Grateful for your thoughts and feedback on the following information and test results to consider next steps in helping my mother
66 year old female
Thyroidectomy at aged 17 following goiters and takes 100mg/d levothyroxine
Suffers with many symptoms similar to hypothyroidism: Chronic GI problems and severe constipation, hair loss, feels cold easily, struggles to lose weight despite excellent diet.
Has autoimmune diseases - Vitiligo, Pernicious Anaemia ( Did have previous diagnosis of IBS) My mother does take probiotics, magnesium, glucosamine sulphate, calcium and vitamin D supplements.
2 weeks ago was admitted to hospital following suspected heart attack (Elevated Troponin T 374 - 405). Low blood pressure problems eventually improved and angiogram confirmed no blockages or clots in heart). After one week in CCU, discharged with diagnosis of Takatsubo Cardiomyopathy. Started on Spironolactone and Ramipril. The hospital didn't undertake any thyroid function tests whilst she was admitted.
Did the test below about 2 weeks after discharge and remains primarily symptomatic of hypothyroidism.
Regarding the tests results, her Free T4 is high but her Free T3 is on the lowest margin of the normal range. Also she has a fairly serious Vitamin B12 deficiency and struggles with iron deficiency too. Could this be a problem of T4 to T3 conversion? I've been reading about Low T3 Syndrome which is an issue exacerbated by problems with the GI.
I appreciate any suggestions, GP not very forthcoming about above problems and treating each issue separately. I'm concerned that the chronic symptoms and the recent Cardiomyopathy problems are related to an mistreated or under treated thyroid issue. She's so fed up of her symptoms and the heart attack has worried us all so would like to know how I can best support her.