Hi there, I am on Teva Levothyroxine 75mcgs after being diagnosed with Hypothyroidism just over a year ago. I am feeling better but still have episodes exhaustion. Following really helpful advice advice on a previous post I have just got my private blood test results back, taken on Monday this week:
TSH-3.8mu/l (normal range 0.27-4.2mu/l)
FT4-18.6pmol/l (normal range 12-22pmol/l)
FT3-3.3pmol/l (normal range 3.1-6.8)
TPO-11iu/ml
Vit D - 64nmol/l (normal range 62-102)
HB - 144g/l (normal range 124-270)
Ferritin - 90mg/l (normal range 10-405)
TSAT-27% (normal range 16-50%)
Active B12 - 48pmol/l (normal range 40-210)
Folate - 7.5ng/l (normal range 3-25)
I would be really grateful for your thoughts. Is T3 indicated or do I need to get my vitamins in order (I am only taking Vit D3 10ug and Omega 3, plus HRT?)
Many thanks,
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AFMB
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Hello and thanks for your post, your conversion of FT4 to FT3 looks poor. T3 might be the answer but you probably need a slight increase in T4 first.
Vit D on the floor aim for 100 it will make such a difference. You need D3 with K2 and a loading dose for 3 months of at least 4000iu probably more.
Ferritin could be a smidge higher, are you veggie or vegan? Try liver pate twice a week or similar heme iron rich foods.
B12 very low, I’d suggest asking GP to test for Pernicious Anaemia, very good forum on Health Unlocked, after testing then likely high strength B Complex and separate B12, maybe even injections
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 your serum B12 is over 500 (or Active B12 level has reached 70), you 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
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
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
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
Oh wow, thank you so much for all of this, I will take a good look and start introducing your recommendations, then retest in 2-3 months after changes, can't thank you all enough
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