folate 24.00 ng 24.00ng/lo. Normal above 4.12 ug/l ferritin 233.7.ng/l. Range 10-291ug/l
B12. 501.0ng/L. Range 211.0 -911.0ng/L
I take a zinc tablet and omega 3 tablet daily
For years I have suffered from chronic fatigue and have all the symptoms of mild hypothyroidism but my doctor says there is nothing wrong with me according to all the blood tests and cannot prescribe me any levothyroxine as I am within the normal range . Where do I go with this as I don't know how to get better , do I have to live with this?
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Gina112
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Your antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances.
Most common by far is gluten.
Dairy is second most common.
A trial of strictly gluten free diet is always worth doing
Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential
A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first as per NICE Guidelines
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial
With loads of vegan dairy alternatives these days it’s not as difficult as in the past
Eliminate Gluten. Even if you don’t have Hashimoto’s. Even if you have “no adverse reactions”. Eliminate gluten. There are no universal rules except this one.
Yes I have always. taken a lot of supplements as I thought I was deficient in something but clearly I am nt. My doctor still will NOT medicate me. on the basis that my antibodies are high, I understand that a gluten free diet will help but why can I not be prescribed a low does of thyroxine to see if my. chronic fatigue improves???? could I find a health clinic abroad that would allow me to buy thyroxine from them? I know this is not safe to do as there are bogus companies out there but I am desperate to get better and am will ing to take the risk
Suggest you try private thyroid specialist endocrinologist
Looking at some degree of central hypothyroidism as TSH not responding to low Ft4
Here’s link for how to request Thyroid U.K.list of private Doctors emailed to you, but within the email a link to download list of recommended thyroid specialist endocrinologists
Ideally choose an endocrinologist to see privately initially and who also does NHS consultations so that might eventually transfer to NHS
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