first blood results back since diagnosed and on 25mg levothyroxine

any help with these results appreciated.

been on 25mg of levo for 6 weeks now, first blood test results back.

now serum TSH *6.02 (0.35-4.5) before diagnosis was *5.58

serum free T4 * 15.6 (doctor says normal) before diagnosis was *15.6 ( 11.0-24)

dr has not tested T3 (no explanation) before diagnosis it was *5.0 (3.1-6.8)

thyroid peroxidase antibodies 95iu/ml (0.0-34.0) (above normal range) before diagnosis was *150 iu/ml (0-34)

ANy help with tests below would be useful (all normal )

urea and electrolytes

serum sodium level 139mmol/L (133.0-146.0)

" " potassium level 4.7mmol/l ( 3.5-5.3)

" " urea level 3.7mmol/l (2.5-6.2)

" " creatine level 62 umol/l ( 52.0-88.0)

" " chloride level 102 mmol/l (95.0-108.0)

liver function tests

alanine aminotransferase level 14u/l (10-40)

alkaline phosphatase level 53u/l (50-110)

bilirubin total 11umol/l (0.0-21.0)

total protein level 75g/l (60.0-80.0)

albumin level 49g/l (35.0-50.0)

GFR calculated abbreviated MDRD >90ml/min/1.73 ^2

full blood count (424)

haemoglobin concentration 145g/l (115-160.0)

total white blood count 6.95 (4.0-11.0)

platelet count 242 (150-400)

mean cell volume 87.0 (80-100)

mean cell haem level 29.4 (27-32)

mean cell haem concentration 338g/l ( 300.0-360.0)

red blood cell distibution width 13.0% (11.5-16.0)

haemacrit 0.429 (0.35- 0.45)

red blood cell count 4.93 (3.8- 5.8)

6 Replies

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  • Minus, 25mcg is insufficient to treat your thyroid as shown by the increase in your TSH. Your GP should increase your Levothyroxine. FT4 is in range but a bit low and the dose increase should improve your FT4.

    FT3 is rarely tested unless TSH is suppressed <0.04.

  • Funny you should say that clutter on the results I.e tsh 6.2 abnormal top of the letter said expected results take no further action. I have just rang my drs surgery and asked for a Levo increase- he will ring me back wed.seems my Dr Is happy with my results- but I'm not as I still feel overly tired, low mood' pins and needles in fingers.

  • Minus, if your GP doesn't increase your meds please see another GP at the practice for a second opinion. TSH should be just above or below 1.0 when on meds. Scroll down to Guidelines and Treatment Options to read Dr. A. Toft's comments in Pulse Magazine thyroiduk.org.uk/tuk/about_...

    Email louise.warvill@thyroiduk.org.uk for a copy of the article if you want to show it to your GP.

  • I went to drs this morning, l asked to see different Dr and she didn't hesitate in putting me up to 50mg. She agreed that 25mg was too low and said I could go up much higher with Levo, regarding the tsh 6.2. Feel better and will def be changing GPS now.

  • Thank goodness, Minus. I think you will need more than 50mcg but incremental rises are usually 25mcg. Have another blood test in 8 weeks, remembering to have it early in the morning before you take your Levothyroxine.

  • Pins and needles in your fingers could be carpal tunnel, which often improves when you are properly medicated, or it could be B12 deficiency. Have you ever had B12, Vitamin D and Ferritin levels checked? Lots of us hypos are also low in these vitamins/minerals.

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