Daughters results,from Bluehorizon.

[Jeremy72]

Hi all,my daughter got her bloods done as above because she still was not feeling well on 300 mcg of Levo.

I note her TSH is rising AGAIN,but no evidence of autoimmunity.

Anyone got any thoughts of were to go from here,as weight,tiredness and excess body and facial hair is still a problem.

Results as below.

 Free T4 15.34.....range 12-22

Free T3 5.05 range  3.1-6.8

T4 110.8 range 64.5-142.0

Immunology 

Anti thyroidperoxidore abs 13.1 range  below 34

Anti thyroid globulin abs 15.7 range below 115.

[galathea]

Suppose you have checked out polycistic ovaries?       They are linked and symptoms overlap.....   Was just the excess hair made me think of it.

ovarian-cysts-pcos.com/news...

Xx g

[Jeremy72 in reply to galathea]

I thought of this when she was in her teens,and asked GP for test,at that time it was normal.

I think it should be repeated.

Thank you Galathea.

[Clutter]

Jeremy72,

FT3 is surprisingly good considering FT4 is less than half way through range.  What is TSH?

I agree with galathea that excessive facial and body hair suggests PCOS.

How are your daughter's ferritin, vitamin D, B12 and folate.  Deficiencies are common in hypothyroid patients and cause fatigue as well as inhibiting uptake of Levothyroxine.

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I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.

[Jeremy72 in reply to Clutter]

B12 is mid range and so is ferritin if I remember correctly,she was Vit D deficiency and is on vit D supplements.

[Jeremy72 in reply to Jeremy72]

B12 and Ferritin were within range but at the lower end

[Jeremy72 in reply to Clutter]

TSH Thyroid stimulating hormone....from the pituitary.

[Marz in reply to Jeremy72]

I think what Clutter meant - was there was not a result for her TSH on the list of results you posted !

[Jeremy72 in reply to Marz]

Posted below,just realised durrrrr Thanks

[Clutter in reply to Jeremy72]

Jeremy72,

What is your daughter's TSH result?

[Jeremy72]

I thought about polycystic ovaries when she was in her teens,she had a test and it was negative.

I think think this should be re checked.

Thank you 

[Jeremy72]

Sorry,just realised I didn't put TSH lol 2.75 range 0.27-4.2 

[Marz in reply to Jeremy72]

It is often mentioned on this forum that people do feel better with a TSH of 1 or under when being medicated. 

[Howard39]

What Clutter says is bang on the money so to speak.

Insulin resistance is generally believed to be the cause of PCOS- if this is the issue. A good diet, exercise and supplements are essential too. (not easy when you are shattered)

I am assuming the weight is a gain not a loss here and I don't know what levels of T3 are being taken. The dose of T4 is a healthy one but not uncommon so don't be concerned about this.

It is very hard to understand what is EXACTLY happening because sometimes we are alone and all I could do was have several tests done to get to the bottom of things. Thankfully my consultant(general) can think outside the box and whilst I had to have several tests privately with sheer will power I got the answers and meds that I needed.

An adrenal gland dysfunction can cause facial hair and weight issues too- ATP test.

Gut dysfunction shows if meds/foods are being absorbed correctly(stool analysis) 

On occasion there can be a couple of issues at the same time. My suggestion is cover all the bases and you will find out the underlying reason (s).

Good luck.

[Jeremy72]

Thank you Sandy12.