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Please advise on my results

Soaping profile image
6 Replies

Good morning lovely people,Have you any suggestions regarding my results below. Im getting alit or head and ear pressure and i cannot work out why. Still feel tired and unmotivated? Did my tests as advised fasting 8.45am. Last 5mcg t3 at 9pm. Last 75mcg T4 24hours previously.

MMH

TSH 0.22 (027-4.2)

T3 5 (3.1-6.8)

T4 15.09 (12-22)

HbAC1 36mmol

Vid D 104

B12 111pmol

Iron H.B 132 g/l

Ferritin 62

TSAT 25%

Folate 6.8

Cholesterol 6.7

HDL 199 mmol

Non HDL 4.72

Triglycerides 3.06

I try had to get my Ferritin up with liver and liver pate but has gone down slightly from 69.9..

Any advice please.

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6 Replies
Regenallotment profile image
RegenallotmentAmbassador

hi there,

Sorry you seem to have been waiting a while for a reply.

Ferritin, I’ve been there, you might do better on Three Arrows Simply Heme, quite popular on the forum. It’s from the US but ships quickly, 1 a day for 3 months and test again, I’m down to 2 a week except during a bleed and then take it daily. No range for HB, is that quite high? We likely need humanbean advice on this.

Your FT4 is low in range compared to your FT3, we’ve been seeing this quite a lot lately on the forum. It’s likely you need more than 75mcg T4 daily but maybe less than 100mcg. So the thing to do is take 4 days 100 and 3 days 75 for 8 weeks and retest.

You will find raising ferritin helps with those symptoms too but low T4 makes me feel awful.

Soaping profile image
Soaping in reply toRegenallotment

Hello Regenallotment,Thank you very much for your reply and advice ill look into that iron you suggest. Im not sure on the HB either. Im over the age of having a bleed so i do not have that problem. If my T4 is too high i get really bad too. Its a minefield getting it all right.

Regenallotment profile image
RegenallotmentAmbassador in reply toSoaping

100% agree with that! Been there done that … slowly we learn 🤣

Jaydee1507 profile image
Jaydee1507Administrator

Free T4 (fT4) 15.09 pmol/L (12 - 22) 30.9%

Free T3 (fT3) 5 pmol/L (3.1 - 6.8) 51.4%

FT4 is too low, needs to be around 70%. FT3 also should be higher at around 70%.

TSH is still fairly high for someone on T3, would expect it to be closer to 0.

Suggest increasing Levo to 100mcgs.

Are you taking anything with folate in? Your level is low.

Do you eat the pate with an orange juice drink or vit C? This helps absorption, so if you're not already then that might make the difference.

Soaping profile image
Soaping in reply toJaydee1507

Hi Jaydee, thank you I will try the vitimin C as i do not take. I cannot up my T3 or T4 without my private consultant agreeing to it as he was happy with my figures but was concerned about my cholesterol and wants to put me on statins but i do not want to take those.

Jaydee1507 profile image
Jaydee1507Administrator in reply toSoaping

What about folate? Are you already supplementing?

If this Endo is happy with your results you might want to think about finding one not so conceerned about TSH alone.

Raised Cholesterol

Many members ask questions about blood results related to raised cholesterol so I have tried to put together a small amount of information that I hope informs.

Cholesterol is just one modifiable risk factor for heart attack, stroke & peripheral arterial disease.

Other modifiable risk factors are:

Diet - eating too much unsaturated fat. A Mediterranean type diet can help. bbcgoodfood.com/health/heal...

Physical inactivity - try and be more active, join a local walking group, exercise classes tailored to your energy level etc Local councils often have well-being hubs that might be able to point you in the right direction of what’s happening locally to you.

Smoking - ask your GP or pharmacist about stop smoking groups near you.

Alcohol intake above recommended levels - men and women are advised not to drink more than 14 units a week on a regular basis. nhs.uk/live-well/alcohol-ad...

Obesity - difficult when under replaced or low FT3 but the Mediterranean diet might help.

Which brings us to hypothyroidism, and under replacement can cause raised cholesterol.

The NHS states:

If you have an underactive thyroid (hypothyroidism), treatment may be delayed until this problem is treated. This is because having an underactive thyroid can lead to an increased cholesterol level, and treating hypothyroidism may cause your cholesterol level to decrease, without the need for statins. Statins are also more likely to cause muscle damage in people with an underactive thyroid.

nhs.uk/conditions/statins/c...

If your GP hasn’t tested your FT3 or even FT4 then its recommended to buy a private test so that you can know the full picture of your thyroid health. When you have the blood results start a new post for members to comment. See link for companies offering private blood tests & discount codes, some offer a blood draw service at an extra cost. thyroiduk.org/testing/priva...

There are other companies such as OneDay Tests & Randox (cheap). Check to see if there is a blood test company near you. onedaytests.com/products/ul...

Only do private tests on a Monday or Tuesday to avoid postal delays.

Recommend asking your GP what your Qrisk3 score is:

qrisk.org/

Explanation of Qrisk3 score: hornchurchhealthcare.co.uk/...

Some of the background story behind the statins controversy: telegraph.co.uk/news/2018/0...

How do statins prevent heart attacks and strokes: bhf.org.uk/informationsuppo...

Natural alternatives to statins: bhf.org.uk/informationsuppo...

Improving lipid management to reduce cardiovascular disease and save lives, some statistics:

england.nhs.uk/long-read/im...

There are also alternatives to statins which aren’t quite so effective but worth a discussion with your GP about them if you are higher risk of a cardiovascular event.

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