Hi,hope everyone is well
Just had some bloods done recently,and my total cholesterol has come back at 6.4.
The pharmacist has just phoned me saying I need to make adjustments in my diet,and exercise more.Im quite an active person,and my diet isn’t that bad.
Any help/suggestions would be greatly appreciated
Thanks
Cholesterol is a classical sign of hypothyroidism. Thyroxine hormones are responsible for your metabolism and if you have not got enough thyroid hormones available, your metabolism is slowed down.
The liver is responsible for processing cholesterol, however if it has not got enough T3 (which is the active thyroid hormone) available, your lipid metabolism will be impaired and as a result your cholesterol levels will rise. An increase in thyroid hormones, especially an increase in T3, will correct this. It is not a dietary problem, it is a metabolic problem and should be treated as such. And sadly no diet or increase in exercise can correct this.
What were the results of your latest thyroid test? If you could share your TSH, T4 and T3 results, we can see if your medication might need adjusting. What dose of medication are you on currently?
Hi Tina
Thanks for the quick reply
Ft4 was 18.6
Ft3 was 4.1
Tsh 1.81
Folate 7.2
Active b12 29.6
Vit D 80.7
Currently take 150 mcg of Eltroxin
Hi again, could you please add the normal ranges from the lab after your results please? Different labs have different ranges so if we know what the specific range is for a specific lab, it is easier to see what's what. Thanks! 
Ft4 (12-24)
Ft3 (3.1-6.8)
Tsh (0.27-4.2)
FT4 55% through the range
FT3 27% through the range
Both your values are quite low, especially the T3, and this is the reason why your cholesterol is getting higher.
What is your weight? In general replacements ate around 1.6 to 1.8 mcg / kg weight, so depending on your weight, your dose might be too low.
Most patients feel best when both their T4 and T3 are at least 65% through the range, so you have room for an increase. Have you spoken to your GP about an increase in medication?
Your Vitamin D is not too bad (provided the units are nmol/L), around 90 or above would be better though.
Without seeing the range, your folate and especially Vitamin B12 are quite low. Are you supplementing with anything? Have you been tested for pernicious anaemia? Both these vitamins need improving.
Please add ranges on results
Was test done early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test
Active B12 is terrible
You need testing for Pernicious Anaemia
Exactly what vitamin supplements are you taking
Test was done before 9,and last Levo dose was 24 hrs before test.
It’s been a battle with my gp with regards to my b12,as my serum b12 is well within range.😞
Have you tried adding daily separate B12 and starting a separate vitamin B complex a week later
Retest after 6-8 weeks
If Active B12 remains low you will need to do B12 injections
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement
A week later add a separate vitamin B Complex
Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.
If Vegetarian or vegan likely to need ongoing separate B12 few times a week
Highly effective B12 drops
natureprovides.com/products...
Or
B12 sublingual lozenges
uk.iherb.com/pr/jarrow-form...
cytoplan.co.uk/shop-by-prod...
In-depth article on different forms of B12
perniciousanemia.org/b12/fo...
B12 range in U.K. is too wide
Interesting that in this research B12 below 400 is considered inadequate
healthunlocked.com/thyroidu...
perniciousanemia.org/b12/le...
And why aiming to keep B12 over 500 recommended
perniciousanemia.org/b12/le...
Great reply by @humanbean on B12 here
healthunlocked.com/thyroidu...
Low folate
supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)
This can help keep all B vitamins in balance and will help improve B12 levels too
Difference between folate and folic acid
healthline.com/nutrition/fo...
Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid supplements
thyroidpharmacist.com/artic...
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
Post discussing different B complex
healthunlocked.com/thyroidu...
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
endo.confex.com/endo/2016en...
endocrinenews.endocrine.org...
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)
Post discussing how biotin can affect test results
healthunlocked.com/thyroidu...
helvella.blogspot.com/p/hel...
Post discussing start B12 injections
Do you have the MTHFR gene? Often it will show a higher serum B12 but in reality the B12 is pooling in the blood and not being absorbed (causing deficiency). Your doctor should be going by what that active B12 test shows, and injections are warranted.
*Just saw the active B12 level, which is low.
Looking at previous posts
Your Ft3 rather low
You say Active B12 low
What were folate and vitamin D results
Exactly what vitamin supplements are you taking
exactly the same thing with me a couple of weeks ago and mine came back at 7 and they suggested the same changes and also putting me on Statins. I told them my diet was good, I don't have much fat except for coconut oil and ghee and informed her that being hypo affects levels especially when they arn't optimal like my T3
High cholesterol 
high cholesterol
High cholesterol Hashimotos 
High cholesterol?
High cholesterol...
