Ferritin is the most useful indicator of iron deficiency, but also an acute phase reactant and may be elevated in malignancy, chronic inflammation, liver
damage and iron overload
Serum Folate L 8.31 8.83 - 60.8 nmol/L
Active B12 50 37.5 - 150 pmol/L
TSH 2.11 0.27 - 4.20 mIU/L
Free T4 H 22.7 12.0 - 22.0 pmol/L
Free T3 3.8 3.1 - 6.8 pmol/L
T4 Total 116.0 66 - 181 nmol/L
Anti-Thyroglobulin Abs 16 <115 IU/mL
Anti-Thyroidperoxidase abs <9.0 <34 IU/mL
Written by
Bigsi
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Did you remember to allow 24hrs between last dose of Levo and blood test, taking your Levo AFTER the test?
Other than your ferritin, which could be a false high result due to the inflammation you have - raised CRP your vitamin levels are terrible and proof that a multivitamin just won't cut it for hypo people.
You could show these results to your GP who might prescribe folic acid & vit D once they repeat the tests.
Supplements are available online, high street supplements not worth having.
Rraising all your vitamin levels to optimal will really help how you feel. You may in time need to add a small amount of T3 as your conversion is poor.
You can email info@thyroiduk.org for a list of T3 friendly Endo's and/or make a post asking for recommendations stating the general area you live in. Replies need to be via personal message to prevent info being posted publicly.
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 āBetter Youā 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...
Are you vegan or vegetarian? If not:
B12 - do you have symptoms of B12 deficiency? The reference range for B12 is very wide and cut off point too low. theb12society.com/signs-and...
If you do then you should discuss this with your doctor for further tests for Pernicious Anaemia.
If not, then start with a methyl B12 sublingual spray or lozenge for a week, then add a good B complex. Once you run out of the separate B12 just continue with the B complex.
Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if canāt swallow capsule) Thorne can be difficult to find at reasonable price, should be around Ā£20-Ā£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 5-7 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 until active B12 is over 70 minimum
Post discussing how biotin can affect test results
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
likely to need to continue daily vitamin B complex continuously and indefinitely
Your high ferritin shows exactly why itās NOT recommended to be taking multivitamins - you didnāt need any extra iron
please stop putting yourself down - it's not helping you and you are wrong anyway -
You are hypothyroid and currently not converting the T4 into T3 - which is the active hormone that runs the body, much life fuel runs a car, and currently you are with too little fuel to do much at all -
Your inflammation CRP reading - is high showing your body under excessive stress - and this alone will slow conversion of T4 to T3 - and your body struggling -
and your regime of restricting calories and working out - is not going to help you and in fact will down regulate your metabolism even further - and you'll find yourself in a vicious circle.
In order for T4 to convert well into T3 we need good wholesome clean food + good fats as good calories = better conversion of T4 into T3.
We also need optimal levels of ferritin, folate, B12 nd vitamin D as already suggested - and there is no quick fix - it's probably taken years in the making and is not going to be fixed in a couple of months.
When on T4 monotherapy we generally feel at our best when the T4 is up in the top quadrant at around 80% with the T3 tracking just behind at around 60/70% -
currently your T4 is around 107% with your T3 around 19% -
The accepted conversion ratio when on T4 only is said to be 1 - 3.50 - 4.50 T3/T4 with most of us feeling at our best at 4 or under -
so if I divide your T4 by your T3 I'm getting your conversion coming in at 5.97 - so very wide of centre - and just confirming the degree of non-conversion.
Of course there are other treatment options containing T3 and an option taking T3 but these will not work well yet anyway as all thyroid hormone replacement options need optimal vitamins and minerals to work well :
I should have looked back at any previous posts to try and understand where you are now - I'll do this now - so may come back in a bit !!
OK - so 10 years on this forum looking for answers - you had high over range antibodies indicative of Hashimoto's a thyroid Auto Immune disease - so progressively you thyroid has been the victim of AI attacks and likely now with very little thyroid function of your own.
You may well ' do better ' on a T3/T4 combo - but first - you really do need to build up the core strength vitamin and mineral stepping stones - and choose less demanding forms of exercise and start building back the basics to replenish and restore your overall health and well being.
You need a vit D+ K2, separate B12 spray & B complex.
You get T4 from Levo which your body is supposed to convert to T3. Some peoples genetics mean that their bodies dont make this conversion very well and then they may need a small amount of T3 to add to their Levo. The NHS doesnt always acknowledge this though. Its also why private testing is almost essential as the NHS rarely test FT3.
Weight loss will be difficult with low vitamin levels and low thyroid levels.
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Thyroid Test Results 
Blood test results- please help
Full set of test results finally
Test results help please
