Requesting feedback on wife's bloodwork

[fifty]

Wife's complaints are fatigue and tiredness. Brain fog at times. Heavy periods. This test was taken ~day 20 of her cycle.

Her family doctor normally just does CBC and Lipids test and those are usually all in range. I did these tests out of pocket just to see if there was anything we could improve upon or address without diving into the hormone world as she isn't ready to go down that road yet.

Any thoughts here? Thanks!


TIBC 417 [250-450]
UIBC 363 [131-425]
Iron 54 [27-159]
Iron Saturation 13L [15-55]
Ferritin 20 [15-150]

Vitamin B12 1254H [232-1245]
Folate 16.9 [>3.0]
Vitamin D 27.8L [30.0-100.0]

TSH 1.900 [0.450-4.500]
T3 Free 3.1 [2.0-4.4]
Reverse T3 16 [9.2-24.1]
T4 7.4 [4.5-12.0]
T4 Free 1.04 [0.82-1.77]
Thyroglobulin Antibody <1.0 [0.0-0.9]
TPO Ab 12 [0-34]

 

[Vince Carter]

I would think about adding T3, increase FT3 and should/might in turn get the RT3 to move down. an RT3 of 16 is pretty borderline for pooling and FT3 is already on the lesser side.

 

[captain]

Wouldn't the low iron be the cause of the RT3? I think you have to fix the iron and retest before adding T3.

 

[MarcoFL]

She needs iron to start.

 

[CaptianCurious]

definitely raise ferritin to 80-150. my wife has the same issue and it's taking her forever to get her iron up. She'll likely notice the difference.

Vitamin d could be a bit higher too.