Thyroid Blood test results - help please. - Thyroid UK

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Thyroid Blood test results - help please.

Swan29 profile image
8 Replies

Hi all,

I now have my results:

TSH - 2.72 - range 0.5 - 5.0

Free Thyroxin - 23.4 pmo/L range 10 - 25

T3 was either not done or not revealed to me.

I have had a waking pulse rate for the past three days of 55, 56 and 55.

My waking temperature on these three days was 35.7, 35.9 and 35.9.

Any thoughts on whether these are indicative of a thyroid problem? I already have Graves Othaopthalomogy which was diagnosed about two years ago.

Any advice you have would be gratefully received.

Thank you.

edited by Shaws and added ranges

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Swan29
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8 Replies
PinkNinja profile image
PinkNinja

Hi. I'm sorry you are not feeling well.

Your TSH is quite high in range which means you may be hypothyroid however, you don't state whether you are talking any medication so it is difficult to comment.

Also, do you have the reference range for free thyroxine? It can vary a lot from lab to lab. Your free thyroxine looks high or high in range, which is a little confusing without further information, as your symptoms (including temperature and pulse) seem indicative of hypothyroidism.

I'm sorry I couldn't be more help.

Carolyn x

Swan29 profile image
Swan29 in reply toPinkNinja

Hi, I was not given the ranges, if it helps it was done at the Leicester Royal Infirmary. I am not on any medication at the moment.

Thank you.

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shaws profile image
shawsAdministrator

Hi Swan

As Carolyn states, if you can post your ranges with your results, it enables members to comment. The reason for this is that labs throughout the country differ.

Swan29 profile image
Swan29 in reply toshaws

Hi, I was not given the ranges, if it helps it was done at the Leicester Royal Infirmary. I am not on any medication at the moment.

Thank you.

shaws profile image
shawsAdministrator

Your medical history isn't in your profile but I see you have already been diagnosed with Graves Eye Disease. Are you under the care of an Ophthalmologist as according to below you should be having treatment. This is a link:-

Are you not under the care of a Opthamologist for your eye disease? This is a link and I think you should have been on treatment of some sort.

How does thyroid eye disease manifest itself and how is it treated?

Most patients presenting with the hyperthyroidism of Graves’ disease will have some evidence of thyroid eye disease, ranging from lid retraction with excessive lacrimation in bright light to marked exophthalmos with limited eye movements, diplopia and reduced visual acuity.3

The hyperthyroidism of Graves’ disease and thyroid eye disease are best considered as two separate, organ-specific autoimmune conditions, which frequently coexist. This explains why the eye disease may precede the hyperthyroidism or even occur for the first time years after successful treatment of hyperthyroidism.

The eye disease has its own natural history – a period of deterioration, followed by one of stability and ultimately of some improvement. But the ophthalmopathy will worsen if thyroid function is not controlled – whether through inadequate or excessive treatment.

The eye changes often persist for two to three years after successful treatment of the hyperthyroidism and although there may be significant improvement there is often residual disease, which can be improved by orbital decompression, strabismus surgery and eyelid surgery.

Of all treatments of the hyperthyroidism of Graves’ disease, iodine-131 therapy is associated most often with a worsening of the ophthalmopathy. For that reason it is relatively contraindicated in patients with significant eye disease. For these it may be better to use combination therapy with carbimazole and levothyroxine for the best possible control of thyroid function.

But if radioiodine is the chosen therapy, enteric-coated prednisolone 30-40mg daily should be prescribed for six weeks, as this has been shown to prevent deterioration of ophthalmology".

I think you have to look further into this and make appointment with GP.

I also suggest you put a new post up with Graves Ophthalmology with a short history and members who have this can advise you. Phone the Phlebotomy Dept and ask for the ranges for TSH and T4. I am really surprised you are not on medication if it is TED ( short Thyroid Eye Disease).

If you can phone your hospital Phlebotomy Dept and ask what their ranges are for your blood test. I think you only had TSH and T4. It is always better, if possible, to get a print-out from the GP as it sometimes has remarks on it from the lab if necessary.

Swan29 profile image
Swan29

Thank you for this - I will call the hospital today and post again.

Swan29 profile image
Swan29

OK, I have finally had a reply from the lab, and its ranges are:

TSH - 0.5 - 5.0

FT4 - 10 - 25

Any thoughts?

shaws profile image
shawsAdministrator in reply toSwan29

Hi I have put the ranges into your first question, just in case someone reads it. The FT4 I believe is actually the range for Free Thyroxin - 23.4 pmo/L.

I am going to ask Carolyn as she is good at blood tests.

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