Hey 

Thank you for sharing your labs with us!

To understand your labs better I will need to know what kind of symptoms you were experiencing with your blood draw. I know you mentioned a few, but I’m particularly interested in if you felt sick at the time (or in the days before) when you took your blood sample.

Your white blood cells were a bit low on the labs. This can happen for example with an infection that has been there a bit longer. With longer-lasting infections, the body also tries to reduce iron in circulation. It does this by storing iron in a substance produced by the liver called ferritin. Ferritin is elevated in your labs. Unfortunately, serum iron isn’t measured, but it is something you need to do.

But a zinc deficiency could also cause this – including a slowing of the thyroid function. To support the immune system nutrients like zinc, vitamin A, C & D and B vitamins are important. From your labs I can tell that you don’t need to have an extra focus on vitamin D. The amount of zinc in Thyroscin is a bit on the low side perhaps. It al depends on what other supplements and foods you consume. Are these the only supplements you use? And do you consume meat? If you are on a vegan diet, your diet might be rich in copper which can lead to lower zinc absorption since copper competes with zinc on the same receptors.

Red Blood Cells
What stands out to me as well is that the size of the red blood cells is suboptimally high. This can lead to lower oxygenation in regions where the blood vessels are extremely small. These regions include the brain (which can contribute to fatigue, lack of focus, brain fog, etc), the eyes and the hands and feet (which could cause cold hands and feet). Reasons, why red blood cells can be bigger, are a lack of vitamin B12, folate and/or vitamin B6. A B complex (for example Basic B from Thorne) can help you address that. It takes around 3 months to replace all red blood cells. Usually, these types of symptoms start to improve after 6 weeks.

The amount of red blood cells seems to be a bit low as well. Are you experiencing heavy blood loss during your menstruation cycle or did you lose blood for another reason? If not, the production of red blood cells is impaired. Nutrients that are needed to produce red blood cells are again zinc, vitamin A & D, folate and B12.

T4 to T3 conversion
Bernadette mentioned some nutrients needed for conversion. The conversion happens partly in the thyroid, but mostly in the rest of the body. Big players that convert T4 to T3 are the liver, the kidneys and the gut. Your kidneys don’t look damaged, although the kidney filtration rate isn’t assessed.

The liver enzyme ALT  is tested and scores on the lower end. We need vitamin B6 (again) to produce ALT, so if B6 is insufficient and the liver tries to produce ALT, it doesn’t have the building blocks to do so. This is a common reason for a low ALT. Elevations in ALT can be indicative of a struggling liver, but it might not show up on your test if you have low vitamin B6 in your body. It is important to know since ferritin is produced by the liver and can elevate when the liver is struggling as well.

The gut is also a major player. If you experience gut problems this can influence your gut’s ability to convert T4 to T3. Bloating can be caused by for example low stomach acid or food intolerances/sensitivities. It helps to find out what makes you feel bloated. Do you feel bloated all the time? Or are there particular meals that make you feel more bloated?

TPO Antibodies
Antibodies might tell us if there is some autoimmune issue going on. Once you’ve got the results back, let us know!

To summarize:
• Focus on having nutrients that support the white & red blood cell production: Vitamin A, the B vitamins, zinc and vitamin C
• Vitamin B6 might be insufficient since ALT is low.
• Ferritin is elevated. Make sure you discuss this with your doctor and measure serum iron as well.
• Make sure you share your TPO antibodies

 have you watched the video on supplements that support thyroid function? If not, here it is. Let me know if you have any other questions after watching it.

As for the supplements you posted. The digestive enzymes help break down your food better.

Betaine hydrochloride helps increase the acidity of the stomach (it should be acidic) to better break down proteins and absorb minerals better. However it doesn’t contain pepsin like the one by NOW brand which is the enzyme that helps breakdown proteins.

If you are considering taking betaine, make sure there is no H. Pylori overgrowth first. Signs could include acid reflux, burping/belching after meals or drinking water, stomach pains, gas/bloating, heartburn.

 
• For zinc, I like the zinc/copper blends like the one by Jarrow called Zinc Balance. If you prefer liquid, there’s Metagenics Zinc Drink. 
• For vitamin A and D, I like the liquid ones by Biotics Research called Bio-ae and Bio-DK. Seeking Health makes a good one too for vitamin A, and vitamin D3/K2. 
• I like liposomal forms of vitamin C (Seeking Health, QuickSilver, Design for Health brands… many other brands).

To access the B Better dispensary and the links I shared, you’ll need to create an account with Fullscript and sign-in. Here’s a tutorial how to do that if you haven’t created one yet. I know you can’t access the videos but there’s text instructions beneath the video that you can follow as well.

Given that you have celiac disease, I’m assuming you’re on a dairy and gluten-free diet?

 There are many more tips we could give you, but like Bernadette said, it would be a good idea to dive into the thyroid tutorials first.

I like to add that the body is one system and the gut plays an important role in health for the whole body. Once you made your first steps with thyroid health, I recommend you dive into helping your gut health as well. We often see that this can be of influence to thyroid health as well.

Ramadan Mubarak!

I usually go with Biotics research or Seeking Health for vitamin A. If they’re both out of stock, you can always check the B Better Fullscript dispensary and filter it by the type you prefer like capsule or liquid. Let me know if you need help figuring out the search in Fullscript.