tsh 3.94 t4 13.5 CRP - slightly raised Liver - slightly raised

[malone1]

Receptionist gave me these so not very detailed. Have to make apt with doc to discuss. Im on 50mg lev and have numerous symtoms - sore thumbs, toes, generally tired - usual stuff. Anybody any advice on how to deal with doc as doesnt seem very clued up. Thanks for all support

[Clutter]

You're under medicated. Ideally your TSH should be just above or just below 1. An increase in Levothyroxine will lower your TSH and raise your FT4 so it won't struggle to convert FT3 in your liver.

Sore thumbs and toes could be due to vitD &/or B12 deficiency. Ask for your ferritin, vitamin D, B12 and folate to be tested. You need these high in range. Make sure to ask for a printout with lab ref results. GPs are inclined to consider low in range results normal.

[Ansteynomad]

"until your thyroid is correctly treated you will have slightly raised liver and crp levels"

Remarkable isn't it, that people on here know this stuff, but endos don't. Two years ago I was taken off my thyroid replacement by my endos because my LFT results were raised and they said it was inappropriate to continue to treat me in those circumstances.

Agreeing with the others that OP is under-medicated.

[malone1]

Managed to get full bloods emailed to me! As follows??

---------------------------------------------------------------------------------

Abn Value/Units Range Stat

Volume of Specimen Collected: N/A

Specimen Desc : SERUM

Haemolysis present.

R Urea and Electrolytes

Serum sodium 137 mmol/L (135-145)

Serum potassium 4.4 mmol/L (3.5-5.3)

Serum chloride 100 mmol/L (95-108)

Serum bicarbonate 25 mmol/L (22-29)

Serum urea level 5.4 mmol/L (2.5-7.8)

Serum creatinine 66 umol/L (40-110)

GFR calculated abbreviated MDRD >60 mLs/min/1.73m^2

eGFR equation assumes Caucasian ethnicity.

R Liver Profile

Serum total bilirubin level 5 umol/L (<21)

Alk Phos 84 U/L (30-130)

AST serum level

Not Reportable

Serum gamma GT level HI 72 U/L (6-42)

ALT/SGPT serum level HI 44 U/L (4-33)

Serum albumin 44 g/L (35-50)

Serum C reactive protein level HI 9.8 mg/L (1-5)

R B12 and Folate

B12 256 ng/L (191-663)

Serum folate

Not Reportable

Thyroid function test

Serum free T4 level 13.5 pmol/L (12-22)

Serum TSH level 3.94 mU/L (0.27-4.2)

Serum C reactive protein level HI 9.8 mg/L (1-5)

FBC

HB 138 g/L (115-165)

Haematocrit 0.407 l/l (0.37-0.47)

WBCs 5.9 10^9/l (4.0-10.0)

Platelet count 348 10^9/l (150-450)

RBCs 4.49 10^12/l (3.8-5.8)

MCV 90.6 fl (76-100)

MCHC 339 g/L (320-360)

MCH 30.7 pg (27-32)

Lymphocyte count 1.5 10^9/l (1.0-3.5)

Neutrophil count 3.9 10^9/l (2.0-7.5)

BASO 0.00 10e9/l LO 0.0 10^9/l (0.01-0.1)

EOSIN 0.00 10e9/l 0.1 10^9/l (0.04-0.4)

MONO 0.00 10e9/l 0.4 10^9/l (0.2-0.8)

Sample Taken : 15.05.2014 16:31 Request Date : Unknown