update on blood test results from the doctors.

[Haze1975]

the doctors surgery. Turned around and maybe appointment. Instead of waiting the 4/6 weeks for a phone call. One of the doctors had put in my notes, what was going on because this patient has had cancer and her levels have been rising for the last 4 years.. (So someone looked again) was glad to see the name of the doctor. His father was one of the best doctors in Surgy years ago before he retired.

they put me on for 3 months of folic acid and vitamin b12 as well and was told to get 1000 of vitamin d as well. And the blood test was to be repeated by the end of the month as well. She ordered t3 and t4 for the blood work. And stated that if there not normal then there going to speak to a specialist what to do next,(as she not a specialist in that field) she said worse case if thyroid levels isn’t right. the plain of action is a contacted specialist for advice, or I’m seeing specialists team again, (10 years was up in 2023, his under study told me I’d won’t have to be seen again), and that I would have to go for a scan to see what’s going on as well.

I’m hoping that the levels of my thyroid will be normal. I know the thyroid can regrow but 50% change, but if it has will explain a lot of other things what is going wrong, over the years, (stomach problems, and monthly circle as well, the doctors I saw all blamed it on my age) even was sent for test but all came back with nothing wrong. So let’s see what will happen next.

[SlowDragon Administrator]

previous post showing extremely low vitamin levels

healthunlocked.com/thyroidu....

vitamin B12 level 153 ng/L [187 - 883]

Deficient

Has GP tested for PA

Exactly what has been prescribed

Serum folate level 3 ng/ml [3.1 - 20.5]

Deficient

vitamin D level 38.4 nmol/L [50 - 150]

was told to get 1000 of vitamin d as well

That’s inadequate

even by NHS guidelines you need 1600iu daily prescribed by GP

NHS Guidelines on dose vitamin D required

panmerseyapc.nhs.uk/media/2...

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.

There’s a version made that also contains vitamin K2 Mk7.

One spray = 1000iu

amazon.co.uk/BetterYou-Dlux...

It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average

Suggest you try 3 sprays per day

no ferritin test?

Request GP test

TSH level 4.97 miu/L [0.35 - 4.94]

Obviously this shows either poor absorption or not on high enough dose

[Haze1975 in reply to SlowDragon]

Thank you. I’d order the get spray. As I’ve tried tablets because there not raining it high enough.Id been on 175 Levo, dropped down to 150 levo and have been on 125 Levo for years now, they slowly reduce it because they wasn’t happy on the levels been at 0.1 all the time. They wanted it higher a bit. They haven’t gave me anymore for years now, hopefully that all it needs going back up to 150 Levo and vitamins as well.

[SlowDragon Administrator in reply to Haze1975]

Id been on 175 Levo, dropped down to 150 levo and have been on 125 Levo for years now

ALWAYS insist on Ft4 and Ft3 tested and vitamin levels annually

What was tested at previous test ?

Which brand are your 100mcg and 25mcg tablets

Yes obviously get increase to 150mcg as first step

Get FULL iron panel including ferritin via GP too

[Haze1975 in reply to SlowDragon]

100= Accord levothyroxine tablets

25= wockhardt Levothyroxine tablets .

[Haze1975]

this is the best I’d can find. It’s a posted that I’d posted in December 2023. As records don’t go back more than 60 days

Serum cholesterol level 6.5 mmol/L

Serum HDL cholesterol level 1.1 mmol/L

Cholesterol/HDL Ratio 5.9

Serum LDL cholesterol level 3.8 mmol/L

Serum triglyceride levels 3.5 mmol/L

Guide to Lipid Interpretation: ~

Primary Prevention:

Refer to risk tables

Secondary Prevention:

Target Cholesterol < 4.0 mmol/L

or 25% reduction (whichever is greater)

Target LDL-Cholesterol < 2.0 mmol/L

or 30% reduction (whichever is greater)

HDL Cholesterol should be > 1.0 mmol/L

Target non HDL Cholesterol <2.5mmol/L (JBS3 2014)

or 40% reduction from baseline (NICE CG181/July 2014)

Fasting Triglyceride should be less than 1.7 mmol/L

Serum non high density lipoprotein cholesterol level 5.4 mmol/L

LIVER FUNCTION TESTS

Serum alanine aminotransferase level 13 U/L [10.0 - 35.0]

Serum bilirubin level 5 umol/L [0.0 - 21.0]

THYROID STIMULATING HORM.

Serum TSH level 4.48 mIU/L [0.35 - 4.94]

Serum free T4 level 14.10 pmol/L [9.01 - 19.05]

Serum free triiodothyronine level 3.60 pmol/L [2.63 - 5.7]

Haemoglobin A1c level - IFCC standardised 43 mmol/mol [20.0 - 41.0]; (>47 mmol/mol) - Diabetes Mellitus if confirmed.

(42 - 47 mmol/mol) - High risk of developing DM,

GFR calculated abbreviated MDRD > 90

Urea and electrolytes

Serum sodium level 142 mmol/L [136.0 - 145.0]

Serum potassium level 4.7 mmol/L [3.5 - 5.1]

Serum urea level 5.5 mmol/L [2.5 - 6.7]

Serum creatinine level 56 umol/L [50.0 - 98.0]

BONE PROFILE

Serum total protein level 81 g/L [64.0 - 83.0]

Serum albumin level 39 g/L [35.0 - 50.0]

Serum calcium level 2.31 mmol/L [2.1 - 2.55]

Serum inorganic phosphate level 1.00 mmol/L [0.8 - 1.5]

Corrected Calcium 2.33 mmol/L [2.1 - 2.55]

Serum globulin level 42 g/L [20.0 - 39.0]; Above high reference limit

Serum alkaline phosphatase level 144 U/L [40.0 - 150.0]

FULL BLOOD COUNT

Haemoglobin concentration 133 g/L [115.0 - 165.0]

Total white blood count 8.9 10*9/L [3.7 - 11.0]

Platelet count - observation 493 10*9/L [150.0 - 450.0]; Above high reference limit

Neutrophil count 5.6 10*9/L [1.7 - 7.5]

Lymphocyte count 2.1 10*9/L [1.0 - 4.0]

Monocyte count - observation 0.8 10*9/L [0.2 - 1.0]

Eosinophil count - observation 0.3 10*9/L [0.04 - 0.5]

Basophil count 0.1 10*9/L [0.0 - 0.1]

Red blood cell count 4.35 10*12/L [4.0 - 5.5]

Haematocrit 0.410 L/L [0.36 - 0.44]

Mean cell volume 94.3 fl [80.0 - 100.0]

Mean cell haemoglobin level 30.6 pg [27.0 - 32.0]

Mean cell haemoglobin concentration 324 g/L [320.0 - 360.0]

Nucleated red blood cell count 0.0 10*9/L [0.0 - 0.1]

[SlowDragon Administrator in reply to Haze1975]

Free T4 (fT4) 14.10 pmol/L (9.01 - 19.05) 

Ft4 only 50.7% through range

Free T3 (fT3) 3.6 pmol/L (2.63 - 5.7) 

Ft3 only 31.6% through range

Low Ft4 (Levo) shows you are on inadequate dose and need increase

Ft3 lower % than Ft4 shows poor conversion

For good conversion we need GOOD vitamin levels

Low Ft3 results in low vitamin levels

Your vitamin levels are currently terrible

Get dose increase in Levo

Work on improving low vitamin levels

cholesterol levels will reduce as thyroid levels improve