New vitamin levels- is this possible??

[Jackie419]

I have been on vitamins for 2 months now. I had very low Vit D and Folate, as well as B12. At that time my main thyroid levels were fine, with the exception of a high reverse T3. Still no doc, and luckily had an order for these tests below. I was starting to feel better but then moved almost a month ago, and feeling very very depressed, aggravated- don't handle stress well at all. I was very surprised to see these numbers today. (posting here as I know many of you have vitamin deficiencies as well) Thanks!

Vit D 25 OH     72.5     (30.00- 100.00)      WAS at 8.0
B12                  670       (180-914)               WAS around 230
Folate              24.8       (5.9-24.8)               WAS at 5.0

(the new test states that a new low of 4.0 is now in place for the folate)

[flyingfool]

I tend to agree with barb.  The numbers above would indicate that you may be slightly over medicated.  One mechanism the body can use to help itself not go hyper is to produce RT3 so that it is unusable to help lower the amount of FT3 that is available for use.

However you saying the best you've felt was when you are over range with FT3.  That is interesting and I don't think a very common occurrence.  If that is in fact true, you may have a hard time finding a Dr who will do that.  I suspect that a new Dr where you now live is most likely going to panic with such a low TSH and want to reduce your medication dosage.  So you may have to temper the Dr to not dramatically lower it.

RT3 ONLY is made from converting T4. So if possible you may want to drop the T4 amount.  Since you're on NDT the only way is to cut the overall dosage which would cut both T4 and T3.

[Jackie419]

thanks, Barb.....I am on 3 1/4 grains of NP thyroid, have been on dessicated for years but went on compounded for a year and switched to NP (Acella) in Feb. It is stronger as my levelas went above range, so I lowered the dose back in March or April. I am tyring to twist a doctors arm to get the thyroid tests done again this or next week. I did the other FT4 above on my own as I had never seen those kind of ranges for a FT4 before and wanted to see one I am familiar with. Oddly, the best I have felt was when my FT3 was well over range. My FT3 was stalled out at 3.5 (same range as above) for a year and I still had hypo symptoms there. My FT3 went all the way down to 2.8, I believe with the Armour reformulation so I know what I feel like at every level. The trick now is finding a doc that knows what they are doing, have already wasted so much money and been fired by 2 docs........

[Barb135]

I'm sorry, can you refresh my memory, please?  Are you currently on a thyroid replacement medication?  If so, which med, dosage, and how long have you been on it?

Are you saying that the two FT4 results were done by different labs?  If FT4 was tested by LabCorp a few days later, why weren't FT3 and TSH tested again, too?

Either way, FT4 is high/high normal, according to the ranges. Both FT4 and FT3 indicate that you are bordering on hyper.  If you are on medication, you may be over medicated.

I'm not real "up" on RT3, but it's not the actual result that counts, it a ratio between FT3 and RT3.  

Stress does weird things to our body and when we are under a lot of stress, the adrenals kick in and often work overtime. Both excess cortisol and adrenaline can cause issues with the way we feel.  

The only thing that jumps out about the vitamin levels is the B12.  I find that I have to keep mine at the very top of the range in order to feel best...... the range my lab uses is 200-1100. Upper end is much higher than your lab uses.

We really to see current thyroid levels...... fatigue and being tired, no ambition, drive, etc can be caused by both/either hyper or hypo.  

Can you get current thyroid tests?

[Jackie419]

When I found out about my horrible vitamin levels, I also found out my RT3 was a bit high, so I had no idea which was making me feel so bad. It seems that each time I have had a great dealof stress in the last 4 months, I feel very bad. I was starting to get some energy and feel better a few weeks ago and then moved. I feel like death. I have NO idea what my thyroid numbers are currently, but this is what they were back in June:

TSH         .04     (.34- 5.60)
T4Free    1.16   (.61- 1.12)   LABCORP FT4: 1.59  (.82- 1.77) wtf?
T3 Free    4.1     (2.0- 4.4)
REVERSE T3   44.3   ng/dl  (13.5- 34.2)***
Antithyroglobulin ab  <20   ui/ml    (0-40)

I am desperately trying to get into a doctor who will retest these things. Was very surprised at how much my vitamins had come up, especially because I feel so bad and soooo depressed. Not sure WHAT the first FT4 is, never had seen a test like that, had it redone at Labcorp just days later. Thanks for your response!

[flyingfool]

Please post your latest thyroid lab test results and reference ranges.

Just being "somewhere" within the normal range is simply NOT good enough for many people. They need to be well up to at least 50% or more of the range.

Your vitamin levels seem pretty good. Some have reported that thye need the B-12 to be towards the very top of the range. But you've had marked improvement in all the levels.

Do you feel better with these new levels or about the same as when the levels were lower?

Fatigue is consistent with being low thyroid.  Do you have other Hypothyroid symptoms?

[Jackie419]

I should also mention that I have no drive or ambition....feel tired all of the time :(