Can someone help me understand my test results please? My TSH is 2.4,(normal)
my free T4 was just below the upper threshold and my free t3 was below the normal range. Because the TSH is normal my specialist and GP say the other results don't matter.
I have many symptoms including continual high pitched tinnitus, sleep difficulties, peripheral nerve pain in my scalp and soles of my feet, and weak leg muscles. I seemed to have a remission from the weak legs a few weeks ago but now very weak again with bad nerve pain at night particularly. I am trying nortryptilline at night but no improvement yet. My specialist prescribed Synthroid. In NZ drs don't prescribe T3, and aren't allowed to offer blood tests of t3 levels! Any help appreciated.
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Dinana
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My supplements are mainly fish oil, zinc D3 and selenium. My blood tests have shown ferritin and B 12 are normal. I had a celiac blood test slightly off normal. I'll look this up and reply later. I do wonder if I need T3 medication. Thank you for your help.
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances.
Most common by far is gluten.
Dairy is second most common.
A trial of strictly gluten free diet is always worth doing
Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential
A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies
Trying gluten free diet for 6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial
With loads of vegan dairy alternatives these days it’s not as difficult as in the past
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Blood results advice (stopped Thyroid medication)
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Thyroid blood test results - ?hypothyroidism.
