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)

[Jackie419]

ps. not sure what my ratio number means in regard to the optimum ratio numbers, a bit slow today lol

[Jackie419]

Thanks, as always for your input...just didn't expect the RT3 to be even higher this time. Although there is a whole new stressor this past week,and it's a pretty big one, and my tests were taken during this time.
I had decreased my meds slightly the past couple of months, only by 15mg...looks like I will shave off a little more. I remember still feeling a bit hypo when my FT3 was at 3.5 some time ago, but this old RT3 is throwing a wrench into all of this. I may have to spring for the Compounded again, although I hate to switch meds again, I am wondering if this problem could also be related to the newer med I am on???. At this point I only see even more extreme stress ahead so I suppose I will hunker down, keep working on those vitamin levels and see 2 docors this month, a gyno and an MD---and I bet you the Gyno knows more about the tyhroid than the MD does!!!
I

[goolarra]

The ratio of FT3 to RT3 is:

FT3 / RT3 * 10 (the "10" is a fudge factor to adjust for units; sometimes you have to use 100)

3.9 / 52.8 * 10 = 0.74

Depending on who you read, FT3/RT3 ratio should be between 1 and 2, closer to 2, or over 2.  Others, of course, will tell you that FT3/RT3 ratio isn't important at all (if FT3 is good, RT3 doesn't matter at all).

There are only two ways your body can get rid of FT4...convert it to FT3 or to RT3.  Your FT3, even with the high RT3, is at 79% of range.  That's pretty high.  IF all that RT3 were being converted to FT3 instead, you'd most likely be over the top.  

RT3 is a case of "read three authors, get four opinions"...all very confusing.  I'm really wondering if your body isn't telling you something... that your FT4 is too high (it's at 75% of range)???  Of course, the stress factor has to be taken into account as well.  RT3 isn't the evil twin; it's your body's natural way of protecting itself from excessive FT3 levels in times of stress, illness, starvation, etc.  It's only when excessive RT3 production outlives its usefulness and lingers after the stressor is gone that it's a problem.  It might be something that will resolve...    

[Jackie419]

Hi Barb!, thanks for writing... the ft3 is 3.9  (2.0- 4.4) pg/mL
                                                        rt3 is 52.8  (13.5- 34.2) ng/dl

I will post some other results when I get up later...they are the ones I am still trying to figure out what they do but you may see something in them...I don't know how to do the ratio on the rt3/ft3 so thanks for asking.

[Barb135]

There isn't anything here that really stands out, except that your thyroid hormones are both at the top of the range and RT3 is very high.

The ratio of FT3 to RT3 is more important than the actual RT3 result. Are they reported in the same units on your lab report?

What parameters, on your blood work are out of range? There might be something else that might shed some light.

[Jackie419]

OK, didn't start a new thread for this,may have to....got bloodwork done finally and this can't be good...got just my vitamins checked 3 weeks ago, results above. My RT3 went up. dang.

TSH     .02               .34- 5.60
FT3     3.9                2.0- 4.4
FT4     1.53              .82-1.77
RT3     52.8              13.5- 34.2

B12-                 725              180-914
Folate LvL-      24.8             5.9- 24.8
Vit D 25 OH    61.2              30-100
Sodium Lvl      138              136-144
Potassium       3.4                3.6- 5.1M
Magnesium     1.97            .40- 2.10
Calcium            8.9              8.9- 10.3

I have all the bloodwork, don't know what half of it is, but a lot of highs and lows on it...just wanted to post the basics- just ask if there is something else I can post. I am under even more stress than in recent past. This past week has been a nightmare and got this bloodwork done on Tues. I FINALLY am seeing a doctor late in the month, although I think he will pass me off to a "specialist". Any thoughts would be appreciated!!!