blood results

[Tammy40-]

Hi it’s been a while back to ask if a tsh of 1.65 is ok it was 33 two months ago had my blood redone 4 days ago i have been on 150mg Levo(accord started to feel myself up till yesterday i feel dizzy chest pains i had ecg and other tests all are good just wondering if 1.65 is close to normal

[SlowDragon Ambassador]

You need TSH, Ft4, Ft3, vitamin D, folate, ferritin and B12 tested together

Just testing TSH is useless

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Please add most recent folate, B12 and ferritin results

Looking at previous post 2 months ago you have been taking high dose vitamin D on prescription

Have you finished prescription vitamin D

Level needs retesting and you will need ongoing daily maintenance dose

[Tammy40- in reply to SlowDragon]

my t3 is ok just my t4 last time was 15 before my levo was highered I’m gettin my t4 checked in 3 weeks my next blood test they never check my t3 but I’m going to ask them to check it I do feel a lot better than I was but for two days feeling little poorly dizzy and aching apart from that all bloods are good apart from my vitamin and I’m still taking meds for it but there checking my levels in three weeks

[Bhavm]

Sorry I wouldn't know

[McPammy]

A TSH of 1.65 is pretty much perfect. You could do with finding out your levels of T4 and T3. Also get your vitamins D, folate, ferritin and B12 as these can often be too low. Good idea also to check your lipids/cholesterol levels as these can be too high. Main thing is how you’re feeling. Are you feeling symptom free?

[Tammy40- in reply to McPammy]

There all good apart from my vitamins I’m on medication for it for 7 weeks 800iu twice daily I’m wondering if my Levo now will need lowering

[SlowDragon Ambassador in reply to Tammy40-]

7 weeks 800iu twice daily

That’s low dose vitamin D

What was vitamin D before starting on supplements

GP will often only prescribe to bring vitamin D levels to 50nmol.

Some areas will prescribe to bring levels to 75nmol or even 80nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

But improving to around 80nmol or 100nmol by self supplementing may be better

pubmed.ncbi.nlm.nih.gov/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Test twice yearly when supplementing

Can test via NHS private testing service

vitamindtest.org.uk

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

Vitamin D may prevent Autoimmune disease

newscientist.com/article/23...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Recipe ideas

bbc.co.uk/food/articles/mag...

Interesting article by Dr Malcolm Kendrick on magnesium

drmalcolmkendrick.org/categ...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

ESSENTIAL to test folate, B12 and ferritin at least annually

Thyroid levels should be retested 6-8 weeks after each dose change or brand change in levothyroxine

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test

Monitor My Health (NHS private test service) offer thyroid TSH, Ft4 and Ft3 and vitamin testing, plus cholesterol and HBA1C for £65

(Doesn’t include thyroid antibodies)

monitormyhealth.org.uk/full...

10% off code here

thyroiduk.org/testing/priva...

[McPammy in reply to Tammy40-]

I doubt it.