Thyroid or Ferritin problems?

[johann]

Hi guys
Thyroid or Iron problem?
I do have a problem with heart palpitation, anxiety, chest pain, brain fog. Not always, I can be good for a 1-2 months and then it hit me and I'm bad for 1-3 weeks. I have taken "all" the blood tests and had EKG, 24 hour EKG, Ultrasound, and all "good" there. But after all the blood test that I have done I did see when the Iron panel was good I was feeling good, I do not know why the Iron panel is going off like that, any thoughts or input?
The only test that my Dr would not allow me to take was reverse T3.
Johann

 

[MarkM]

Johann,

Your iron and ferritin are fine. Your iron saturation is over the top of the range by a little bit. Are you supplementing with iron? If so, I would probably stop.

Your thyroid does not look optimal. You can be in range on a thyroid panel and still have a thyroid issue. Your Free T3 and Free T4 are too low. Your Free T4 is at the very bottom of the range at 0.8 and it should be around 1.3. Your Free T3 is low at 2.33 and should be closer to 3.60 to 3.80.

You really need to have the Reverse T3 tested and your Thyroid antibodies (TPOab and TgAB).

 

[johann]

Hi Mark.
Im raising my Nature Thyroid. Im taking 3/4 of a grain 3x Im not supplementing with Iron and that what Im saying when the iron panel goes out of wack I feel those problem, if you look at the trend, the test before the last the Iron saturation was fine. I will go and order Reverse T3 and Thyroid antibodies
Thanks Mark

 

[Canada878]

You’re at 2.25 grains per day? What will you up it to? Please keep us updated.

 

[johann]

You’re at 2.25 grains per day? What will you up it to? Please keep us updated.

Will go up to 0.875 grain 3x a day. So it will be 2.625 grain. Just waiting its on backorder from Naturthroid.

 

[Vince Carter]

Hi Mark.
Im raising my Nature Thyroid. Im taking 3/4 of a grain 3x Im not supplementing with Iron and that what Im saying when the iron panel goes out of wack I feel those problem, if you look at the trend, the test before the last the Iron saturation was fine. I will go and order Reverse T3 and Thyroid antibodies
Thanks Mark

You can't really run those two in isolation, need to have all 5 for a complete picture, assuming money allows you to run them
TSH
Free T3
Free T4
Reverse T3
Antibodies

 

[Vince Carter]

They like to say Ferritin needs to be above 100, I think it's 150 to not be "problematic" whatever that may mean. I take it you can correlate when you feel good, or bad, to when your serum iron was up and down which seems to vary wildly according to your posted test. Are you donating blood for any reason?

 

[johann]

You can't really run those two in isolation, need to have all 5 for a complete picture, assuming money allows you to run them
TSH
Free T3
Free T4
Reverse T3
Antibodies

Will take them all at the same time.
Thanks Vince.

 

[johann]

They like to say Ferritin needs to be above 100, I think it's 150 to not be "problematic" whatever that may mean. I take it you can correlate when you feel good, or bad, to when your serum iron was up and down which seems to vary wildly according to your posted test. Are you donating blood for any reason?

For thyroid patens they say over 7o in ferritin yes. No Im not donating blood for now, for that reason.

 

[MarkM]

Ferritin should be a minimum of 80 for thyroid to function properly but like @Vince Carter stated, probably 100 is better and 150 is even better. Depending on the lab, mid range for Ferritin is around 215.

 

[johann]

Ferritin should be a minimum of 80 for thyroid to function properly but like @Vince Carter stated, probably 100 is better and 150 is even better. Depending on the lab, mid range for Ferritin is around 215.

Mine is at 90 at this moment, its when the other Iron numbers are out of sink when it is that I feel like crap. Did just order the
TSH
Free T3
Free T4
Reverse T3
Antibodies
May that will show something that could go better.

 

[MarkM]

Good deal. Keep us posted.

 

[johann]

Got the test back.
Reverse T3 12.0 (9.2-24.1)
TPOab 8 (0-34)
TgAB -1.0 (0.0-0.9)

T3 and T4 same as last time.

 

[MarkM]

Well, your Reverse T3 is less than 15, which is good, and your antibodies aren't outlandish, but if your FT4 is still at 0.8 and your Free T3 is still at 2.33, it seems to me they are both low. I guess that is your thyroid medication pulling them down? I can't answer that but maybe others can.

 

[johann]

Well, your Reverse T3 is less than 15, which is good, and your antibodies aren't outlandish, but if your FT4 is still at 0.8 and your Free T3 is still at 2.33, it seems to me they are both low. I guess that is your thyroid medication pulling them down? I can't answer that but maybe others can.

I'm waiting for increase in my Nature Throid dose, its on backorder..
Taking now 3/4 of a grain 3x a day. Will go up to 0.875 grain 3x a day

 

[SkyWarn]

Ferritin should be a minimum of 80 for thyroid to function properly but like @Vince Carter stated, probably 100 is better and 150 is even better. Depending on the lab, mid range for Ferritin is around 215.

Pardon me for reviving an old thread, I have recently begun levothyroxine. I didn't know ferritin had an impact on thyroid. My ferritin is low (14) due to chronic blood donations. would that cause low T4/T4 and TSH?

 

[Systemlord]

Pardon me for reviving an old thread, I have recently begun levothyroxine. I didn't know ferritin had an impact on thyroid. My ferritin is low (14) due to chronic blood donations. would that cause low T4/T4 and TSH?

You lose the metabolism boosting properties of thyroid hormones when iron is low, you could in a sense experienced hypothyroid symptoms.

You cannot take T4 without also supplementing iron, taking T4 only treatment without supplementing iron when there is a deficiency is a big no no.

 

[Vince]

Hi guys
Thyroid or Iron problem?
I do have a problem with heart palpitation, anxiety, chest pain, brain fog. Not always, I can be good for a 1-2 months and then it hit me and I'm bad for 1-3 weeks. I have taken "all" the blood tests and had EKG, 24 hour EKG, Ultrasound, and all "good" there. But after all the blood test that I have done I did see when the Iron panel was good I was feeling good, I do not know why the Iron panel is going off like that, any thoughts or input?
The only test that my Dr would not allow me to take was reverse T3.
Johann

How are your magnesium levels? Heart palpitations usually are caused by low magnesium. I would consider supplementing with a good magnesium supplement.