Good morning.
The results are back from the private full thyroid blood test that I had. Posing the results here, and looking for advice. All appears to be normal BUT, I still have chronic insomnia, weight gain around my mid-section, lack of energy, and low mood.
Any advice greatly received.
Thank you
Its important to know that just because your results fall within the reference range this doesnt indicate that you're fully replaced or the result isn't correct for you to be well.
Your TSH is above 1, most people feel well when their TSH is at or just below 1. Yours at 3.7 is far too high.
Did you remember to take your Levo AFTER the blood test and allow 24hrs betwene lastdose of Levo and the test?
Your FT3 is bottom of range so no wonder you have no energy etc
Insist on a dose increase, ask for it as a trial as that sometimes goes down better with GPs. You need a full 25mcgs more Levo a day.
Active B12 is far too low. Do you eat red meat?
Suggest a good methyl B complex to help keep all the B's in balance.
B complex suggestions: Slightly cheaper options with inactive B6:
amazon.co.uk/Liposomal-Soft...
Contains B6 as P5P an active form:
bigvits.co.uk/thorne-resear...
healf.com/products/basic-b-...
Explanation about the different forms of B6:
helvella.blogspot.com/p/hel...
B complex comparison spreadsheet:
healthunlocked.com/thyroidu...
Vitamin D should be around 100 - 150. Buy one that includes vit K2 to help it go to your bones. Some are available in oil or you can take it with an oily meal for better absorption. Many members like the ‘Better You’ range of mouth sprays that contain both bit D & K2. Use this calculator to work out how much to take to get your level to 100-150.grassrootshealth.net/projec...
Ferritin looks good but it may be falsley raised due to the inflammation you have. Add in extra red meat and chicken liver pate.
How do I reduce the TSH in my system?
Thanks
You need more Levo (T4 which hopefully converts in your body to FT3) which will reduce TSH if you take enough of it.
GPs can be very conservative with Levo so be a little pushy in a nice way to get a dose increase. Dont accept no for an answer, go back and try different GP's.
Jaydee1507 Thank you for such a comprehensive reply.
I did have a clear 24 hours after taking my last dose of medication up to the time that my bloods were drawn.
I don't think I am taking anything for FT3. I only take 75mcgs of levothyroxine a day.
I will look at supplements for B12 - I do eat red meat though.
I have ordered supplements of vitamins D and K2.
I will book another GP appointment.
Eating meat or fish or seafood is helpful in people with low B12. It is vegetarians and vegans who usually run short of B12.
nutritionadvance.com/foods-...
If you decide to supplement with B12 supplements, you'll find there are several different kinds. Many of us find the best B12 supplements have the active ingredient called methylcobalamin.
For more info on the different forms B12 supplements come in :
perniciousanemia.org/b12/fo...
For the body to make use of B12 it needs good levels of folate. Personally I try to keep my own folate at a level of about 20 nmol/L and I do that with supplements containing methylfolate. I hate the open ended reference ranges e.g. > 7 that are so often used for folate and some other nutrients. They are not informative at all.
If you were to take a B Complex product containing active versions of the B vitamins you might find they are ample to keep your nutrients at an acceptable level. It is only if some nutrients don't rise to optimal that separate supplements are required.
Activated B vitamins require no conversion within the body to be useful. For example, folic acid is not useful or usable until it has been converted to methylfolate. If people can do that conversion, then great. But many people can't. So they would do better with a direct methylfolate supplement in addition to a B Complex.
takecareof.com/articles/ben...
chriskresser.com/folate-vs-...
For info on activated B vitamins :
Shocking that you have not been contacted regularly over the past couple of years regarding blood tests and that you have been left on your current dose for so long while symptomatic.You should have been trialled on 100mcg levo ages ago.It is low T3 which causes symptoms and yours is just inside the lower end of the range @ 16%.
Test Results- all normal? 
blood test results look normal but I still feel ill
Normal thyroid results but all symptoms of under active thyroid. 
blood results - told all normal but I’m not so sure
Are these results normal?
