New labs, advice and best supplements?

[1Kel12]

Hello all,

A few surprises - labs posted below, my vitamins are awful....despite very healthy lifestyle?! My thyroid numbers are better but I can't feel any improvement other than I just noticed my throat lymph swelling is better and the arm tingling better. I have to wonder, could this mean I don't have a thyroid problem?? Some docs are so sure I do and others not.

I do not have Hashi's for which I am grateful.

My doctor agreed to increase to 1 grain as another trial, wants me to get B12 shots, take a supplement called thyrocsin, and start Vit D supplements. Ferritin is low/normal but she says that can wait for now.

I feel like I am a mess despite living well - what the heck is going on? My FSH was a shock, I thought I was peri for at least 2 yrs.

Thanks for reading and any advice on anything, I really appreciate the support so far!  

Best, Kel

______________________________labs below______________________

New results after 1 month on 1/2 grain naturethroid, no noticeable difference in symptoms.

TSH; 2.13 (0.4-4.5)
FT4; 1.2 (0.8-1.8)
FT3; 2.9 (2.3-4.2)

Vit D, 25-OH, Total IA; 32 (30-100ng/ml)
B12; 203 (200-1100pg/ml)
FSH 10.8 mIU/mL

(no hashi's - both testsare negative! :)

fyi (previously posted thyroid results)
TSH 4 mIU/L (0.35-5.5)  
FRT4 0.89 ng/dl (0.61-1.64)
T3 Free 2.8 pg/ml (2.3-4.2)

Adrenals normal except DHEA high 14 (3-10ng/ml) (unknown cause)
Ferritin 42 (low/normal)

[1Kel12]

No, I had/have "something" they said treatment was the same, basically I was on hormone control, high levels spironolactone, metformin, and a host of other things over the years - all of this gave me severe debilitating migraines so then it included everything under the sun, neurontin, depakote, I could go on and on.  

I ended this mess in my early 30's - I did much better on my own so to speak this is also why I do not want to be treated today by any endo's.

Yes, naturethroid at once but now iwth the bigger tab I am going to try cutting it and see how that goes.

Not sure B12 sched yet but I'll find out.

Great info on how/when with the supplements, thank you!

Kel

[Barb135]

If you're taking B-12 shots it's going to give you energy, so you want to take it earlier in the day, as it can affect your sleep. Besides, shots are by-passing your stomach, so won't have an effect on your thyroid med.  How is your doctor doing the shots?  Weekly for a month, then monthly after that? That's typically, how it's done.

Vitamin D can be taken later in the day.  Iron, calcium, magnesium, etc  should be separated from thyroid medications by, at least, 4 hours.  Typically, dinner or bed time is a good time to take those.

Are you taking your NatureThroid all in one dose?  Most of us taking a med with T3 find that splitting into 2 doses during the day keeps our levels more stable.  Typically, half in the morning and half at lunch time works best for most of us.  T3 isn't particular about being taken with food, like T4 is.  Best not to take after 3:00 PM as it can interfere with sleep.

So it sounds like you really never actually had PCOS?   Typically, metformin is the medication of choice for that... is that what they gave you?  That shouldn't have affected your thyroid too much.

[1Kel12]

Hi Barb,

Thanks for the input, I like this doc but I want to make sure I'm on the right track. I will look into getting started on some iron as well. Is it ok to supplement B12, Iron, D3 at the same time - if I take my nature in the morn, then the rest in the afternoon or should I spread them out?

Re my DHEA, I don't need to test my testosterone, lol, its always been high. I'm not off scale anymore just at the top of any range or slightly over.

fyi I was diagnosed PCOS as a teen but it was not my ovaries, they looked for tumor etc. Never found one or the "cause". I was heavily medicated back then and frankly they made me very sick. Through OTC/ big lifestyle changes I managed my "PCOS" for the last 15 yrs on my own and mostly medication free. I was proud of this but now I wonder how long I may have missed the thyroid component in all of this.

Result 10.8 mIU/mL (I was in mid cycle peak)
Reference ranges;
follicular phase 2.5-10.2
mid-cycle peak 3.1-17.7
luteal phase 1.5-9.1
post menopausal 23-116.3

Best, Kel

[Barb135]

The 1/2 grain increase in NatureThroid should help with some symptoms, as your thyroid levels are still below the recommended levels, with FT3 at only 32% of its range.  Recommended level is upper half to upper third of the range.  Your FT4 is at 40% of the range and recommended is mid range.

You're right, though, your vitamin D and B-12 are pretty dismal and sadly, low levels of B-12 can cause severe fatigue and exhaustion, such as is often found with hypothyroidism.  Low vitamin D can also cause some hypo symptoms.  Symptoms of low vitamin levels can often be confused with hypo symptoms, so it is necessary to get those levels optimal as soon as possible.

Vitamin B-12 needs to be very near the top of its range in order to keep symptoms at bay and vitamin D should be 50-60...

Vitamin D and iron are both necessary for the proper metabolism of thyroid hormones, so the ferritin should not wait.  You should ask for a complete iron panel, since low iron levels can also cause fatigue/exhaustion.

Was there a reference range for the FSH?  DHEA is precursor for testosterone; was that, by any chance tested?