Re: my blood results are in - help please with deciphering them?

[Guest guest]

Obviously you realise the ferritin is too low for you to utilise any thyroid

hormones........ It needs to be at least 70....

The iron sats at 15% are too low .... I think they should be over 40% but

someone else might have more idea?

If you are taking meds, the tsh should be l or less........ the raised tsh

shows you are struggling... (a normal tsh is 1)

Your T3 is low if you are on meds, ideally it needs to be towards the top of

the range...... Are you taking selenium to help with t4./t3 conversion?

If you are on meds, you clearly are not on enough. If you are not on meds,

maybe you should start....

>

> Hi all

>  

> Well - I am hoping someone can help me decipher my results - I have a call

booked in with the GP tomorrow morning at 10.00. The range is in brackets

[Guest guest]

Comments

in RED

Well - I am

hoping someone can help me decipher my results - I have a call booked in

with the GP tomorrow morning at 10.00. The range is in brackets

Serum

Ferritin 27 ug/L (20-400) TOO, TOO

LOW. Your ferritin should be between 70 and 90 so you need to raise this

rapidly. Your GP should prescribe some form of elemental iron and you should

eat foods rich in iron. Take high dose vitamin C with iron (e.g. 4000mgs) to

help with absorption. If your GP tries to tell you there is no connection

between low iron/ferritin levels, then copy out the following and take with you

to show him and ask him to check these out. Until your ferritin level is

raised, no amount of thyroid hormone can be properly absorbed at the cellular

level.

Low iron/ferritin: Iron deficiency is shown to

significantly reduce T4 to T3 conversion, increase reverse T3 levels, and block

the thermogenic (metabolism boosting) properties of thyroid hormone (1-4).

Thus, iron deficiency, as indicated by an iron saturation below 25 or a

ferritin below 70, will result in diminished intracellular T3 levels.

Additionally, T4 should not be considered adequate thyroid replacement if iron

deficiency is present (1-4)).

1.

Dillman E, Gale C, Green W, et al.

Hypothermia in iron deficiency due to altered triiodithyroidine metabolism.

Regulatory, Integrative and Comparative Physiology 1980;239(5):377-R381.

2.

SM, PE, Lukaski HC.

In vitro hepatic thyroid hormone deiodination in iron-deficient rats: effect of

dietary fat. Life Sci 1993;53(8):603-9.

3.

Zimmermann MB, Köhrle J. The Impact

of Iron and Selenium Deficiencies on Iodine and Thyroid Metabolism:

Biochemistry and Relevance to Public Health. Thyroid 2002;12(10): 867-78.

Thyroid

peroxidase antibody level 43

IU/ml (0-60) Keep getting this checked and watch

to see if the level of antibodies starts to rise.

Thyroid

function test

Serum

free

T4 LO 9.0

pmol/L (11.0-22.0)

SR  Outside of the bottom of the reference range.

For a person not taking thyroid hormone replacement you should be above the

middle of the reference range, so yours should be around 16 or 17 pmol/L.  

Serum

TSH HI 9.3

mU/L (0.10-4.00)SR - A definite indication you are

hypothyroid. This should be around 1.-mU/L

Serum

iron tests

Serum

iron studies

Serum

iron

level LO 8.8

umoL/L (11.0-29.0) - Very low - needs supplementing

immediately.

Serum

transferrin 3.00

g/L (2.52-4.29)

Transferrin

saturation

index LO 15% (20-50) - This is something you need to

discuss with your GP. Check out this link http://www.labtestsonline.org/understanding/analytes/tibc/test.html

Serum

free triiodothyronine level 3.7

pmol/L (3.5-6.5) free T3 should be in the upper

third of the reference range. There is insufficient thyroxine (T4) to convert

to the active thyroid hormone T3.

R

TTG 0.2

U/ml (0.0-6.9)

Low

likelihood of coeliac (although results may be falsely low in gluten free diets

- and I am eating very little gluten) Explain this to your GP.

I don't

know whether the 9/1 is a letter L or a number 1 but you might? ??

What

should I be asking the doctor please and any feedback for me? I can see

there are some areas of possible concern, but not sure what next

You need to ask to be referred to

an endocrinologist as you are obviously suffering with symptoms of

hypothyroidism. Ask also for the following blood tests to be done, because if

any of these vitamins/minerals are low in the range, again, your own thyroid

hormone cannot get into the cells to make your body and brain function as they

should: vitamin B12, vitamin D3, magnesium, folate, copper ande zinc.

Hope this is not too late for

you.

Luv - Sheila

Thanks a

lot

1 of 1 File(s)

MINERALS AND VIT. TESTING.doc

[Guest guest]

Thanks for my replies Sheila and but I still have some questions for you if that's ok

My GP phoned earlier than planned which put me on the back foot to be honest and I didn't really know what to say to him - but I will take what your advice, document it and drop it off at the surgery and that way we can discuss it again hopefully.

He is going to prescribe an iron supplement - forgive my ignorance, but this is what will help ferritin levels I am presuming?

Serum Iron level - how does this get addressed? What should I be asking for? is it part of the iron supplementation?

I am taking 400g selenium per day

Are these tests below all individual tests to request? I had asked for vit D in my last round but very naughtily, the hospital decided that as I had been tested in October and my levels were fine at 52, I do not need testing again and besides, there is NO evidence the bio-chemist says to suggest that vit D supplementation is any use at all where cancer is concerned. He says there is plenty of hype but no real evidence anywhere.

vitamin B12, vitamin D3, magnesium, folate, copper and zinc.

My GP also said that he would be wary of prescribing any thryoid replacement (he certainly knows nothing about nature thyroid) as I have papillary cancer and he thinks it would be contraindicatory.

Any thoughts on the above please? No wonder I feel under par.

Thanks

[Guest guest]

,

Yes the iron supplement will raise the ferritin (stored iron) level, eventually

and I think it raises the serum level of iron too.

What treatment is proposed for the thyroid cancer? Usually they remove the

thyroid then put you on replacement meds. I know someone who recently had her

thyroid removed due to cancer, and she was immediately replaced with T3

only..... She's doing fine.

There is some information in the files about thyroid cancer, which includes an

article by Dr Peatfield.

thyroid treatment/files/

It really isn't surprising that you feel under par if the poor thyroid is unable

to make the correct amount of hormones and you have no replacement. This

will stress your adrenal system, so the best thing you can do for that is take

lots of Vitamin C and perhaps some B vits in the form of Nutri adrenal extra....

well that's what I would do.... anyone know any different?

Hope this is sorted quickly for you, you must be worried.....

xx

>

> My GP also said that he would be wary of prescribing any thryoid replacement

(he certainly knows nothing about nature thyroid) as I have papillary cancer and

he thinks it would be contraindicatory. 

>  

> Any thoughts on the above please? No wonder I feel under par. 

>  

> Thanks

>  

>

>

[Guest guest]

Sent from my BlackBerry® wireless deviceFrom: "Galathea" <galathea@...>Sender: thyroid treatment Date: Sat, 23 Apr 2011 00:45:11 -0000<thyroid treatment >Reply thyroid treatment Subject: Re: my blood results are in - help please with deciphering them? ,Yes the iron supplement will raise the ferritin (stored iron) level, eventually and I think it raises the serum level of iron too.What treatment is proposed for the thyroid cancer? Usually they remove the thyroid then put you on replacement meds. I know someone who recently had her thyroid removed due to cancer, and she was immediately replaced with T3 only..... She's doing fine.There is some information in the files about thyroid cancer, which includes an article by Dr Peatfield. thyroid treatment/files/It really isn't surprising that you feel under par if the poor thyroid is unable to make the correct amount of hormones and you have no replacement. This will stress your adrenal system, so the best thing you can do for that is take lots of Vitamin C and perhaps some B vits in the form of Nutri adrenal extra.... well that's what I would do.... anyone know any different?Hope this is sorted quickly for you, you must be worried..... xx>> My GP also said that he would be wary of prescribing any thryoid replacement (he certainly knows nothing about nature thyroid) as I have papillary cancer and he thinks it would be contraindicatory. >  > Any thoughts on the above please? No wonder I feel under par. >  > Thanks>  > >

[Guest guest]

Hi

Yes, the proposal is for me to have my thryoid out. I have not had it out to date because I wanted to address whatever the underling issue of why I got cancer in the first place. I wanted to strengthen my immune system and make sure that I was strong enough to cope with the operation etc. and also to see if I could do any reversal of the cancer through the iodine, supplementation, change of diet, exercise etc. However, I feel at a crossroads now as I have obviously been doing something right to have at least stopped my thryoid lump growing, but since the results, I now know that I have low thyroid function,which is making me more anxious and I don't feel strong enough to keep working at it! I have just got some nutri-thyroid in and I will concentrate on building up my vit C intake. Anything else anyone recommend please? I guess I'm just thinking what will life be like after a TT

when so many don't do well? I know I should concentrate on the fact that there are many who do absolutely fine, but it's so difficult and it scares me a lot.

Thanks in advance

[Guest guest]

,

You seem to have it right and doing the right things, I can totally understand

you being scared of having no thyroid, but if you are properly medicated you'll

be fine. The problems arise when people have thyroids removed and then are

either given insufficient meds, or the wrong meds..... some people do fine

with levothyroxine only, I certainly did well on it for ten years and you may be

one of these. But if not then you will need T3 and T3 combination, either as

natural dessicated thyroid, or synthetic.

Why don't you talk this over with your specialist and see exactly what he wants

to prescribe afterwards? Explain your concerns and don't be fobbed off with

him saying that he's never encountered any problems...... Ask if you can

meet up with other patients who have had the same op and who are now ok....

he'll say it's not possible due to confidentiality, but anything is possible if

he tries.... Is there a patient group?

Better to create a fuss now and know that your concerns are going to be listened

to, though you do need to get rid of the cancer.

xx

>

> Hi

>  

> Yes, the proposal is for me to have my thryoid out.  I have not had it out to

date because I wanted to address whatever the underling issue of why I got

cancer in the first place.  I wanted to strengthen my immune system and make

sure that I was strong enough to cope with the operation etc. and also to see if

I could do any reversal of the cancer through the iodine, supplementation,

change of diet, exercise etc.  H