Hello lovely people , I have only posted a couple of time before but find all of the knowledge and info on here very helpful. To that end , I hope someone can help. Recent blood results below
TSH 0.01 (0.27-4.20)
Free T4 17.3 (12.0 - 22.0) 53% through range
Free T3 5.1 (1 (3.1 - 6.8) 54.05% through range
Reverse T3 25.0 (10.0 - -24.0)
Iron 14.2 (5.8 - 34.5)
Ferritin 122.00 (13 - 150)
Magnesium &B12 both top end of ranges
I still have many of the usual hypo symptoms , tired, weight gain, constipation etc . I take 100/125 levo (Gp prescribed) and due to poor conversion, 15.65 T3 (self sourced) GP has already tried to reduce levo due to suppressed TSH . Any suggestions on what to change would be gratefully received.
Thank you in advance
Written by
Shazamm
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Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee
is your hypothyroidism autoimmune
Have you tested BOTH TPO And TG antibodies
no B12, folate or vitamin D results
What vitamin supplements are you taking
You probably need dose INCREASE in Levo
Here’s link for how to request Thyroid U.K.list of private Doctors emailed to you, but within the email a link to download list of recommended thyroid specialist endocrinologists who will prescribe T3
Ideally choose an endocrinologist to see privately initially and who also does NHS consultations
I take Zinc 25mg, Vitamin D3 25ug and Omega 3 Fish oil 1000mg in the morning and Magnesium Glycinate X 2 1500mg in the evening. I used to take Selenium but levels came back too high on a blood test some time ago so GP told me to stop taking it
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
thank you , I will try the B vitamins as you suggest . I had coeliac test when I was diagnosed Hashimoto about 10 years ago. It was negative but I tried gluten free for about 4 months and didn’t find that it made any great difference. With regards to your 1st reply and increasing Levo , would you leave T 3 as it is ?
Your antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances.
Most common by far is gluten.
Dairy is second most common.
A trial of strictly gluten free diet is always worth doing
Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential
A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first as per NICE Guidelines
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial
With loads of vegan dairy alternatives these days it’s not as difficult as in the past
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