Latest Results for advice

[Albaangel]

Latest Results from BH for advice.

Currently taking 1 grain 60mg Armour , 1/2 am, 1/2 pm, under supervision with private endo

I had bloods drawn at 9am, day before bloods I split my doze 1/2 am and 1/2 grain at 10:30pm and I stopped Biotin/Bcomplex 1 week before.

Usual symptoms, temple hairloss and thinning on top, fatigued, brain fog, racing heartbeat now and again, eyebrows disappearing at the bridge of nose side. My sleep has is still very disturbed, very dry mouth also keeping me awake.

My temperature is steady. Weight still 7stone.

TSH 0.13 - (0.27-4.20 mIU/L)

Free T4 14.2 - (12.0-22.0 pmol/L)

Free T3 4.5 - (3.1-6.8 pmol/L)

T4 Total 74.7 - (66-181 nmol/L)

Reverse T3 13.0 - (10.0-24.0 ng/dL)

Reverse T3 ratio 0.34

Anti-Thyroglobulin Abs 12 - (<115 IU/mL)

Anti-Thyroidperoxidase abs <9.0 - (<34 IU/mL)

Vitamin D(25 OH) - 136 - (50-200 nmol/L) - (Optimal 75-200)

HbA1c 34 - (20-42 mmol/mol - Non-diabetic 20-< 42)

Magnesium 1.0 - (0.7-1.0 mmol/L)

CRP 4.94 - (<5.0 mg/L)

Iron 21.4 - (5.8-34.5 µmol/L)

UIBC 31.6 - (24.2-70.1 µmol/L)

TIBC 53 - (45-81 µmol/L)

Transferrin Saturation % 40.3 - (20-50)

Ferritin 103.00 - (13-150 µg/L)

Serum Folate 57.20 - (8.83-60.8 nmol/L)

Vitamin B12 562 - (145-569 pmol/L)

Active B12 >150 - (37.5 150 pmol/L)

Cortisol (Random) 449.0 - (73.8-507.0 nmol/L) - (6am - 10am 166 - 507)

[Bertwills]

Hi, the only thing I notice about your results is your high CRP reading.. I’ve never taken NDT so can’t really help although your TSH is low without your T3 being high in range. No antibodies. So everything looks ok except the CRP which records inflammation. In the body somewhere.

Maybe try taking turmeric to lower inflammation or try an exclusion diet to see if you can lower it. It could be gluten, dairy or some other food causing high CRP. I just realised that I can’t tolerate eggs at the moment. Maybe you are aware of a non thyroid problem?

[Albaangel in reply to Bertwills]

Thanks for your reply

I've been on AIP for last 9 months, I have only introduced eggs, almonds and pumpkin seeds so far, I will try eliminating them and see how it goes.

I was totally stressed the morning I had bloods done.

[pennyannie]

Hello Albaangel :

As you switched from T4 monotherapy to Armour - how do these results compare to your bench mark readings of Free T3 and Free T4 from before switching ?

No thyroid hormone replacement medication works well until ferritin, folate, B12 and vitamin D are up and maintained at optimal -

I now aim for a ferritin at around 100 - folate around 20 - active B12 around 125 and vitamin D around 125 ;

Down regulation of T4 to T3 can also be compromised by any physiological stress ( emotional or physical ) inflammation, depression, ageing and dieting.

Your levels look ok - and you probably need a dose increase -

On NDT we track on the Free T3 and when optimally medicated we usually see a T3 much higher with the T4 likely much lower - in the ranges - than when on T4 monotherapy.

Sorry but I have no knowledge of cortisol readings.

[Albaangel in reply to pennyannie]

Thanks for your reply

I'm trying to get everything to optimal, but it's a slow process and I have alot if stressful things going on at the moment, which is probably not helping.

I've been told to double my dose.

[pennyannie in reply to Albaangel]

Ok then - but I wouldn't suggest to ' just double ' your dose :

I increased slowly by 1/4 grains weekly and monitored myself on my pulse, blood pressure and temperature twice daily - and whilst these first 2 physical symptoms remained constant my temperature slowly rose from 35.4 to 36.6 so I had some idea there was some improvement.

There came a week where I felt a bit anxious and uncomfortable in my skin and read if this happens you need to drop don to your previous dose - stay on that dose 6 - 8 weeks and then run a blood test to see where your T3 then sits.

When I did this my T3 was at 110% through the range - I felt very well - and made this my dose of NDT - and 6 years later the same dose is still good for me.

My dose is only 1 + 1/ grains which I take all at once at around 2/3 am at a toilet break.

Had I jumped straight to - I would have not found my best dose of NDT and likely made myself unwell and anxious to try again.

[Albaangel in reply to pennyannie]

Thanks for your response.I thought it was a bit too much to double my doze, I will try adding a ¼ at a time and do my pulse, BP and temp and see how I feel.

[Susanmcg]

Hello Albaangel sorry you are suffering. I am not a doctor but the thing that jumped at me was the Transferrin saturation % which seemed high. You could ask to be tested for Hemochromatosis it is a long shot but you never know as the symptoms are similar to thyroiditis. I am on Armour and take two grains a day. Your T3 and T4 do seem low so maybe a little increase to 1.5 grains would help. Best of luck.

[Albaangel in reply to Susanmcg]

Thanks for your reply.

I have been told to up my dose to 2gr

I don't know anything about iron saturation, it was suggested I should do an iron panel on here.