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Test results. What's it all mean? Low iron? Vitamin deficient? Hypothyroid?

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Old 12-22-2011, 03:03 AM   #1
Join Date: Dec 2011
Location: Kingsgate, WA USA
Posts: 3
BustedThyroid HB User
Test results. What's it all mean? Low iron? Vitamin deficient? Hypothyroid?

Bottom line: Can I 'fix' this by taking a good B-complex vitamin, fish oil, a good multivitamin, and calcium/Vitamin D??? (A start eating meat again?)


Hi, all. I'm new to this. After months of feeling tired, depressed, mentally fuzzy, my girlfriend said to look at thyroid issues. I just turned 46, and I am a Caucasian male.

I started taking my temperature. It's consistently in the 96s to low 97s, whether it's when I awake, during the day, or at night before I go to bed.†

Finally, I went to doctor Nov 17. They measured my temp as 96.2 F. The TSH blood test was 4.35. Doctor refused to do any other tests, though when I went back ten days later, he said there was nothing wrong with me and 4.35 for TSH is fine, as it is below the 4.5 level. (I told him the symptoms, including that my toes are often cold. My glucose was measured as 88, and I'm ~ 6'1 1/2", 175#.)

When I went in the second time, my normally irregular heartbeat was regular! Just for that and the following day! Now it's back to irregular. Strange...†

I went vegan back in August 2010 to try and lower my cholesterol. So he drew blood to check my B-12 and the result was 488 pg/mL (range of 211-946). He said that was fine. Just this last week, I started to eat meat again, though, thinking maybe I need more protein. I had a few bites of steak a few days before my most recent blood draw. I doubt that would have done anything, though.

I then got my own blood tests Dec 12. (Same company doing the blood work, just purchased it on my own from an online place.) Here are *those* results, with the value and the lab range. (By the way, the only other times I had TSH tested was in 1992, 2.9, and in Dec 2009, 1.096.)

Iron, Serum: 66 ug/dL (40-155)
Cholesterol, Total: 170 mg/dL (100-199) [was 176 weeks earlier]
Triglycerides: 135 mg/dL (0-149) [was 193 weeks earlier]
HDL Cholesterol: 43 mg/dL (>39) [was 42 weeks earlier]
LDL Cholesterol: 100 mg/dL (0-99) [was 95 weeks earlier]

Vitamin D, 25-Hydroxy: 26.0 ng/mL (30.0-100.0)
Glucose, Serum: 90 mg/dL (65-99) [was 88 weeks earlier]

WBC: 4.7 x 10E3/uL (4.0-10.5) [was 6.7 weeks earlier]
RBC: 4.79 x 10E3/uL (4.10-5.60) [was 5.04 weeks earlier]
Hemoglobin: 14.0 g/dL (12.5-17.0) [was 14.5 weeks earlier]
Hematocrit: 41.0 % (36.0-50.0) [was 43.3 weeks earlier]
MCV: 86 fL (80-98) [was 86 weeks earlier]
MCH: 29.2 pg (27.0-34.0) [was 28.8 weeks earlier]
MCHC: 34.1 g/dL (32.0-36.0) [was 33.5 weeks earlier]
RDW: 13.1 % (11.7-15.0) [was 13.0 weeks earlier]
Platelets: 218 x 10E3/uL (140-415) [was 243 weeks earlier]

Neutrophils (Absolute): 2.4 x 10E3/uL (1.8-7.8) [was 3.00 th/mm3]
Lymphs (Absolute): 1.6 x 10E3/uL (0.7-4.5) [was 2.71 th/mm3]
Monocytes (Absolute): 0.4 x 10E3/uL (0.1-1.0) [was 0.63 th/mm3]
Eosinophils (Absolute): 0.3 x 10E3/uL (0.0-0.4) [was 0.28 th/mm3]
Basophils (Absolute): 0.1 x 10E3/uL (0.0-0.2) [was 0.05 th/mm3]

TSH: 1.810 uIU/mL (.450-4.500) [was 4.350 weeks earlier]
Thyroxine (T4): 8.4 ug/dL (4.5-12.0)
T3 Uptake: 31 % (24-39)
Free Thyroxine Index: 2.6 (1.2-4.9)
T4, Free (Direct): 1.13 ng/dL (0.82-1.77)
Triiodothyronine (T3): 99 ng/dL (71-180)
Reverse T3: 376 pg/mL (90-350)
Thyroid Peroxidase (TPO) Ab: <5 IU/mL (0-34)
Antithyroglobulin Ab: <20 IU/mL (0-40) Siemens (DPC) ICMA Methodology
Triiodothyronine, Free, Serum: 2.8 pg/mL (2.0-4.4)

I am new to all this, but it seems I may have "Wilson's Syndrome"? I've read online it's not a "real" disease, but whatever it is, my consistently low temperatures and ratio of T3 to Reverse T3 is off (I forget how or what the ratio is. I also think I have to convert some of my lab values. Regardless, it's off somehow!)

Just before I started noticing these problems, I was in a car accident at the end of August. While there was no visible damage to my car, it did hurt my neck and back. First my neck hurt, then my low back hurt and the pain went into my leg, making it hard to sleep. That messed my sleep cycle all up. Plus, I have lots of stress anyway (in my job), which is compounded as I haven't really been able to get any of my work done the last number of months (I work for myself).

I started taking a multivitamin again (Kirkland Signature Premium Performance Multivitamin) to get my B12 level up as well three 2,000 IU Vitamin D3 pills a day (Kirkland Signature Vitamin D3 2000 IU) to get my D3 levels up. I'm going to order some Thorne B-12 pills (1 mg pills) as well as one of the Thorne multivitamins (to avoid magnesium stearate, etc. though I'm not sure if it's really necessary). Likewise, I'm thinking that maybe I need to eat meat again to get more protein, as I read protein helps thyroid problems.

So, that's a lot of info! Any suggestions? Thoughts? Anyone know what's wrong with me?!†

Thanks in advance!


Well, I got my iron results. Not sure what they all mean, but here goes:

Iron Bind. Cap. (TIBC): 295 ug/dL (reference interval: 250-450)

UIBC: 235 ug/dL (reference interval: 150-375)

Iron, Serum: 60 ug/dL (reference interval: 40-155) [was 66 ug/dL eight days ago, but I started taking a multivitamin containing 50% USDA iron, plus ate some steak, since eight days ago. Shouldn't it be higher?]

Iron Saturation: 20 % (reference interval: 15-55)

Ferritin, Serum: 171 ng/mL (reference interval: 30-400)

Transferrin: 259 mg/dL (reference interval: 200-370)

N.B. My TSH on Nov 17, 2011 was 4.35. 3 1/2 weeks later, on Dec 12, 2011, my TSH was 1.810.

Oh, regarding stress, my job is super stressful with tons of deadlines, I'm very behind in my work, and I have no helpers. It's just me. And I'm a 46 year old single, unmarried male. (I think men have different iron level requirements than women.)

So, what does it all mean?

Also, up until recently starting to eat steak and turkey this last week or so, I was totally vegan since around Aug 2010 (to lower my cholesterol, which seems to always be low HDL and high LDL, despite past exercise and trying to eat healthfully). I avoided soy for the most part, but my diet was (is?) rich in goitrogens (as is recommended for a healthful diet): steamed broccoli; unsteamed cabbage; microwaved or baked sweet potatoes; steamed corn; Ezekiel 4:9 bread (containing soybeans); four grain hot cereal (rye, barley, oats, wheat) (nuked); steel cut oatmeal (nuked); Brussels sprouts (steamed); etc.

What's a guy to do?!

What's it all mean?

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Old 12-24-2011, 07:40 AM   #2
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Re: Test results. What's it all mean? Low iron? Vitamin deficient? Hypothyroid?

well the one thing that your test results point to is a vit d deficiency and that can cause your symptoms of tiredness, depression and affecting mental function. your thyroid levels seem withing limits. But, you are taking too much D3 and you need to be careful with this because too much vit d can be be toxic so it's not recommended in those amounts and doing that on your own is a bit risky. The proper dosage is between 1000-4000iu d3 per day, you are currently taking 6000iu, and you should only be taking the appropriate dosage for 6 weeks before getting your d levels restested and adjusting the dosage or discontinuing the supplements, so it's important to do this under your doctor's supervision so that you don't overdose on it.

Old 04-20-2012, 10:13 AM   #3
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Re: Test results. What's it all mean? Low iron? Vitamin deficient? Hypothyroid?

To be honest, many people experience the exact same symptoms that you have before your car accident. Stress, anxiety, and fatigue can be simple answers for having a slightly low temperature, cold appendages (hands/feet) and even numbness. Looking over your labs, I did not see anything to be alarmed about. Don't self diagnose based on a single lab result, because your Reverse T3 levels were not that high...those ranges you were comparing your actual levels to are just the accepted ranges to indicate POSSIBLE problems and imbalances. Some people naturally have higher and lower levels of chemicals, hormones, and nutrients in their blood-it is a fact of life. Wilson's disease means that your body does not filter enough copper, leaving your blood with an excess Cu level. I did not see any Cu lab results at all on what you provided above, so I do not believe that it is Wilson's disease and your doctor(s) would obviously agree with me since the test was not even on the bloodwork they ran on you. Your mean corpuscular value (MCV) was normal, meaning that your kidneys are sufficiently working at the correct volume, as were your mean corpuscular hemoglobin volumes.

Yes, you were correct about the ratio of Free T3/ RT3 being high. Simply drinking more milk (x2 what you usually drink or more than the Recommended Daily Value) will do you good. Also, studies have linked low selenium levels to high T3. Try taking selenium supplements and see if you feel better. If not, I would see a Psychiatrist so they can monitor your blood levels and thyroid to improve your mental status as well.

Take care and I hope all goes well.

Old 04-21-2012, 09:36 AM   #4
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Re: Test results. What's it all mean? Low iron? Vitamin deficient? Hypothyroid?

Whiplash is a known cause of damage to the thyroid gland which makes it unable to manufacture enough hormone for the body's needs. Whether it's from your accident or something else, you're definitely hypothyroid, based on your free T4 and free T3 levels. (TSH is NOT the sole indicator of thyroid dysfunction, despite what MDs are taught.)
You'd benefit from supplemental thyroid hormone.

Healthboards has a very active, informative Thyroid Disorders board.
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You should visit us there for more information.
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