Hi all
I have just had a comprehensive blood test done which included Thyroid.
Having put my results in the thyroid calculator i wonder if anybody would interpret the results for me please? I’m not brilliant with maths!
I can see they are not ideal, I’ve been feeling rubbish for months.
Many Thanks
What replacement thyroid hormones are you currently taking
Your results show you are very under replaced
Likely to have low vitamin D, folate, ferritin and B12 as well, especially if not taking any vitamin supplements
When were vitamin levels last tested
I am taking 150 Levothyroxin
Folic Acid 7.16 range 3-17
B12 Circulating is 815 range 196.48-771
B12 Active is >150 range >37.5
D Is 165.30 optimal range 75-200
Ferritin is 45.5 range 10-291
The test was done 9am 6th September 24
No levo for 24hrs
Fasting (Just Water) from 8pm 5th Sept
No supplements have been taken for 3 months to get an accurate B’s reading.
Low folate
Suggest you start back on daily vitamin B complex
Vitamin D is quite high …aiming for 100-150nmol
Ferritin, look at increasing iron rich foods in your diet
Which brand of levothyroxine are you taking
Do you take on empty stomach and then only water for at least an hour
No vitamin supplements or other medications within 2 hours
Look at increasing Levo by 25mcg to 175mcg daily
Retest in 6+8 weeks
Thank you for your help
Levothyroxine brand name is Accord
I take levothyroxine last thing at night before bed with a couple of sips of water.
I don’t eat or take anything after 8pm and off to bed by 11pm
I will get some Vit B complex as you suggest.
Will ask Dr for an increase in Levothyroxine but don’t think I will get it as it’s all about the TSH at my surgery..
Will retest in 8 weeks
TSH is too high for someone on levothyroxine
TSH should be under 2 as an absolute maximum when on levothyroxine
gponline.com/endocrinology-...
Graph showing median TSH in healthy population is 1-1.5
web.archive.org/web/2004060...
Comprehensive list of references for needing LOW TSH on levothyroxine
healthunlocked.com/thyroidu....
onlinelibrary.wiley.com/doi...
If symptoms of hypothyroidism persist despite normalisation of TSH, the dose of levothyroxine can be titrated further to place the TSH in the lower part of the reference range or even slightly below (i.e., TSH: 0.1–2.0 mU/L), but avoiding TSH < 0.1 mU/L. Use of alternate day dosing of different levothyroxine strengths may be needed to achieve this (e.g., 100 mcg for 4 days; 125 mcg for 3 days weekly).
Assuming Ft3 remains low on higher dose Levo you are likely to need addition of 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
thyroid
thyroid function
Thyroid inflammation
Thyroid 
