help with blood test results: Hi, I have just had... - Thyroid UK

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help with blood test results

Luckygirl1 profile image
7 Replies

Hi, I have just had the results of my blood test and they are all within the normal range which is obviously great news but not so great as to knowing why I’m feeling so tired, aching, gut issues and cramping, brain fog.

Could any of you lovely people just take a look and see why I maybe feeling like I do please!?

I know they are in normal range but maybe something is just lower or higher than the average person and you could be my answer.

Serum alkaline phosphatase level (XE2x) 46 iu/L [30 - 130] Information about this test

Serum adjusted calcium concentration (Xabpk) 2.29 mmol/L [2.2 - 2.63]

Serum globulin level (XE2eB) 33 g/L

Serum calcium level (XE2q3) 2.26 mmol/L [2.2 - 2.63] Information about this test

Serum total protein level (XE2e9) 71 g/L [60 - 80] Information about this test

Serum albumin level (XE2eA) 38 g/L [35 - 50] Information about this test

Serum sodium level (XE2q0) 140 mmol/L [133 - 146] Information about this test

eGFR using creatinine (CKD-EPI) per 1.73 square metres (XacUK) 78 mL/min [> 60] eGFR has been calculated using the CKD-EP| creatinine equation. Pleas e note that adjustment for race is no longer recommended by NICE.(NICE

Guidance NG 203)

Serum potassium level (XE2pz) 4.3 mmol/L [3.5 - 5.3] Information about this test

Serum creatinine level (XE2q5) 82 umol/L [45 - 84]

Serum albumin level (XE2eA) 38 g/L [35 - 50] Information about this test

Serum globulin level (XE2eB) 33 g/L

Liver function tests (X77WP) Information about this test

Serum total protein level (XE2e9) 71 g/L [60 - 80] Information about this test

Serum total bilirubin level (XaERu) 4 umol/L [< 21] Information about this test

Serum alkaline phosphatase level (XE2px) 46 iu/L [30 - 130] Information about this test

Serum alanine aminotransferase level (XaLJx) 17 iu/L [< 35]

Serum C reactive protein level (XaINL) < 1 mg/L [< 5]

TRIODOTHYRONINE

08/05/2024

4.8 pmol/L

FT3 levels normal (normal range 3.1 - 6.8 pmol/L)

THYROXINE

08/05/2024

12.7 pmol/L

FT4 levels normal (normal range 12 - 22 pmol/L)

THYROID STIMULATING

HORMONE

08/05/2024

2.17 mu/L

TSH levels normal (normal range 0.27 - 4.2 mU/L)

Taken at 9am

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Luckygirl1
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7 Replies
greygoose profile image
greygoose

4.8 pmol/L

FT3 levels normal (normal range 3.1 - 6.8 pmol/L) 45.95%

This is probably why. Your FT3 is too low. Yes, it's within the range, but that doesn't mean much. It's where in the range it falls that counts and yours is too low. Low enough to cause all those symptoms and more.

SlowDragon profile image
SlowDragonAdministrator

As per my reply 5 months ago in your post here

healthunlocked.com/thyroidu...

You have PCOS which makes autoimmune thyroid disease much more likely

Vitamin D was low

Presumably you have been supplementing since

No folate, B12 or ferritin test results

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Post all about what time of day to test

healthunlocked.com/thyroidu...

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus BOTH TPO and TG antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes BOTH TPO and TG antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Only do private testing early Monday or Tuesday morning.

Link about thyroid blood tests

thyroiduk.org/testing/thyro...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism

thyroiduk.org/signs-and-sym...

Tips on how to do DIY finger prick test

support.medichecks.com/hc/e...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

Luckygirl1 profile image
Luckygirl1 in reply to SlowDragon

hi, I appreciate the help you gave me but I was under strict instructions to not take vitamins etc because my doctor wanted to do a full blood test.

I don’t have a autoimmune thyroid disease as that has been tested previously.

I tried to do an iron test with monitor my health and both came back that I didn’t do the test right hence why I went to the doctor again for help.

They won’t do anything for my thyroid as my TSH is within range.

My ferritin level has just came back (later than the others) results are 11 (10-300)

Vitamin D last time I checked at the beginning of the year was 53 and minimum 50.

Both still within normal range so obviously I think it’s that combined that could be making me feel off. My stomach hasn’t felt right for months and I have difficulty swallowing ~ doesn’t hurt just feels uncomfortable. But, online it says that can be a symptom of low vitamin D and ferritin.

I’d like to find out the root cause of why rather than jump in and take iron tablets as they left me severely constipated last time!

I have written on the post above that my bloods were taken at 9am.

I have been given the test for celiac disease and that’s negative at 0.03

The doctor has referred me for an ultrasound scan as the pains I’ve had 4 times this year is like contractions and last for about 10 hours! They make me physically sick but she said that COULD be the early signs of appendicitis! She has noted I could have a large ovarian cyst so I’ll see what happens with that!

I have seen online that low vitamin d and ferritin together can cause intestinal problems so I think it’s possible it’s that rather than my thyroid.

There is absolutely nothing I can say to her about my thyroid as TSH was normal, she isn’t want to know!!

Thanks

SlowDragon profile image
SlowDragonAdministrator in reply to Luckygirl1

Vitamin D last time I checked at the beginning of the year was 53 and minimum 50.

So how much vitamin D are you currently taking

Retest 3-4 months after first starting supplements and then twice year going forward

GP will often only prescribe to bring vitamin D levels to 50nmol.

Some areas will prescribe to bring levels to 75nmol or even 80nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

But improving to around 80nmol or 100nmol by self supplementing may be better

pubmed.ncbi.nlm.nih.gov/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Test twice yearly when supplementing

Can test via NHS private testing service

vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.

There’s a version made that also contains vitamin K2 Mk7.

One spray = 1000iu

amazon.co.uk/BetterYou-Dlux...

It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average

Vitamin D and thyroid disease

grassrootshealth.net/blog/t...

Vitamin D may prevent Autoimmune disease

newscientist.com/article/23...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Recipe ideas

bbc.co.uk/food/articles/mag...

Interesting article by Dr Malcolm Kendrick on magnesium

drmalcolmkendrick.org/categ...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

SlowDragon profile image
SlowDragonAdministrator in reply to Luckygirl1

when were B12 and folate last tested

SlowDragon profile image
SlowDragonAdministrator

I don’t have a autoimmune thyroid disease as that has been tested previously.

NHS only tests TG antibodies if TPO antibodies are high

Significant minority of Hashimoto’s patients only have high TG antibodies. Therefore won’t get diagnosed unless test both antibodies privately

Ultrasound scan of thyroid recommend too

20% of Hashimoto's patients never have raised antibodies

Here’s an example of hashimoto’s diagnosis by ultrasound

healthunlocked.com/thyroidu...

Paul Robson on atrophied thyroid - especially if no TPO antibodies

paulrobinsonthyroid.com/cou...

SlowDragon profile image
SlowDragonAdministrator

I tried to do an iron test with monitor my health and both came back that I didn’t do the test right hence why I went to the doctor again for help.

My ferritin level has just came back (later than the others) results are 11 (10-300)

So ferritin is deficient as is below 30

Botton of Range at 10 is out of date

Any obvious reason for anaemia

Are you vegetarian or vegan?

Heavy periods?

GP should be doing full iron panel test next

Low/deficient ferritin level will affect thyroid and tends to result in low TSH

It’s chicken and egg which is causing which

First step is always to improve low vitamin levels to optimum

cks.nice.org.uk/topics/anae...

Serum ferritin level is the biochemical test, which most reliably correlates with relative total body iron stores. In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency.

Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing.

It’s possible to have low ferritin but high iron

Test early morning, only water to drink between waking and test. Avoid high iron rich dinner night before test

Stop iron supplements 5-7 days before testing

Medichecks iron panel test

medichecks.com/products/iro...

Look at increasing iron rich foods in diet

Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption

List of iron rich foods

dailyiron.net

Links about iron and ferritin

irondisorders.org/too-littl...

davidg170.sg-host.com/wp-co...

Great in-depth article on low ferritin

oatext.com/iron-deficiency-...

drhedberg.com/ferritin-hypo...

This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.

healthunlocked.com/thyroidu...

Posts discussing Three Arrows as very effective supplement

Great replies from @FallingInReverse

re ferritin and Three arrows

healthunlocked.com/thyroidu......

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Great reply by @fallinginreverse

healthunlocked.com/thyroidu...

Iron patches

healthunlocked.com/thyroidu...

Thyroid disease is as much about optimising vitamins as thyroid hormones

healthunlocked.com/thyroidu...

restartmed.com/hypothyroidi...

Post discussing just how long it can take to raise low ferritin

healthunlocked.com/thyroidu...

Iron and thyroid link

healthunlocked.com/thyroidu...

Posts discussing why important to do full iron panel test

healthunlocked.com/thyroidu...

Good iron but low ferritin

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Chicken livers if iron is good, but ferritin low

healthunlocked.com/thyroidu...

Shellfish and Mussels are excellent source of iron

healthline.com/nutrition/he...

Iron deficiency without anaemia

healthunlocked.com/thyroidu...

Ferritin over 100 to alleviate symptoms

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Great research article discussing similar…..ferritin over 100 often necessary

ncbi.nlm.nih.gov/pmc/articl...

Low Iron implicated in hypothyroidism

healthunlocked.com/thyroidu...

Really interesting talk on YouTube, link in reply by Humanbean discussing both iron deficiency and towards end how inflammation can also be an issue

healthunlocked.com/thyroidu...

Inflammation affecting ferritin

healthunlocked.com/thyroidu...

Updated reference ranges for top of ferritin range depending upon age

healthunlocked.com/thyroidu...

Thank you for your incredible patience while you have been awaiting the outcome of our ferritin reference range review. We conducted this with Inuvi lab, which has now changed the reference ranges to the following:

Females 18 ≤ age < 40. 30 to 180

Females 40 ≤ age < 50. 30 to 207

Females 50 ≤ age < 60. 30 to 264l

Females Age ≥ 60. 30 to 332

Males 18 ≤ age < 40 30 to 442

Males Age ≥ 40 30 to 518

The lower limits of 30 are by the NICE threshold of <30 for iron deficiency. Our review of Medichecks data has determined the upper limits. This retrospective study used a large dataset of blood test results from 25,425 healthy participants aged 18 to 97 over seven years. This is the most extensive study on ferritin reference ranges, and we hope to achieve journal publication so that these ranges can be applied more widely.

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