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)
Post discussing how biotin can affect test results
I think the fact that your TSH has now moved from low / suppressed at 0.01 - to 1.33 - tells me that this first phase of Graves is likely over - and your immune system not now in control of your thyroid.
and this is confirmed as your Graves antibodies were rerun and you state now non detectable -
Generally speaking the NHS allocate around 15-18 months with an AT drug - though recent research suggests longer is better :-
Ok then - your T3 is coming in at around 59% with your T4 at 65% -
So these are both in their ranges with T3 tracking just behind the T4 which is the right way round - so I doubt these symptoms are Graves -
In fact some of these symptoms are experienced when hypothyroid -
Were you also diagnosed Hashimoto's and had positive TPO antibodies or / TgAB antibodies as well as Graves ?
For some people having one AI disease sees other AI issues develop - such as celiac - gluten intolerance- which might explain the stomach issues - has a test ever been run ?
Just for reference I now aim to maintain my ferritin at around 100 - folate 20 - active B12 125 ( serum B12 500++ ) and vitamin D ar around 125.
Blackberrymoo I was writing this next bit when you replied.
P.S. A euthyroid ( normal functioning thyroid ) would have a TSH at around 1.20-1.50 with a T4 at around mid point with a T3 running slightly behind the T4 -
so you're not quite there yet - and think you need to give yourself a little more time -
Do you check yourself on pulse, blood pressure and temperature - ideally AM and PM - as these clinical symptoms can help you understand what is happening in your body - and facts to present to your doctor if the blood tests do not well represent how you are feeling ?
So - ok - it seems you also have Hashimoto's and liable to erratic swings in thyroid hormones - sometimes confused with Graves - and why antibodies must be run - and which is not medicated with an AT drug as the T3 and T4 fall back down into range by themselves - but ultimately the thyroid becomes damaged and the patient becomes hypothyroid and eventually prescribed thyroid hormone replacement/
All things Hashimoto's - many forum members follow the research and suggestions of Dr Izabella Wentz who writes s thyroidpharmacist.com
I've added on a reply up in my last post that I was editing when you pinged me :
So it is quite common when the immune system attacks the thyroid thyroid that there is a ' grey area ' and several different antibodies are found positive -
Graves Disease is said to be life threatening if not medicated - so takes precedence and the treatment is with an AT drug - which ' just buys you time ' while we wait for your immune system to calm back down again and hopefully the thyroid reset itself without the need for any drugs.
There is no medication for Hashimoto's - the T3 and T4 do not rise higher and higher as in Graves but fall back down into range without any medical intervention - but with successive immune system attacks and thyroid gland becomes increasing disabled and thyroid hormone production reduced and the patient becomes hypothyroid -
Stomach, gut and bowel issues are common with Hashimoto's and many need to consider checking intolerance to food stuffs with the usual suspects being gluten, dairy and wheat.
Ok, thank you for all your replies it really has helped. 😊 I have to have my thyroid levels checked again in 3 weeks to see how they are doing, so if they are starting to look like they are going the other way does this mean it’s going to be Hashimoto from now on?
I would think so - as these results do not look like active Graves -
and it could be that the AT drug is still having some bearing on your blood test results -
the AT drug has been controlling your metabolism for over a year - and you only stopped treatment a month ago.
I detailed above ' euthyroid ' TSH, T3 and T4 blood test levels - they are just ball parks - as having been diagnosed Graves and / or Hashimoto's I question if we ever fall back into what is considered ' normal ' levels by some medical professionals.
If you want - throw them up on here on the forum - if looking for reassurance - alongside these results and we should be able to see some changes and hopefully some relief in these symptoms being tolerated.
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Adrenal test results Help Needed please
’Borderline’ test results and GP advised treatment not necessary
can you help with these test results please?
hi I’m new here a long wait to see endocrinologist I’m just wondering if somebody could help me understand what my results mean
