so posted results a couple of months ago and got my bit D tested also thyroid again and B12 active and folate . These were done through medi check .
B12 active >150 I have PA so SI and 2monthly injections at Drs
Folate 9.0 ul /l >2.9
Free T4 18.1 (11.5-22.7)
T3 4 .2 (3.1-6.8)
TSH 0.20 (0.38-5.33)
Vit D 38.9 (50.1-200) have started supplementing Vit D how long before I should retest ?
Thyroid peroxidase antibodies 137.0 (0-34)
Thyroglobulin antibodies 22.70 (0-115)
The GP did other test and the ones that stood out were :
Serum sexhormone binding 117 (24-111)
Serum testosterone 1.3 (0.0-1.3) so this was top end
Iron
Serum iron 39 (9-30)
Serum transferrin 2.9 (2.0-3.6)
Transferrin saturation index 54% (16-40)
I know iron is a collective but is it ok . I’ve got to make an appointment with an endocrinologist, is there anything I need to get tested or look into before I see him . Thyroid bloods done to protocol . I feel rubbish still and struggle to do things with feeling fatigue.
thanks in advance for any replies
Andrea
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andepande
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was test early morning and last dose Levo 24 hours before test
Which brand of Levo are you taking for 75mcg
Low folate
As you have B12 injections it’s recommended also to supplement a good quality daily vitamin B complex, one with folate in (not folic acid) may be beneficial.
This can help keep all B vitamins in balance and may help maintain B12 levels between injections
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
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
The GP didn’t prescribe Vitamin D I got one that’s 1000IU take one a day as he didn’t say anything about it .
I will get B complex the one you’ve suggested.
I don’t supplement iron as they keep telling me it’s fine it’s been all over the place .
I was on 100 Levo and it was dropped last year and then again in January so on 75 now . I’m 51.3 kilos after leaky gut and going down to 46 kilos have increased weight ( none gluten now ) . Since the drop in Levi I’ve struggled with fatigue. I was running 20 miles a week . I do anything strenuous as it wiped me out .
Ferritin 28 (15-300) sorry forgot to add that one
Bloods done as suggested before 9 last levo 24 hours before only water .
Serum ferritin level is the biochemical test, which most reliably correlates with relative total body iron stores. In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency
Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing.
It’s possible to have low ferritin but high iron
Test early morning, only water to drink between waking and test. Avoid high iron rich dinner night before test
If taking any iron supplements stop 5-7 days before testing
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
Thank you for your incredible patience while you have been awaiting the outcome of our ferritin reference range review. We conducted this with Inuvi lab, which has now changed the reference ranges to the following:
Females 18 ≤ age < 40. 30 to 180
Females 40 ≤ age < 50. 30 to 207
Females 50 ≤ age < 60. 30 to 264l
Females Age ≥ 60. 30 to 332
Males 18 ≤ age < 40 30 to 442
Males Age ≥ 40 30 to 518
The lower limits of 30 are by the NICE threshold of <30 for iron deficiency. Our review of Medichecks data has determined the upper limits. This retrospective study used a large dataset of blood test results from 25,425 healthy participants aged 18 to 97 over seven years. This is the most extensive study on ferritin reference ranges, and we hope to achieve journal publication so that these ranges can be applied more widely.
Just a thought re folate as I’m in a similar boat with Hashis and SI B12. I’d been taking 5mcg folic acid tablets until my prescription ran out in May then switched to Thorne B Complex which is often recommended here (somewhat more sporadically I confess). After seeing recent folate level of 10 my consultant advised me to take Seeking Health folinic acid lozenges and definitely not the B complex.
Thank you so much I’ll look at that . Be nice to have a consultant 🫣 hoping my appointment in January is a decent one at least or it will be private again which I had to do 12 years ago .
I had to go private in search of a second opinion - best money I ever spent as I think I'd have been signed off work by now. This was advice from the same consultant who asked for a second set of blood work after I had an iron infusion and he taught me to SI for PA back in January. I'm not sure if it's a coincidence but my tinnitus has improved again since switching to the folinic acid lozenges - it had all but disappeared but had started to worsen. Hope you see some improvement and feel better.
My tinnitus is horrible at the moment but I’ve been too tired and low to do anything I will get lozenges . Where is best to get them from ( shop or internet) x
I’m sorry to hear that your tinnitus is so bad - I find it goes hand in hand with fatigue. These are the lozenges I was recommended - start with half a day for a week then daily preferably in the morning as seems they can give you a buzz! supplementhub.co.uk/product...
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