Blue horizon blood results ..please comment

[lare73]

I had my results though today

TSH 1.88 (0.27-4.2)

Free thyroxine 11.5 (12.0-22.0)

Free T3 4.4 (3.1-6.8)

TPO 28 (<34)

The report suggest I am hypo and need T4 replacement.

I have go this afternoon at 2.30pm and will be showing her these, what start dose should I ask for if she acts these results?

[helvella Administrator Thyroid UK]

I cannot remember (if ever I knew) you age and medical history. If you are not over 50 and in otherwise reasonable health (no heart problems), then 50 micrograms a day could be reasonable. If there is a reason to be more cautious, then 25 micrograms.

Your TSH does not adequately reflect the below range FT4 and low-in-range FT3 results. That would make me suspicious of any future TSH tests as well - maybe you have mild hypopituitary function? (So your pituitary simply cannot make the additional TSH that would appear appropriate.)

Whilst in range, the TPO could be rising.

Rod

[lare73]

I am just 40, have no heart issues or ill health other than Crohn's disease which is in remission.

What test to they do for hypo pituitary please ?

[Heloise]

lare, before I would rush into being medicated, it might be wise to optimize other factors. Your numbers are pretty fair. Are you having symptoms other than the crohns in remission?

I'm thinking of your adrenals first off but do a bit of reading and make some comparisons.

drlam.com/articles/adrenalf...

stopthethyroidmadness.com/a...

stopthethyroidmadness.com/m...