Guest guest Posted September 23, 2011 Report Share Posted September 23, 2011 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? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 23, 2011 Report Share Posted September 23, 2011 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 > > -- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2011 Report Share Posted September 24, 2011 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2011 Report Share Posted September 24, 2011 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2011 Report Share Posted September 24, 2011 , 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2011 Report Share Posted September 24, 2011 >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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2011 Report Share Posted September 24, 2011 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 25, 2011 Report Share Posted September 25, 2011 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 > Quote Link to comment Share on other sites More sharing options...
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