Blood Test Results.

[DaizeeFoo]

Last 3 test results.

10/10/2014

Serum TSH 0.62 mIU/L (0.3-3.94)

Serum fT4 19.5pmol/L (12.3-20.2)

Serum fT3 4.6pmol/L (3.7-6.7)

Serum ferritin 60ug/L (13-150)

Serum Vit B12 512ng/L (191-663)

Serum foliate 11.5ug/L (4.6-18.7)

18/08/2015

All ranges as above unless stated.

Ferritin 43 ug/L

B12 493 ng/L

Folates 5.4 ug/L

TSH 1.55 mIU/L

fT4 20.6 pmol/L

fT3 4.6 pmol/L

Vitamin D 77 nmol/L just above replete. Was 84 nmol/L

Cholesterol 4.8 mmol/L

Plasma Glucose 5 mmol/L previous 4.9 mmol/L

18/09/2015

TSH 1.64 mIU/L

fT4 21.6 pmol/L

fT3 5.2 pmol/L

9am Cortisol 320 nmol/L (193-690)

Serum Prolactin 184 mu/L (102-496)

FSH 7.9 iu/L

LH 4.5 iu/L

Complicated but Normal range indicated for both.

HbA1c 5% 31.2 mmol/L Normal

(I am not diabetic but they seem to want me to be!)

Any advice as to my rising TSH, fT4 and fT3 greatly appreciated. Just to add I have been on 200mg Levo since June 2014.

[Clutter]

Daizeefoo, I'm flummoxed as to why TSH, FT4 & FT3 have risen twice on the same dose. TSH usually rises when FT4 and FT3 drop. Higher TSH will stimulate better FT4 and FT3 but I don't think the small rise between Aug and Sept can account for it. I'd certainly keep an eye on FT4, it's slightly over range now and you may feel unpleasantly hyper if it rises too much over range. Do you feel any better with higher FT4 and FT3?

Ferritin is low, halfway through range is optimal. Supplement Ferrous Fumarate and take each tablet with 500mcg-1,000mcg vitamin C to aid absorption and minimise constipation. Take iron 4 hours away from Levothyroxine.

B12 and folate have also dropped. Supplement 1,000mcg methylcobalamiin sublingual lozenges, spray or patches and take a B Complex vitamin to improve folate and keep the other B vits balanced.

[DaizeeFoo in reply to Clutter]

Yes me too! The Endo previously asked if I had forgotten to take my Levo. I hadn't but there seemed to be a slight glimmer of "I don't believe you" in her eye.

I felt good when I had the 10/10/2014 reading and the lower TSH. As I told you previously, I felt good til April when I had a chest infection and then just have felt rubbish nearly all summer. I have no very obvious hyper symptoms. I get upset tummies but this occurred even when I was very hypo and unmedicated.

I don't get manic or have tons of energy, fall asleep when my head hits the pillow, (even though I will sometimes stay up late reading), don't have palpatations, rarely feel like I am having my throat constricted, etc., and the stone in weight I lost at the November 2014 weigh in has gone back on. I am exactly the same weight I was in Summer 2014. No real difference in dietary habits.

The only thing that has happened is my periods are, for me, very light, but ever since I was diagnosed they have been light or heavy changing from month to month. Always 8-9 days though.

Ferritin maybe my own fault. I ran out of it and it's not on repeat script so.......

I do have some Solgar Folicin 400ug which I used to sometimes take. Don't know if that would help?

B12 and D both dropped. I slightly ease off medicating to a maintenance dose in Summer. I use the Better You sublingual sprays.

Results, from my understanding and research, do not show a pituitary issue which might have explained this. Considering the rising fT4 and fT3 the blood sugar reading collates correctly to my blood glucose reading - both being normal.

It's stumping me. And scaring me. Endo wrongly assumed I wanted a Levo raise. The fact fT3 has also raised does not seem to show I need T3 supplimentation.

Dunno....flummoxed here, too!

[Clutter in reply to DaizeeFoo]

Daizeefoo, not taking Levothyroxine would cause TSH to rise but NOT FT4 and FT3 too.

Have you had a coeliac screen? Maybe gluten upsetting the tummy. That can reduce absorption of Levothyroxine which would explain rising TSH but NOT rising FT4 and FT3.

[DaizeeFoo in reply to Clutter]

No I did ask but that was negated. Don't ask me why.

I will be emailing these results to the Endo later so if there is an issue they will probably call me back in. To be honest I am brighter than I was a few weeks ago but I still get tired during the day.

It's not right though, is it? They shouldn't all be rising like this.

[Clutter in reply to DaizeeFoo]

Daizee, it's unusual, but the rise is fairly small so try not to worry. Endo can order coeliac if she thinks malabsorption may be an issue.

[DaizeeFoo]

Oh what happened? The person with Winnie the Pooh left me a reply about vitamins and I tried replying but it disappeared. And I lost the link too.

Here is my reply;

Actually 2 vitamins are possibly going to be useful there. I am very obese and have never had my zinc tested so may print that out and see if my doc will get a level for me. And Vit A. Am finding these new HD white/blue headlights very glaring to drive against recently both at night and during the day.

[Clutter in reply to DaizeeFoo]

Daizee, That will be Flower007. No idea why the post has disappeared.

[DaizeeFoo in reply to Clutter]

Thank you I emailed her ☺

[waveylines]

This is a tricky one. Although your blood levels are good it doesn't mean it's getting through into your cells. Maybe this is the problem. Unfortunately there is no testing for this so its all guess work. Have you thought about switching to a NDT instead? I had very good levels on levothyroxine though I didn't feel at all well. Though my blood levels are similar on NDT I feel much much better.

Can't explain the TSH going up with you thyroid levels rising too though!! What did the endo say about this apart from insinuating you hadn't taken your meds? Has he checked your pituitary?

[DaizeeFoo in reply to waveylines]

Yes the FSH and LH levels came back as normal as did the Prolactin. So I gather that rules out Pituitary issues. She is an NHS Endo so I can ask but doubt whether NDT would be an option.