Total Iron Binding Capacity: 60.2 μmol/l [44.8 - 80.6]
I'll get it tested again in a couple of months after being on 100mcg daily again.
Drs comments:
RE: thyroid - "Even though your thyroid hormones look stable and within normal range your TPO antibodies remain raised, do you think it might be a good idea to get an opinion/ reassurance from an endocrinologist soon?"
RE: Vitamins and everything else - "As you can see below your vitamins and minerals are all within normal limits, your vit D might be optimised by pushing it to 100 although it is OK at 82. In addition your iron and transferrin are in range but low in range, maybe a month of multivitamins with iron would help to increase this level slightly."
I still aren't sure what an endo will do, but I guess i'm happy to see one. I was ready to get a referral to Dr Annice Mukherjee, but nobody messaged with their experience seeing her.
I don't consider my hormones to be ideal, as i'm still very symptomatic. I was ok, but recently i've been having anxiety and nausea again, and i'm not sure if relevant, but my brain is like a cabbage! I can't remember anything!
Love to hear your thoughts guys!
Thank you so much
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Griffo_
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well you’re likely to need further increase in Levo
Just increasing by 50mcg per week isn’t going to improve your levels much
How much do you weigh in kilo
You could request increase to 125mcg 3 days per week and 100mcg 4 days
Retest in 6-8 weeks
Free T4 (fT4) 13.78 pmol/L (10.4 - 19.4) 37.6%
Free T3 (fT3) 4.46 pmol/L (2.6 - 7.1) 41.3%
Most people on just Levo, when adequately treated will have Ft4 at least 70% through range
Guidelines of dose Levo by weight
approx how much do you weigh in kilo
Even if we frequently start on only 50mcg, most people need to increase levothyroxine dose slowly upwards in 25mcg steps (retesting 6-8 weeks after each increase) until eventually on, or somewhere near full replacement dose (typically 1.6mcg levothyroxine per kilo of your weight per day)
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.
Post discussing just how long it can take to raise low ferritin
Thank you for your incredible patience while you have been awaiting the outcome of our ferritin reference range review. We conducted this with Inuvi lab, which has now changed the reference ranges to the following:
Females 18 ≤ age < 40. 30 to 180
Females 40 ≤ age < 50. 30 to 207
Females 50 ≤ age < 60. 30 to 264l
Females Age ≥ 60. 30 to 332
Males 18 ≤ age < 40 30 to 442
Males Age ≥ 40 30 to 518
The lower limits of 30 are by the NICE threshold of <30 for iron deficiency. Our review of Medichecks data has determined the upper limits. This retrospective study used a large dataset of blood test results from 25,425 healthy participants aged 18 to 97 over seven years. This is the most extensive study on ferritin reference ranges, and we hope to achieve journal publication so that these ranges can be applied more widely.
Thank you. One thing i find really odd is that i've been taking 3000iu of vitamin D and I have lower levels of vitamin D now than previously when I either took none, or took 1000iu.
EDIT - In fact, it's the lowest it has been since I first tested in August last year.
Also, one thing I've forgot to mention SlowDragon is that I've been going to the gym 5 times a week and also trying to lose weight (well, lose fat). Does this generally mean you need more thyroid hormones as i'm more active?
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I’m fine. Really?
Is there a role for Natural Desiccated Thyroid in the treatment of levothyroxine unresponsive hypothyroidism?
Please help me
Bloodtest results help understand 
