Asking for a friend

[Gigi1806]

hello community,

My friend has been suffering with dizziness over the last weeks and few other symptoms like loss of appetite yet feeling she will collapse if she wont eat out of the blue and within seconds.. She was advised to have some blood tests today:

TSH: 2.38mIU/L (0.27 to 4.2)

T3:1.6 nmol/L (1.3 to 3.1)

ft3: 4.6 pmol/L (3.1 to 6.8)

T4: 102 nmol/L (66 to 181)

ft4: 18.6 pmol/L (11.9 to 21,6)

Vitamin D: 71.5

Folic: 14.8 (8.8 to 60.8)

B12: 456 (145 to569)

The resuts seem pretty balanced, but her symptoms seem familiar with thyroid? Since she is a friend of mine, she knows my struggles and she is quite concerned if she should be seeking an endo's advice?

Thanks as always,

[SlowDragon Administrator]

No iron or ferritin results

Or thyroid antibodies

Folate on low side

Was test early morning?

[Gigi1806 in reply to SlowDragon]

yes, was early in the morning. Nothing else was tested.

Isn't T3 on low side?

[SlowDragon Administrator in reply to Gigi1806]

Free T4 (fT4) 18.6 pmol/L (12 - 22) 66.0%

Free T3 (fT3) 4.6 pmol/L (3.1 - 6.8) 40.5%

Yes ……Ft3 possibly a bit low

But good Ft4

Suggest she get ferritin level tested …..or ideally full iron panel

Is she in U.K.?

Improve folate and retest thyroid levels including thyroid antibodies in another 2-3 months

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...

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 and may need separate methyl folate couple times a week

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)

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

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

[AKatieD]

Any chance diabetic?

[posthinking01]

Hi there I am having the same problems at the moment but it is an inner ear infection so be aware - mine affected my speech as well !