My blood result

[Lorr67]

Is everyone under same opinion are these results low ty x

[Clutter]

Lorr, your TSH looks good and FT4 is in the 'ideal' top 75% of range. FT3 could be higher as it is slightly under half way in range. You could ask your GP whether s/he can prescribe a little Liothyronine (T3) to a slightly reduced dose of Levothyroxine as this will help lift your FT3 and should help improve the aches you complain of in your previous post. Unfortunately, many CCGs have instructed GP practices that T3 should only be prescribed by an endocrinologist and even if you can get a referral you should know that not all endos will prescribe it.

You should also ask your GP to check ferritin, vitamin D, B12 and folate as levels are often low/deficient in hypothyroid patients and can cause fatigue, musculoskeletal pain and low mood similar to hypothyroid symptoms.

[Lorr67 in reply to Clutter]

I'm on folic acid as that was low... And I've started taking b12 myself.. He's a senior practitioner so hopefully he will help but I will see if he will proscribe t3 .. Ty clutter

[shaws Administrator in reply to Lorr67]

if you email [e-mail] and ask for a copy of the Pulse Online article and question 6 says that if we are still not quite well the addition of some T3 can be prescribed. (ignore the last para as that's what many believe).

[Lorr67 in reply to shaws]

I will do that thank you I'm going first thing so fingers crossed

[Jazzw]

What time of day did you get your blood taken? And had you taken your Levo that day?

[Lorr67]

My bloods were taken about 2pm and Levo was taken night before at 10pm

[greygoose in reply to Lorr67]

OK, so you hadn't left enough time between taking your dose and the blood being taken. It should be 24 hours. That will have slightly skewed your result making the TSH slightly lower and the FT4 slightly higher than they would have been had you left the correct amount of time. Also, having blood taken at 2 pm will mean that your TSH is lower, it is highest early in the morning. But, in any case, looks like you're not converting very well.

[Ruthi]

What form of B12 are you taking? And how much? Most of the ones sold as oral supplements are worse than useless. They skew your blood results, but aren't actually biologically available. (LOTS of B12 information available at the HU Pernicious Anaemia group, most B12 deficients folk do not have PA, and many people with PA (the autoimmune disease) aren't anaemic)

And are you aware that ferritin (one of the iron measures) needs to be above 70 for your thyroid meds to be properly utilised?

Your T3 isn't ideal, and I for one need mine to be towards the top of the reference range in order to feel best. But if your symptoms are completely unchanged then I would think its likely that something else is going on as well. Likely suspects are low B12 (under 500), and adrenal insufficiency. For me heavy magnesium supplementation is making a difference too (80% of Americans are said to be deficient, not sure how many in the UK but we won't be far behind, and the NHS blood tests are all but useless so its rarely picked up).