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Re: Blood Test Interpretation Help Appreciated !

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Serum ferritin 26 ug/L (13-150) - This needs to be quite a bit higher, but you

could also do with a full iron panel to get a better picture and not just stored

iron (ferritin) - You should supplement iron its quite hard to tell how much is

safe without the rest of your iron labs.

Serum free T4 18.0 pmol/L 11.0-22.0) - Top end of the range and you say you are

not feeling well, do you have alot of hypo symptoms ? If yes then most probably

you are not converting too well like you said. It is most likely converting into

RT3, the inactive hormone instead of the active hormone you need (T3).

main two reasons people dont convert too wel are low iron or low adrenal

reserve.

Are you taking anything for your adrenals?

Ask the doctor for a trial or T4/T3 and not thyroxine.

Steve

>

> I've just got recent blood profile re-test results following low neutrophils

and wondered if anyone might have an opinion from the following if I'm doing ok,

or if I should be focusing on improving levels of anything?

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Thanks Steve

I'm feeling ok actually, expect you misread that bit ! could be I'm so used to

how I feel,am just think I'm ok !

Since finding TPA I have been doing some things, such as increasing water

consumption, taking a little celtic salt (where I'd been excluding salt

stupidly).

I take these daily:

Selenium with Zinc,vitamin C, E and B6 (taken for a few weeks thus far) all

above RDA

Floradix tabs, which are

14mgs Iron as ferrous gluconate

Thiamin, Riboflavin,Nicotinamide,B6, Folic Acid,B12

all the above at RDA

and Vitamin C (38% of RDA)

D3 and extra Vitamin C seperately.

I dont take anything else right now.

I wondered if a low TSH and rather high T4 such as mine is usually an indicator

of poor converting in someone who is taking levo only ?

Re taking T4 and T3...I'm vegan and so couldnt use the 'natural' kind and

presume any other may well have lactose in, which is one of the reasons I'm

trying to get pure levo so as to exclude this entirely.

If I did need to take a combi I'd need to do more research I think.

Thankyou so much

J

>

> Are you taking anything for your adrenals?

> Ask the doctor for a trial or T4/T3 and not thyroxine.

>

> Steve

>

> --

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Yes , high levels of free T4 and low levels of free T3 is

an indication you are not converting the mainly inactive T4 into the active T3.

In such cases, you need the addition of either synthetic T3 (Liothyronine or

Cytomel) or natural thyroid extract. It is absolutely no use to you getting the

pure form of T4 if you are not able to convert it to T3. It is the T3 that

every cell in your body and brain need to make them function. There are other

thyroid hormones in the natural, T2 and T1 plus calcitonin for the bones. If

you are not able to tolerate lactose, you may have to decide whether it is more

important to you that you remain vegan on this occasion, or more important to

regain your health. For those people not allowed to eat pork because of their

religion, they can get a special dispensation which allows them to use natural

thyroid extract if this is what is needed to give them back normal health.

Luv - Sheila

I wondered if a low TSH and rather high T4 such as mine is usually an indicator

of poor converting in someone who is taking levo only ?

Re taking T4 and T3...I'm vegan and so couldnt use the 'natural' kind and

presume any other may well have lactose in, which is one of the reasons I'm

trying to get pure levo so as to exclude this entirely.

If I did need to take a combi I'd need to do more research I think.

Thankyou so much

J

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Thanks Sheila....I feared as much re not converting. Problem now, as I have left

all the information re pure levothyroxine with my GP and he's pursuing that and

getting back to me about trying it. I guess I should now go back and explain how

I probably need to try some T3 as well. That'll bring on the pains I expect. But

what a shame I have to suggest this insted of the other way around.

Do you suggest I just ask for some T3 as an addition to The levo I already take

? It will have to be synthetic for me. I just cant contemplate anything porcine.

Or perhaps I should be asking to see an Endo. It's further complicated for me

as I dont easily tolerate levo sodium tabs and can only just about manage them

by sticking to the same brand, though it still causes problems occasionally,

hence my request for dales everything free stuff ! Can you also get T3

that is pretty much additive free do you happen to know ?

I would like to know what my free T3 levels are like but despite asking the lab

never tests it. The GP did not offer a fresh test and feeling already like a

Nazi making my demands (albeit nicely) I didnt have the courage to insist.

Perhaps I should try to find enough money to get my own Genova thyroid blood

profile done to wave about as evidence, if I indeed dont convert well.

Hard flippin work isnt it.....

thanks a lot.

u

>

> Yes , high levels of free T4 and low levels of free T3 is an indication

> you are not converting the mainly inactive T4 into the active T3. In such

> cases, you need the addition of either synthetic T3 (Liothyronine or

> Cytomel) or natural thyroid extract. It is absolutely no use to you getting

> the pure form of T4 if you are not able to convert it to T3. It is the T3

> that every cell in your body and brain need to make them function.

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, for the moment, I would leave things as they are with

your GP but tell him that you would also like to be given a trial of the pure

T3 too as manufactured by dale's. I would mention about the possible lack

of conversion of T4 into the active T3 and say that even the pure form is

unlikely to convert if the previous NHS T4 didn't convert. I would not get the

blood test for free T4 and free T3 done by Genova, instead, I would get the 24

hour urine test as this one shows how much T4 and T3 has been used in the cells

- which is what you want to know. Blood test results show ONLY how much thyroid

hormone is in the blood, where it does absolutely nothing.

Luv - Sheila

Do you suggest I just ask for some T3 as an addition to The levo I already take

? It will have to be synthetic for me. I just cant contemplate anything

porcine. Or perhaps I should be asking to see an Endo. It's further complicated

for me as I dont easily tolerate levo sodium tabs and can only just about

manage them by sticking to the same brand, though it still causes problems

occasionally, hence my request for dales everything free stuff ! Can you

also get T3 that is pretty much additive free do you happen to know ?

I would like to know what my free T3 levels are like but despite asking the lab

never tests it. The GP did not offer a fresh test and feeling already like a

Nazi making my demands (albeit nicely) I didnt have the courage to insist.

Perhaps I should try to find enough money to get my own Genova thyroid blood

profile done to wave about as evidence, if I indeed dont convert well.

Hard flippin work isnt it.....

thanks a lot.

u

>

> Yes , high levels of free T4 and low levels of free T3 is an

indication

> you are not converting the mainly inactive T4 into the active T3. In such

> cases, you need the addition of either synthetic T3 (Liothyronine or

> Cytomel) or natural thyroid extract. It is absolutely no use to you getting

> the pure form of T4 if you are not able to convert it to T3. It is the T3

> that every cell in your body and brain need to make them function.

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>Serum free T4 18.0 pmol/L 11.0-22.0) - Top end of the range and you say you are

not feeling well, do you have alot of hypo symptoms ? If yes then most probably

you are not converting too well like you said. It is most likely converting into

RT3, the inactive hormone instead of the active hormone you need (T3).

main two reasons people dont convert too wel are low iron or low adrenal

reserve.

How about low selenium, too? Selenium is needed to convert to T3, and it is

low in the UK diet.

chris

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Hi chris, thanks for our input.......yes exploring poss of not converting as had

low neutrophils but also as I do feel a bit odd sometimes though in the main

have energy and quite well, excluding migraine occasionally due I think to

something in levo tabs not agreeing with me.

Currently trying to get pure levo prescribed but want to make sure I'm doing

everything I can to aid conversion to T3 by supplementing etc. Addressing low

ferritin and already take Selenium. I wondered if having this high end T4

indicated poor conversion, so if I need some T3 can pursue that also. Going to

persist with just levo and extra supplements for now and see how I go, I think.

cheers J

>

> I'd get tests done to see if you weren't converting...and if you feel ok,

then?

>

> Are you exploring this because of the neutrophil results?

>

> chris

>

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