It's been a while... new results

[KBA22]

Hi all

I haven't posted in a very long time. I would greatly appreciate some help with my latest results which I had a nurse draw for me as my Thriva results kept saying 'not enough blood' ...so I wasn't getting full results. So this time I feel I got a complete picture. Image shows all results and ranges. Hope you can see it...

Time: 9am on 31 May 2024

Meds: 100 mg Levo (ALMUS) and 50mg Levo (Accord) .

I didn't take meds for 24 hours before drawing blood. I take my meds in the evening. I think the brands I now use are different to the ones I initially started on.

I have been on 150 mg of levo since March 2024 when NHS did an annual blood test. Previously I was on 100.

I also take Better You spray Vit D - 4000 IU (once per day in the morning) and Better You spray Iron 5mg (once per day in the morning) . I take these back to back.

Results: Thriva

Other: As an aside...last year around August I started vomiting excessively when eating various foods, coupled with intense abdominal cramping and sweating. I noticed that I was reacting to acidic foods such as citrus juices, papaya and apple cider vinegar. I have since cut these out and keep an eye on acidic foods.

NHS did pick up an issue with my liver in March and I did have a abdominal scan on 19 April 2024. I am seeing the doctor only on 14 June to discuss the results face to face. I am told it isn't serious, hence the delay in getting the feedback.

Is there a correlation between liver issues and thyroid at all?

Thank you for your help.

[SlowDragon Administrator]

I didn't take meds for 24 hours before drawing blood. I take my meds in the evening. I think the brands I now use are different to the ones I initially started on.

Almus and accord are same brand

Almus is Accord, boxed as Almus via Boots

If you normally take levothyroxine at bedtime/in night ...did you adjust timings as follows prior to blood test?

So that last dose levothyroxine was 24 hours before test

If testing Monday morning, delay Saturday evening dose levothyroxine until Sunday morning. Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal

[KBA22 in reply to SlowDragon]

Ok thank you for this advice regarding timings. That makes sense.

[SlowDragon Administrator]

Your iron and transferrin show you are anaemic

Take these results to GP

retest 3-4 times a year if self supplementing.

It’s possible to have low ferritin but high iron

Test early morning, only water to drink between waking and test. Avoid high iron rich dinner night before test

Stop iron supplements 5-7 days before testing

Medichecks iron panel test

medichecks.com/products/iro...

Look at increasing iron rich foods in diet

Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption

List of iron rich foods

dailyiron.net

Links about iron and ferritin

irondisorders.org/too-littl...

davidg170.sg-host.com/wp-co...

Great in-depth article on low ferritin

oatext.com/iron-deficiency-...

drhedberg.com/ferritin-hypo...

This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.

healthunlocked.com/thyroidu...

Posts discussing Three Arrows as very effective supplement

Great replies from @FallingInReverse

re ferritin and Three arrows

healthunlocked.com/thyroidu......

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Great reply by @fallinginreverse

healthunlocked.com/thyroidu...

Iron patches

healthunlocked.com/thyroidu...

Thyroid disease is as much about optimising vitamins as thyroid hormones

healthunlocked.com/thyroidu...

restartmed.com/hypothyroidi...

Post discussing just how long it can take to raise low ferritin

healthunlocked.com/thyroidu...

Iron and thyroid link

healthunlocked.com/thyroidu...

Posts discussing why important to do full iron panel test

healthunlocked.com/thyroidu...

Good iron but low ferritin

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Chicken livers if iron is good, but ferritin low

healthunlocked.com/thyroidu...

Shellfish and Mussels are excellent source of iron

healthline.com/nutrition/he...

Iron deficiency without anaemia

healthunlocked.com/thyroidu...

Ferritin over 100 to alleviate symptoms

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Great research article discussing similar…..ferritin over 100 often necessary

ncbi.nlm.nih.gov/pmc/articl...

Low Iron implicated in hypothyroidism

healthunlocked.com/thyroidu...

[KBA22 in reply to SlowDragon]

Lots of good stuff here. Thank you. I'm working my way through the links.

[SlowDragon Administrator]

are you taking daily vitamin B complex or daily magnesium

Are you still strictly gluten free and dairy free

see if improving iron levels improves conversion rate of Ft4 to Ft3

Likely to eventually need addition of SMALL dose T3 prescribed alongside levothyroxine

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

thyroiduk.org/contact-us/ge...

[KBA22]

I am not gluten-free or dairy free at all.

I am not taking a vitamin B complex. Not sure what that is.

I do not take magnesium either. What's the recommended daily intake?

[SlowDragon Administrator]

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 options

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)

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

helvella.blogspot.com/p/hel...