my son test today show prlactin very high

[morcan54]

my sons blood test shown tsh 5.48 ]045-4.5] b12 363 [190-800] vitamin d 22 [50-100] but also prolactin is high 27.77[4.04-15.2] any body knows why his prolactin high pls

[RedApple Administrator]

High prolactin is common when thyroid hormone levels are too low. TSH 5.48 is indicating hypothyroidism.

[SlowDragon Administrator]

high prolactin linked to being hypothyroid

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

Low vitamin levels similarly linked

B12 lowish

Vitamin D low

What vitamin supplements is he taking

Folate and ferritin tested?

TSH high

Is this first test with TSH over range?

He needs TPO and TG thyroid antibodies tested for autoimmune thyroid disease - Hashimoto’s

[morcan54 in reply to SlowDragon]

antibodies are low yes he had some in ast 2 years and they were fraxuating from nrmall to high this is 5.82 or 5.45.4.87thats how the fraxuating but he has been feeing bad n energy and depresed anxiety and fear about what appening to him as for feritin was good the dr said he is not taking any suplements at the moment and he not on thyroxine as the fastest appointment is in november 17 writing tpo 24.7[34]tg 21.82[ 30-100]thanks for advice i followed everything you told me and i am now feeling beter thanks

[SlowDragon Administrator in reply to morcan54]

So he needs to work on improving low vitamin levels

Then retest Thyroid levels including thyroid antibodies just before November appointment

ALWAYS get thyroid tested early morning, ideally before 9am and only drink water between waking and test to get highest TSH

[SlowDragon Administrator in reply to morcan54]

Request ultrasound scan of thyroid

20% of Hashimoto's patients never have raised antibodies

healthunlocked.com/thyroidu...

Paul Robson on atrophied thyroid - especially if no TPO antibodies

paulrobinsonthyroid.com/cou...

Gluten intolerance is often a hidden issue too.

Request coeliac blood test BEFORE considering trial on strictly gluten free diet

[SlowDragon Administrator in reply to morcan54]

Low vitamin D

with hypothyroidism , improving vitamin D to around 80nmol (32ng/ml - Cyprus units ) or 100nmol 40ng/ml - Cyprus units) by self supplementing may be better

Convert nmol to ng/ml here

unitslab.com/node/84

pubmed.ncbi.nlm.nih.gov/218...

vitamindsociety.org/pdf/Vit...

Once Improve level, very likely will need on going maintenance dose to keep it there……even in Cyprus

Test twice yearly when supplementing

Can test via NHS private testing service

vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.

There’s a version made that also contains vitamin K2 Mk7.

One spray = 1000iu

amazon.co.uk/BetterYou-Dlux...

It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average

Vitamin D may prevent Autoimmune disease

newscientist.com/article/23...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Recipe ideas

bbc.co.uk/food/articles/mag...

Interesting article by Dr Malcolm Kendrick on magnesium

drmalcolmkendrick.org/categ...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

[SlowDragon Administrator]

b12 363 [190-800]

With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement

A week later add a separate vitamin B Complex 

Then once his serum B12 is over 500 (or Active B12 level has reached 70), he 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

Highly effective B12 drops

natureprovides.com/products...

Or

B12 sublingual lozenges

uk.iherb.com/pr/jarrow-form...

cytoplan.co.uk/shop-by-prod...

In-depth article on different forms of B12

perniciousanemia.org/b12/fo...

B12 range in U.K. is too wide

Interesting that in this research B12 below 400 is considered inadequate

healthunlocked.com/thyroidu...

perniciousanemia.org/b12/le...

And why aiming to keep B12 over 500 recommended

perniciousanemia.org/b12/le...

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

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 5-7 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) and continue separate B12

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

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

[jimh111]

When the thyroid starts to fail TSH and TRH rise. TRH stimulates both TSH and prolactin.