Advice needed on blood results please

[Love2camp]

Hi, I'm 55 and have had hypothyroidism for approx 30yrs. My current thyroxine dose is 112.5mcg daily. My TSH bounces up and down along with my weight and the GP keeps switching my thyroxine dose as a result. It's making life difficult swinging between hyper and hypo every few months and I have awful symptoms including hairloss on a regular basis.

I've recently had a blood test with medichecks and my gp has done one too. Im having a telephone consultation with him in a couple of weeks and would appreciate some help so I can get off this merry go round of going up and down. I'm struggling to concentrate at the moment, probably because I'm undermedicated. My medicheck test unfortunately came back minus the folate result which I'm told can often fail with fingerprick tests. I also have rheumatoid arthritis and am on Abatacept. As my appointment to speak to the gp isn't for a couple of weeks I've increased my thyroxine today to 125mcg as I have spare tablets.

Any advice you can offer would be really helpful. 😊

Medicheck results

CRP 1.84

Ferritin 79.9 (30-264)

Folate failed

B12 123 (>37.5)

Vit D 52.7 (50-250)

TSH 6.81 (0.27-4.2)

Free T3 3.9 (3.1-6.8)

Free Thyroxine 14.2 (12-22)

Thyroglobulin Antibodies 19.3 (0-115)

TPO antibodies 14.4 (0-34)

GP Results

TSH 8.38 (0.3-5.5)

FT4 14.4 (11.5-22.7)

[Jaydee1507 Administrator]

Thats a high TSH for someone on 100mcgs Levo.

Levo is a very fussy indeed hormone, it pays to pay attention to how you take it.

Always take Levo on an empty stomach an hour away from food or caffeine containing drinks & other meds. Many people find taking it at bedtime works well for them.

What was your result when your GP said you were hyper? Actually they mean over replaced as not possible to be hyper when on Levo.

Your FT4 is only 22% of range at the moment but I suspect that there may be an absorption issue here. An extra 25mcgs Levo certainly shouldnt take you over replaced.

How are you taking your blood tests? Time of day is important as TSH varies throughout the day. Its highest at 9am or earlier.

Also very important not to take your Levo just before the test. Allow 24hrs between last Levo dose & test. Take it after the test that day, not before or the test will measure what you have just taken which looks like a lot on results.

Recommended blood test protocol: Test at 9am (or as close as possible), fasting, last levo dose 24hrs before the blood draw & no biotin containing supplements for 3-7 days (Biotin can interfere with thyroid blood results as it is used in the testing process).

Testing like this gives consistency in your results and will show stable blood levels of hormone and highest TSH which varies throughout the day. Taking Levo/T3 just prior to blood draw can show a falsely elevated result and your GP/Endo might change your dose incorrectly as a result.

Vitamin D should be around 100 - 150. Buy one that includes vit K2 to help it go to your bones. Some are available in oil or you can take it with an oily meal for better absorption. Many members like the ‘Better You’ range of mouth sprays that contain both bit D & K2. Use this calculator to work out how much to take to get your level to 100-150. Most people need a minimum of 3,000iu per day.grassrootshealth.net/projec...

Ferritin should be around 90 - 100 for best use of thyroid hormone. Suggest increasing iron rich foods in diet and eating them often. Chicken livers, pate, red meat etc

Link with ideas for dietary iron:

dailyiron.net/