I was referred here from the thyroid forum to seek opinion what to do next. Is there any blood test or treatment that I should enquire with next gp visit re most resent blood results done in January?
Below is the copy of the post to thyroid forum.
Update, sorry long post but getting desperate and feeling worse. As far as I've got so far is finding out that I have Hashis, not diagnosed of anything.
I saw endo couple months ago. He was very unsympathetic and really could care less. Agreed at least that my symptoms were significant. I was asking if I could get trial of thyroid meds but he just kept going on about the cardiac risks and there is no biochemical indication to start thyroid meds and we would lose the pituitary-thyroid feedback control if meds started.
Endos letter afterwards said that folate is slightly low but given normal indices he does not think that this needs supplementing. And that there is nothing more he can suggest and discharged me back to gp
First of all my symptoms, fatigue, headaches, dry skin, hungry after eating, graving sweet and salty foods, diarrhoea or constipation (every day), nausea, cold feet, low body temp, hypoglycaemia (I don't have diabetes), confusion, trouble thinking, dizziness, depression (was given sertraline) and few others.
New symptoms - trembling, muscle weakness (legs actually collapsed when tried to lift something), confusion and memory getting worse (actually asked hubby same question three times in a row inside 5mins!!!) fatigue getting worse. Diarrhoea getting worse, actually sorry not pleasant but faecally have had few accidents. Not able to work anymore
I'm seeing GP this week, is the any other tests that I should ask or anything else that could help me. She has refused to do vit D.
Not started gluten free yet but on my way to that.
Would be very grateful for any help that anyone can offer.
Here are the previous results
Bloods taken in April 2016:
Erythrocyte sedimentation rate 16mm/h (1.0-10.0)
TSH 5.44mu/L (0.27-4.2)
T4 14.0pmol/L (11.0-20.0)
Full blood count, all withing range
Liver & kidney function all fine
Bloods in beginning of July 2016:
TSH 3.47mu/L (0.27-4.2)
T4 14.6 pmol/L (11.0-20.0)
ANTI-TPO 442iu/mL (<34)
Negative for coeliac disease
Tests ordered by endo Jan 2017
Cortisol 25 nmlo/L (172 - 497 nmlo/L) after dexsamethasone suppression test.
HGB 139 (115 - 165g/L)
WBC 11.1 (10*9/L 4.0 - 11.0)
PLT 393 (10*9/L 150 - 450)
RBC 4.73 (X10*12 3.50 - 5.80)
HTC 0.426 (L/L 0.370 - 0.470)
MCV 90.0 (fl 76.0 - 98.0)
MCH 29.4 (pg 27.0 - 32.0)
MCHC 327 (g/L 310 - 360)
MEAN PV 9.0 (fl 7.0 - 12.0)
NEUT# 7.90 (10*9/L 2.00 - 7.00)
LYM# 2.50 (10*9/L 1.00 - 3.00)
MONO 0.60 (10*9/L 0.20 - 1.00)
EOS 0.00 (10*9/L 0.00 - 0.50)
BASO 0.00 (10*9/L 0.00 - 0.20)
THS 1.91 (mU/L 0.27 - 4.20)
FREE T4 12.4 (pmol/L 11.0 - 22.0)
SODIUM 138 mmol/L (133-148)
POTASSIUM 4.7 mmol/L (3.6-5.3)
UREA 2.9 mmol/L (2.5-7.8)
CREATININE 47 umol/L (44-80)
EGFR >60 ml/min (>60)
B12 193 pg/ml (191-663)
Serum FOLATE 3.0 ng/ml (>3.9)
SERUM FERRITIN LEVEL 15.4 ng/ml (13.0-150.0)
B12 was 158 pg/mL (148-900) at 2014 when it was last measured and folate 6.2 ng/mL (3.0-16.0)