b12 deficiency but now I think she may have thy... - Thyroid UK

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b12 deficiency but now I think she may have thyroid problems

Vicky2822 profile image
11 Replies

hi

My daughter (now 22) has b12 deficiency and SI about twice a week (she gets the 12 weekly one from the gp). She had an Ifab test a few years ago but this came back negative.

Her journey started when she was 11 had developed a virus which triggered vestibular migraine disorder and fatigue. I think it may have been caused by black mould.

About 4 years later we found out she had b12 deficiency (I was questioning whether she’d be able to lead a normal life at this point as was constantly exhausted and needed a wheelchair for any days out).

Since starting SI she is now holding down a full time job and going to the gym but she still isn’t great. Symptoms include fatigue, peeling finger tips, constant bouts of thrush, brain fog, menstrual problems including endometriosis and adometreosis. She recently did a hair sample which identified a possible thyroid problem as her calcium content was 700 (max range was 100) her magnesium and copper readings were also very high.

looking back at old blood tests from 2022 her last TSH was 0.56 (range started at 0.5) and T4 was 11.5 (top range was 12).

I’ve been googling and this all points to hashimotoes disease.

She has asked the Gp for a blood test to check her thyroid, calcium and copper levels.

Has anyone else developed thyroid problems or can suggest next steps. I’m worried nothing will happen again if she’s still just in range on her blood tests.

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11 Replies
SlowDragon profile image
SlowDragonAdministrator

She needs FULL thyroid and vitamin testing

Endometriosis is linked to Hashimoto’s

Is she only taking B12

Or any other supplements?

For full Thyroid evaluation she needs TSH, FT4 and FT3 tested

Also both TPO and TG thyroid antibodies tested at least once to see if hypothyroidism is autoimmune

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease

About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high TPO and/or high TG thyroid antibodies

Autoimmune thyroid disease with goitre is Hashimoto’s

Autoimmune thyroid disease without goitre is Ord’s thyroiditis.

Both are autoimmune and generally called Hashimoto’s.

Significant minority of Hashimoto’s patients only have high TG antibodies (thyroglobulin)

NHS only tests TG antibodies if TPO are high

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

Post all about what time of day to test

healthunlocked.com/thyroidu...

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus BOTH TPO and TG antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes BOTH TPO and TG antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

Only do private testing early Monday or Tuesday morning.

Tips on how to do DIY finger prick test

support.medichecks.com/hc/e...

SlowDragon profile image
SlowDragonAdministrator

her last TSH was 0.56 (range started at 0.5) and T4 was 11.5 (top range was 12).

what was range?

Most common range on Ft4 is 12-22

Hashimoto’s frequently starts with transient hyper results/symptoms

Vicky2822 profile image
Vicky2822 in reply toSlowDragon

She is hopefully having the blood test Thursday at 9.20am. She asked for a full thyroid test so we will see what they do plus calcium, magnesium and copper.

The old blood test didn’t give a range for the free T4 just says 11.5pmol/L

She has b12 inj 2 x week and takes a folate tablet when she does these. And also takes d3, k2, fish oil, vit c and various herbal things that are meant to help stop candidate’s overgrowth. We also make our own kefir and she drinks that every day.

SlowDragon profile image
SlowDragonAdministrator in reply toVicky2822

The old blood test didn’t give a range for the free T4 just says 11.5pmol/L

She is legally entitled to printed copies of her blood test results and ranges.

The best way to get access to current and historic blood test results is to register for online access to your medical record and blood test results

UK GP practices are supposed to offer everyone online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need "enhanced access" to see blood results.

This currently only applies in England, not across the whole of the UK. Nether Scotland nor N.Ireland have released an NHS app for patients. (Scotland supposedly due in December '24.) Wales has an app, but only for booking appointments, repeat prescriptions and amending personal details

Link re access

patients-association.org.uk...

healthunlocked.com/thyroidu...

In reality some GP surgeries still do not have blood test results online yet

Alternatively ring receptionist and request printed copies of results. Allow couple of days and then go and pick up.

elaar profile image
elaar

Calcium is tightly controlled in the body, but it's done by the Parathyroid, not the Thyroid. Although it's essentially part of the Thyroid, I don't believe the parafollicular cells are attacked by the immune system with Hashimotos.

Vicky2822 profile image
Vicky2822 in reply toelaar

The high calcium was in her hair sample so not sure how they relates to blood levels do getting that checked.,

elaar profile image
elaar in reply toVicky2822

Yes me neither, obviously worth getting serum levels checked, I'd be interested to hear the results.

humanbean profile image
humanbean

High copper is a common finding in people with thyroid disease. And anyone with high copper is likely to have low zinc, because zinc and copper compete for absorption. So, it would be a good idea to get zinc tested as well, if possible.

If your daughter does have low zinc then treating it with zinc supplements should also reduce copper.

drjockers.com/15-zinc-defic...

patient.info/healthy-living...

naturopathlife.com.au/high-...

drjockers.com/copper-zinc-i...

.

Regarding magnesium...

Magnesium testing is rather pointless because the results are not reliable. Only about 1% of the body's magnesium is found in the blood. The rest is found in soft tissue, muscle, and bone. Although only a small amount of magnesium is found in the blood it is important, and if it runs low it will be stolen from the soft tissue, muscle, and bone. So it is very rare for magnesium in the blood to be low but it could easily be low in other places where it is never measured.

If someone eats a diet with plenty of magnesium or supplements it, the body will excrete any excess via the kidneys, as long as the kidneys are functional. So as long as the kidneys are healthy enough to deal with excess magnesium it is suggested that most people should supplement magnesium.

To see where the body's magnesium can be found, see Table 2 in this link :

pmc.ncbi.nlm.nih.gov/articl...

To choose a magnesium supplement :

naturalnews.com/046401_magn...

drjockers.com/best-magnesiu...

.

humanbean profile image
humanbean

Anyone with thyroid problems needs to test their iron and ferritin (iron stores). Low levels of iron/ferritin are extremely common amongst women, and anyone with thyroid disease.

Ideally iron should be tested with an iron panel. If ferritin is tested alone it may look fine but, behind the scenes, serum iron could be anywhere from low to "normal" to high. People with low ferritin and high iron have sometimes found that supplementing iron just increases their serum iron even further, and that is not desirable because excess iron can be deposited in the internal organs.

Your daughter's doctor may do an iron panel when asked, if you are lucky. To do an iron panel privately there is this one :

medichecks.com/products/iro...

which tests :

hs-CRP, serum iron, TIBC (Total Iron Binding Capacity), transferrin saturation, ferritin.

Along with the iron panel it is worth getting a Full Blood Count done. A typical FBC will test the things listed in this link :

labtestsonline.org.uk/tests...

samaja profile image
samaja

IS she on micronised progesterone for her endometriosis? And quite a high dose of it as recommended by the guidelines?

Vicky2822 profile image
Vicky2822

she is on the contraceptive pill. I’m. It sure which one though. I know one wasn’t great I think that was the progesterone only one and really increased her blood pressure.

She finally seems a bit better in this area after starting a new pill 6 mth ago. Had an mri recently which showed nothing worrying . She had been bleeding for 20 days out of 30 and suffering lots of pain _ hence mri but this had all settled.

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