Hi, any thoughs about my recent test results please ?
I did Blue Horizon blood test and Medicheck cortisol salvia test
Reason I did them is Vertigo, eyes discomfort and few more symptoms which started after 2 weeks on Levothyroxine (50mcg) and I was worrying about my cortisol level as I read few thing about Levothyroxine and low cortisol and my health anxiety been extremely kicking also wanted to know how my key vitamins are and wanted to see TPO results as NHS still don't send me my result after a month but in general feeling better on Levo specially my heart function is better
My TSH was 7,85 exactly 4 weeks ago and now is 3,45 and re-test in GP clinic in 4,5 weeks from now
Starting vitamins from today as had break due to tests
Cortisol looks good to me
What are you thoughts on my results please ?
Any helping thoughts to share to 31 years old male with Hashimoto's disease ?
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement
A week later add a separate vitamin B Complex
Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.
If Vegetarian or vegan likely to need ongoing separate B12 few times a week
Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule) Thorne can be difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 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) and continue separate B12
Post discussing how biotin can affect test results
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
While still eating high gluten diet ask GP for coeliac blood test first as per NICE Guidelines
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
I don't eat any gluten and dairy for 4 weeks now and my acid reflux gone, I was booked for gastroscopy but i was to scared to go there so i was not, thank you for all your info I don't think my GP will do it for me but I put it to my notes to get tested for celiac disease
SlowDragon and what about my TSH goes down from 7,85 to 3,45 in exactly 4 weeks and retest booked in 4,5 weeks from now, i didn't expect it to go down that fast, it's normal ? I was messing with doses in beginning but now I'm sticked with same dose, sorry for many stupid question it's just all new to me and still learning about it got two books of the way and spending hours or internet which gave me just more health anxiety lol
Just seen that before I will get appoitment to a endocronologist I been booked to endocrinologist holding clinic to do some test it may be because my GP ordered short synacthen test but in between i did private cortisol 9am blood test and salvia test which showes as you said that is midly raised i will show up to the clinic but do i need this test if my cortisol is ok can it do any harm if my cortisol is ok/mildly higher ?
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