I have no information to offer on the APL being affected by hypothyroidism. I do want to suggest that you insist on being tested for both Free T4 and Free T3, cortisol, Vitamin D, B12 and ferritin. Free T4 andFree T3 (not Total T4 andTotal T3) are the biologically active thyroid hormones you need to know about. The other tests are for important variables that affect thyroid hormone metabolism. TSH is useful in diagnosis only when at extreme levels. The most important diagnostic is symptoms. So I suggest that you click on this link and check the boxes of any symptoms you have and it will give you a total score to compare to the ratings below. You can make a copy and give it to the doctor.
http://www.thyroid-australia.com/lowthyroid.htm
If you wan some written info to use with the doctor, click on my name and then scroll down to my Journal and read the one page overview of a paper on Diagnosis and Treatment of Hypothyroidism: a Patient's Perspective.
I have severe body/joint aches. My doctor did a lot of tests to find out the cause of body aches (including B12, Vit D, CRP, CPK, Ferritin, Sugar, minerals etc.) but did not order ALP test.
Let me know how it goes for you because body/joint pain is really coming in the way of my day to day life
"Low alkaline phosphatase levels have been connected to hypothyroidism, Hashimoto’s, and some other autoimmune conditions as well. It’s a good indicator of a poorly functioning gut. But what’s causing it is not always straightforward. One of the things alkaline phosphatase does in the body is it helps us neutralize lipopolysaccharides, which are inflammatory toxins from our gut bacteria; our dysbiotic gut bacteria. One of the things to do is increase probiotics.
Another thing is, alkaline phosphatase tends to get depleted in an acidic environment. So, doing magnesium glycinate at bedtime can be very, very helpful in rebalancing our body’s acidity. That’s something that I would also recommend. Also, potentially increasing zinc to 30mg a day and optimizing vitamin D levels. Generally, with people who get into remission, I will see their Vitamin D levels between 60 and 80."
- Dr. Izabella Wentz