemia) is blocking the T3 working properly..as well as if adrenals are weak then that too. I've also previously tested progesterone and estrogen together and it showed estrogen dominance. Showed up as very bad PMS (especially psychologically). It can be the case now too if nothing changed. Then that only adds to the issues. I will decide what additional labs to do. I'd do saliva cortisol but this requires being off HC for a while and then I'm unable to work. I'm now taking care of that B12 too. And vit. D. Anyway thanks a lot!
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
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
I have 10mcg chewing tablets, so for the beginning I'm taking 2 which would be about 800IU. Maybe I need to take more? My dad took it quite much at one point that his levels went too high instead. So I don't want to exaggerate. What do you think is the optimal daily dose when the level is a little low?
Question about magnesium. Is it necessary to take it hours apart from T3 as well? I take T3 sublingually (just chew it and let it absorb). I've known that for example iron should be kept separate from thyroid meds 4 hours before/after and 2 hours if thyroid meds are taken sublingually.
Another question which I'm now putting also under this comment is that would it affect my test results much if I've only started with the b complex drops yesterday (have taken only once) and decided to stop as I see B12 dose in it is quite low and I'd rather follow your advice to start with sufficient B12 only and later add b complex too, and if I'm going to test progesterone and estrogen on Monday morning (13th May)? Would this one dose of b complex have impact on those? Otherwise I need to wait to do those in June, according to my menstrual cycle.
Would this one dose of b complex have impact on those?
No ….that should be fine
Personally I aim to take magnesium as far away from T3 as possible…..as I take 4 x 5mcg T3 at roughly equal 6 hour intervals…..that’s 3 hours approximately
And always at least 4 hours before levothyroxine which I take at 11pm
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