help with blood results please

[Cheekycharlie1981]

Here are my recent blood results, help appreciated.

Free T4 15.5 range 10.0-18.7

TSH 1.23 range 0.38-5.50

Free T3 5.3 range 3.5-6.5

Serum folate 21.5 range 5.4

Iron 14 range 9-30

Transferrin 2.40 range 2.5-3.8

TIBC 60 range 45-81

Transferrin saturation 22 range 15-50

Ferritin 168 range 10-291

Vit d 65.1

B12 595 range 211-911

Have I any need for t3 I’m I converting ok?

I take 212mcg of aristo and cut my tablets. I’ve been on this dose a while. I do get heart palps and felt faint but looking at my iron I’m not surprised.

I feel tired, body aches going through hormonal changes.

my body just seems to want more and more Levo, stupid question why?

I take all my vits as recommend on here and space everything correctly, including Levo.

bloods done at 9.20 as I could not get to bloods sooner, never any appointments.

thank you for any replies I appreciate it.

[TiggerMe Ambassador]

TSH 1.23 mIU/L (0.38 - 5.5) 16.6%

Free T4 (fT4) 15.5 pmol/L (10 - 18.7) 63.2%

Free T3 (fT3) 5.3 pmol/L (3.5 - 6.5) 60.0%

T4:T3 Ratio 2.925 

Vitamin B12 595 nmol/L (211 - 911) 54.9%

Vitamin D 65.1 nmol/L (50 - 200) 10.1%

So you conversion is great but I'm a bit confused as you were experimenting with Roma T3?

You could certainly do with an increase have you tried a higher dose in the past?

Need to boost your B12 to get it to the top of range and your Vit D is terrible ideally aiming for 100-150nmol/L... grassrootshealth.net/projec...

Your iron isn't terrible, are you supplementing as low transferrin suggests you might be?

[Cheekycharlie1981 in reply to TiggerMe]

I’m just on Levo currently.

Yes I take vit d and iron as well as b complex with b12. My vit d has always been this result over many years no matter what I take.

I did feel very faint a few weeks ago so started on a higher iron supplement. 14 is awfully low, I feel better at 17/18 at least.

I wondered if I’d room to take t3 or leave it?

[TiggerMe Ambassador in reply to Cheekycharlie1981]

Your transferrin is showing you don't have capacity to uptake any more iron, some find alternate days works better rather than taking more🤷‍♀️ also Vit C is needed for uptake... I've never tried the iron supplements on offer here I have only used heme iron which is much kinder

Magnesium is needed to aid Vit D uptake, I don't do well on tablets and find sublingual B12 and Vit D with K2 far more effective might be worth a try? I take a B Complex and extra B12

I don't think extra T3 is going to help whereas a little more T4 might, have you tried a higher dose?

[Cheekycharlie1981 in reply to TiggerMe]

I take a gentle iron that does not upset my stomach, I struggled with iron and b12 most of my life.

I do sometimes take extra b12 but not everyday. It’s also in my iron supplement by Baldwins. I also take vit c with my iron.

I was on a higher dose of Levo but lowered it a little as felt on edge. But I’m normally more well with a TSH at 1 or less.

When I took t3 my head felt more clear and I miss the clarity, but I was sensitive too it. I’ve not tried Roma yet and I did reduce my Levo just start my Roma.

[TiggerMe Ambassador in reply to Cheekycharlie1981]

I can recommend along with many others now that the Three Arrows Heme works a treat.

Sounds like you want to trial Roma... If you add some it is likely going to drop your fT4 even lower and make you feel a bit rubbish after a couple of weeks. You don't really have much head room for adding T3 so I wouldn't suggest more than 2.5mcg but really you just need some more T4 as your conversion is good

[SlowDragon Administrator]

how much vitamin D are you taking

Tablets, gels or mouth spray?

Are you also taking any magnesium

[Cheekycharlie1981 in reply to SlowDragon]

I take a tablet currently which is a strong dose, Ive tried sprays and I do alternate.

I have magnesium every evening.

[SlowDragon Administrator in reply to Cheekycharlie1981]

So make sure tablets are at least four hours away from levothyroxine

Take tablets with high fat foods to improve absorption