Blood test - advice please

[Lotus77]

Hi, currently on 100mcg, diagnosed with Hypothyroidism + Hashimoto and recently Chronic Fatigue Syndrome.

Doing much better than a few months ago, but still not where I’d like to be.

Any suggestions would be very welcome.

[GlowCoach Administrator]

You had a reply to a previous post about your iron level here: healthunlocked.com/thyroidu...

TSH is a little too high, aim for below 1.

FT4 too low as is FT3 far too low.

Have you pushed your GP for an increase? ASk for it on a trial basis which often goes down better.

Ferritin is too low - NICE states lvl of 30 or below is deficiency. Has GP offered iron supplement, if not you should buy one over the counter. Many here do well with this product.

threearrowsnutra.com/en-uk/...

The B12 result is a serum B12, an active B12 is more accurate.

Folate a little on the low side so I would suggest a good methyl B complex to balance out your B vitamins.

B complex suggestions: Slightly cheaper options with inactive B6:

amazon.co.uk/Liposomal-Soft...

Contains B6 as P5P an active form:

bigvits.co.uk/thorne-resear...

healf.com/products/basic-b-...

Explanation about the different forms of B6:

helvella.blogspot.com/p/hel...

B complex comparison spreadsheet:

healthunlocked.com/thyroidu...

Vitamin D should be around 100 - 150. Buy one that includes vit K2 to help it go to your bones. Some are available in oil or you can take it with an oily meal for better absorption. Many members like the ‘Better You’ range of mouth sprays that contain both bit D & K2. Use this calculator to work out how much to take to get your level to 100-150. Most people need a minimum of 3,000iu per day.grassrootshealth.net/projec...

[Lotus77 in reply to GlowCoach]

Thank you for suggestions

Just to clarify, you mean try 125mcg Levothyroxine?

I’m taking Blue Iron, B50, Health Aid MagCitra, ferrous sulphate 200mg, and the Better You you mentioned.

Sometimes I also take Zinc, Selenium, Calcium, Boron…..

Will look into another Iron supplement as although feel better than last blood test still haven’t found right Iron supplement for me.

[FallingInReverse in reply to Lotus77]

Does your GP know you are supplementing iron, and have you had a full iron panel?

Ferritin is low but very possible your circulating iron is ok, but could also be too high, which is dangerous as excess iron is toxic.

You should not supplement iron without a full iron panels every 6-12 weeks depending on your iron dose.

[Lotus77 in reply to FallingInReverse]

Hi, thank you, reposting recent test results for Iron. GP said ok to supplement. Been very unwell for months, which they say is CFS…slight improvements have been made, but it’s unclear due to what… Also using biomagnetic pairing therapy….

Iron test

[FallingInReverse in reply to Lotus77]

Excellent, your iron panel does support supplementing.

Remember with supplementing, it’s highly individual how quickly your measures rise.

For example, my daughter and I have identical iron profiles … yet she takes 40 mg heme iron a week, and I take 40 mg heme iron a day, to maintain that.

So you should stay on a consistent dose for 6-12 weeks, test again and nite the impact, and calibrate up or down needed to stay between iron 55-70% through range - and no higher - and saturation percent between 35-45% and no higher.

[FallingInReverse in reply to FallingInReverse]

Also using biomagnetic pairing therapy….

What kind of doctor are you seeing that’s recommended this? What country are you in?

[Lotus77 in reply to FallingInReverse]

Seeing private

[GlowCoach Administrator in reply to Lotus77]

Yes, try 125mcgs Levo.

B50 is a fairly low dose B complex with inactive vitamins. Suggest you swap it out for a higher strength B complex.

B complex suggestions: Slightly cheaper options with inactive B6:

amazon.co.uk/Liposomal-Soft...

Contains B6 as P5P an active form:

bigvits.co.uk/thorne-resear...

healf.com/products/basic-b-...

Explanation about the different forms of B6:

helvella.blogspot.com/p/hel...

B complex comparison spreadsheet:

healthunlocked.com/thyroidu...

Ferrous sulphate isnt always absorbed well. The product I mentioned is heme iron and works much better with fewer side effects. Always take iron 4 hours away from levo. Take it with vit C or orange juice to help absorption.

[SlowDragon Ambassador]

was test done early morning and last dose levothyroxine 24 hours before test

Do you always get same brand of levothyroxine at each prescription

Free T4 (fT4) 12.5 pmol/L (9 - 19.1) 

Ft4 only 34.7% through range

Free T3 (fT3) 3.6 pmol/L (2.4 - 6.0) 

Ft3 only 33.3% through range

Request 25mcg dose increase and retest in 6-8 weeks

Most people when adequately treated will have Ft4 and Ft3 at least 60-70% through range

Vitamin D is far too low

Aim for vitamin D at least over 80nmol minimum

folate on low side too