i have been trying to figure out why i have been feeling tired lately. Endo won’t increase my dose of 50 mcg of synthroid.
Here are latest lab results-
Tsh 0.88 Range 0.35-4.94, sept, 24 1.71
T4free 1.00 R 0.69-1.48, Sept 0.95
T3 free 2.63 R 1.71-3.71, May 2.39
Vitamin D 30 R 30-100, September 24 was 36
I always been low on Vitamin D, taking extra Vitamin D 2500, calcium 500, magnesium glycinate 240 mg.
Tsh seems better than last time, i doubt endo will increase the dose after reviewing the lab results.
Anyone else experiencing tiredness on Hashimoto?
My diet and exercise is pretty good for a small built 80 year old female though Osteoporosis/ osteopenia is there! Some bones are weaker than before! Here in usa Medicare only allows bone density test every 2 years!
Thanks
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Suzi_
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Why won't your doctor increase your dose? Your Free levels are very low. What was your TSH?
Why are you taking calcium? Did you test it and find it low? As you are taking vit D you shouldn't be low on calcium because taking vit d increases absorption of calcium from food. But you do need to take vit K2-MK7 to make sure the calcium goes into the bones and teeth and doesn't build up in the arteries and soft tissues.
I realise you have osteoporosis, but calcium is neither a cure nor a prevention of that. In fact, it can make things worse by making your bones brittle.
If your vit D is low, your ferritin probably is, too. And that will make you very tired. Have you had that tested?
Your TSH isn't even very low, you have plenty of room to increase. And it's not just about being in-range, it's about your results being in the right place in the range to make you well.
As I said, calcium is neither a cure nor a treatment for osteoporosis. Be very careful of this doctor, I don't really think he knows what he's doing. Did he at least test your calcium before prescribing calcium? It could cause a lot of problems. Calcium supplements are not a good thing to take. And, in any case, magnesium is far more important for bones than calcium.
Anemia is nothing to do with vit D. Anemia is either low B12 - and yours is good - or low iron/ferritin. And your ferritin is very, very low. You need to have a full iron panel to find out what's going on.
I'm not an expert in vit D, so if I were you, I would start a new post asking just about that. Someone here will be able to tell you how much you should be taking. But you shouldn't be taking the calcium as well unless your level is very low.
Anemia is either low B12 - and yours is good - or low iron/ferritin.
And/Or could be low folate. The best form of folate supplement is methylfolate which, in the UK, is available without prescription from many websites that sell supplements.
Avoid folic acid. To be useful to the body folic acid, which is inactive, must be converted to the active form of folate (i.e. methylfolate), but many people with thyroid disease can't do the conversion very well.
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
Medichecks iron panel test to show you what tests to request
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.
High B12
B12 can be falsely high if other B vitamins are low
Are you taking any supplements that contain B12?
No folate result?
Many members find it is beneficial to be supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)
This can help keep all B vitamins in balance
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
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)
I agree with the above suggestions. Your "probably" not going to raise your D on just 2500 mg. I have to take 10,000 mg (daily) just to keep mine at 90. I would suggest raising it to at least 5000 daily.
Vitamin D3 is widely available over the counter. Most members here buy their own, and in any case, what the NHS provides is not enough to raise your level to optimal.
Suggest you take a look at the Better You range of Vit D + K2, 1,000iu per spray and try 4 sprays per day.
Doctors are not supposed to heal you, their pay checks depend on keeping people sick and that is why he tells you that 30 is normal. If you get healed they lose a patient. 30 is in 'range' but that doesn't mean anything. If it was 99 it would be 'in range'. I stopped listening to them years ago and that's when I started healing. People get frustrated when they try to convience someone of something when their pay check demands that they stay unconvienced. If you have symptoms of low vitamin D (or any other vitamin/mineral/etc.) then it doesn't matter what they say (or what the 'range' is) you need to supplement..You are your best advocate..you can do this..
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