Hi, could someone please help me out with my blood results.

[evey]

The bloods were taken for my annual review, so the list is quite long and I don't know if they are all important or not? (never heard of half of them) I do know that I requested Vit D, Ferritin, Antibodies, etc. but these have not been done, there's a surprise! I am seeing another gp on Thursday so will ask again.

I was on 75mg (from gp) of Thyroxine when these were done. Now on top up to 150mg re: the late Dr. S. I should have posted them at the time but had put the letter away in a safe place, and then forgot where that safe place was! Brain Fog !!!

I did have a few months of really good health (it was amazing, after twenty years, So I know it Can be done) and a three stone weight loss, but gp lowered my dose (against Dr. S. advice) and became so unwell again, and have not improved since raising again. I think I would like to try T3 of NDT. I do miss the good Dr. S.x

Thank You in advance for your help.

12 Nov,'13.......Follow up------No Further Action

TSH Level (XaELV)...........0.6 mu/L..... (0.4 - 5.5)

Free T4 ............................16.9 pmol/L (11.5 - 22.7)

Free T3...............................4.5 pmol/L (3.5 - 6.5)

Sodium.............................143 mmol/L (135.0 - 145.0)

Potassium............................4.2 mmol/L (3.5 - 5.0)

Creatinine............................75 umol/min

GFR cal abbrv MDRD..........73 mL/min

Albumin.................................44 g/L (35.0 - 50.0)

Alkaline phosphatase............60 iu/L (38.0 - 126.0)

Bilirubin..................................23 umol/L (3.0 - 22.0) Above range

Alanine aminotransferase......29 iu/L (9.0 - 52.0)

Cholesterol...............................6.0 mmol/L (3.0 - 5.5) Above range

Plasma Glucose.......................4.3 mmol/L

Sample....................................No visible Haemolysis

Full blood count.......................(424)

Haemoglobin concentration.....142 g/L (120.0 - 150)

Total white blood count.............7.5 10*9/L (4.0 - 10.0)

Platelet count obs......................245 10*9/L 150.0 - 400.0)

Haematocrit..................................41% (36.0 - 46.0)

Red blood cell count (426..).........4.59 10*12/L (3.8 - 4.8)

Mean cell volume..........................90 fL (83.0 - 101.0)

Mean cell Haemoglobin................31.0 pg (27.0 - 32.0)

Neutrophil count...........................4.91 10*9/L (1.8 - 7.4)

Lymphocyte count.......................1.56 1089/l (1.1 - 3.5)

Monocyte count obs...................0.76 10*9/L (0.21 - 0.92)

Eosinophil count obs...................0.19 10*9/L (0.02 - 0.67)

Basophil count.............................0.03 10*9/L (0.0 - 0.13)

I'm glad that's done, my eyes are really fuzzy, it took me ages to type!

Evey.

[dgleds]

your cholesterol not that high...Bilirubin..Isn't that a liver thing...

[Hennerton]

Are you on the same dose now that was recommended by Dr Skinner? (Yes, I miss him so much too). It is just that there is room for improvement in all three thyroid results, so I think you could be on a higher dose of Levo. It would seem you are converting well enough. Just need more! Any hope of getting it from your GP?

[shaws Administrator]

Doctors have no scientific cause to reduce your medication on the TSH alone. Go to question dated July 15, 2006.

web.archive.org/web/2010103...

and question dated January 25, 2002 on the following link:-

web.archive.org/web/2010103...

excerpt

Adjusting the T4 dose by the TSH level is like adjusting the speed of your car by a speedometer that's out of synchrony with the actual speed of the car. Adjusting the speed of a car by an out-of-sync speedometer, of course, will get the driver into trouble—either with other drivers who'll object to the car traveling too slowly, or with a police officer who'll object to the car going too fast. And adjusting the thyroid hormone dose by the TSH level gets most patients in trouble—almost always because their tissue metabolism is so slow that they are sick.

[Femme1]

I can only tell you that from what I've read, the ft3 and reverse t3 are the all important blood results , free t3 should be in upper third of healthy range for feeling awake and functioning well. My first 'post armour ' bloods showed a tsh of 0.01, ft4 of 13 (which was still low but in healthy range) and ft3 of 5.5, this was in a similar range as the one you give . I felt human again ! TSH in my opinion isn't worth the paper it's written on and kept me ill for years. Dr Skinner told me that if we must use a TSH test, then it should always be below 1 for a healthy person with no thyroid problem. But obviously more bloods need checking than just this one. My tsh is obviously very low because I take desiccated thyroid meaning my body does not need stimulating into proficient thyroid hormone now as they are all adequately replaced . Thank the Lord. N.b. my own doctor still says I have no thyroid problem and that I must be taking ndt for other health reasons lol . Best wishes x

[Hidden]

You need B12, folate and ferritin tested. Elevated billirubin can be seen in pernicious anaemia (B12 deficiency). Your MCH is high end of the range which would also point to this. But since your MCV is mid range rather than elevated, you could have low iron thrown in, hence the need for the ferritin test.

Elevated billirubin can also be for other reasons, i.e. Gilbert's syndrome. See here:

patient.co.uk/health/gilber...

[Heloise]

My goodness, Evey, you have been thrown to the wolves it seems. It certainly would have been within your rights to begin advising your GP of what damage the lower dose was doing to you. I don't know if the GPs are negligent or if they feel that their patient did not relay any indignation immediately over being put in reverse health that this sort of tragedy occurs. Did you let them know?

Your FT3 is on the low side which seems to be everyone's problem who writes on the forum. I don't know if the reduction of T4 causes some sort of malfunctioning and even raising the dose will not work as before. You could certainly try T3.

This website has a list of blood tests which might help you analyze your results.

aarp.org/health/doctors-hos...