Blood Test Results advice please!

[Rolbo]

I have now had Blue Horizon Thyroid and Vitamin test results. Blood was taken 24 hrs after last Thyroxine and early in morning on Sept 3rd). I am on 75gms Thyroxine daily for Underactive Thyroid and am currently not taking any Vitamins or supplements.

Vit D(25 OH) 70 (50 -200) nmol/L

Magnesium 0.9 (0.7 -1.0) nmol/L

CRP 1.31 (less than 5.0)

Ferritin 102 (13 - 150 ug/L

Serum Folate 9.76 (8.83 - 60.8) nmol/L

Active B12 52 (37.5 - 150) pmol/L

TSH 0.67 (0.27 - 4.20) mIU/L

Free T4 21.8 (12.0 - 22.0) pmol/L

Free T3 3.5 (3.1 - 6.8) pmol/L

T4 Total 123.0 (66 - 181) nmol/L

Anti-Thyroglobulin Abs 45 (less than 115) IU/mL

Anti-Thyroidperoxidase abs 13.7 (less than 34)

Cortisol (Random) 472.0 (73.8 - 507.0) nmol/L

Please could someone read for me and give advice.

[TiggerMe]

Vit D needs a boost 100-150... grassrootshealth.net/projec...

Folate low... a good B Complex needed... Thorne Basic B or Igennus Super B (smaller tablets x 2)

B12 needs to be nearer top end of range, B complex might do the trick or could boost with a sublingual first

Free T4 (fT4) 21.8 pmol/L (12 - 22) 98.0%

Free T3 (fT3) 3.5 pmol/L (3.1 - 6.8) 10.8%

T4:T3 Ratio 6.229 

You are a really poor converter of T4 and would benefit from adding some T3 but in the mean time optimising your vits will help 🤗

Time to ask your GP to refer you to Endocrinology you can request a named Endo so take a look at the list and see if there is one in your area who is T3 savvy... thyroiduk.org/contact-us/ge...

Or if you prefer and are able to pay you could have a consultation with rosewaylabs.com/patients/

who can prescribe and supply

[Rolbo in reply to TiggerMe]

Thank you - this is all really helpful - I am organising Vit supplements now and then will be looking at T3 !

[SlowDragon Administrator]

Looking at previous posts you had extremely low ferritin 6 months ago

Have you been taking iron supplements to improve ferritin

Suggest you get FULL iron panel test to check iron levels

Test early morning, only water to drink between waking and test. Avoid high iron rich dinner night before test

If taking any iron supplements stop 5-7 days before testing

Medichecks iron panel test

medichecks.com/products/iro...

Retest thyroid levels again once you have improved vitamin D and folate levels

Assuming Ft3 remains low ….look at getting T3 prescribed alongside levothyroxine

Here’s link for how to request Thyroid U.K.list of private Doctors emailed to you, but within the email a link to download list of recommended thyroid specialist endocrinologists who will prescribe T3

Ideally choose an endocrinologist to see privately initially and who also does NHS consultations

thyroiduk.org/contact-us/ge...

[Rolbo in reply to SlowDragon]

Thank you - this is all very helpful - organising Vit improvement now and then after will be looking at T3 once retested following Vit imput.