can any one help with my thyroid numbers

[christine71]

hi just had test and my tsh is 0.6.5 t4 is 10.9 t3 5-2 they say normal are they thank you

[SeasideSusie Remembering]

Do you have the reference ranges? It's hard to say without them, especially the FT4 as that must be very close to the bottom of range but as ranges can differ it could be under range or just low in range.

Also, are you diagnosed hypo and on any meds? If so what dose and include any previous test results for comparison.

[christine71 in reply to SeasideSusie]

I have hashimotos and I'm on 50 mg Lev had this for 2 years and gaining weight and hair loss fatigue etc this is the only time I have got my blood test results gp don't care I had to ask a nurse who was doing my yearly tablet check for bloods for some thing else if she could do the test if not I would still be waiting to have them

[SeasideSusie Remembering in reply to christine71]

christine71 The reference ranges (usually in brackets after the result) are really needed otherwise it's really guesswork as ranges differ from lab to lab. You can ask your surgery for a print out of your results, you are legally entitled to them under the Data Protection Act, assuming you are in the UK.

Guessing, from what you've given, your TSH is in a good place for a treated hypo patient, the aim is 1 or below.

If T4 is FT4, 10.9 seems to be low (by usual range standards) but impossible to say if it's under range.

If T3 is FT3 then at 5.2 it seems to be in a reasonable place but again without the range it's impossible to be certain how close to the top of the range it is.

The aim for a treated hypo patient for FT4 and FT3 is to get them to the upper part of their ranges and yours would appear to be far from there (by usual range standards).

Your FT4 and FT3 are not in balance. If I've guessed correctly then your FT4 needs to increase.

None of the above is certain though without knowing the ranges. Please obtain the reference ranges for more accurate comments.

As you have Hashimoto's your results and symptoms will fluctuate as and when antibodies are attacking. To reduce these attacks have you gone completely gluten free, which is what has helped many Hashi's patients. Supplementing with selenium also helps reduce antibody attacks.

Hair loss can also be due to other things. Ask for Vit D, B12, ferritin and folate to be tested. They all need to be optimal for your thyroid hormone to work properly, and low ferritin can be a cause of hair loss, as can vitamin deficiency.

[christine71 in reply to SeasideSusie]

thank you I will do that I have b12vitamin injections every three months too. I did ask to have that checked to but gp said they don't do that as it would always show up low so no point had vit d checked over a year ago they said all ok thank you for your help

[SeasideSusie Remembering in reply to christine71]

christine71

"I did ask to have that checked to but gp said they don't do that as it would always show up low so no point"

What a load of baloney these doctors talk sometimes. If it would always show up low then why do they bother having reference ranges, why bother even testing, let's not test, let's assume everyone is in range and normal and save the NHS money! (I so want to say a very naughty word or two but don't want to get banned!)

Once you're supplementing with B12, it's not worth bothering retesting because the results will be skewed. However, an initial test to see where you lie within the range, and therefore whether there is any deficiency, is definitely worth it. My friend is currently receiving B12 injections, she started off with 3 a week, now one a month. I don't think she would be getting injections if the tests weren't reliable.

If you didn't start off your B12 injections more frequently than every 3 months, I imagine your levels are still very low. You could always supplement with sublingual methylcobalamin lozenges to help your B12 level, you can't overdose on B vits as they're excreted.

And I bet your 'OK' vitamin D is low too. Anywhere in range is OK or Normal for doctors, when really they all need to be optimal. I would be getting them all tested, either through your GP or privately, to identify any deficiencies and start supplementing to bring them all up to optimal levels.

[christine71 in reply to SeasideSusie]

ok got a print out of my results to day TSH level 0.65mU/L [0.35-5.5 T4 level 10.9pmo/L [10.0-19.8] FREE T3 level 5.2pmol/L3.5-6.5 don't know what they mean

[SeasideSusie Remembering in reply to christine71]

I'm afraid it's not something I'm familiar with. There must be a reason for the high FT3. If your Levo is increased it will lower your TSH and your FT4 will increase. If your FT4 increases and you are converting well enough then your FT3 will increase also.

As you have Hashimoto's, and I am not an expert in that, I don't know if those results can happen as part of the antibody fluctuations.

I think further testing is needed but I'm not sure exactly what or whether your GP will know or even agree to do them.

Besides your B12, have you had Vit D, ferritin or iron tested? If not, ask for them as I'm wondering if iron is playing a part. Ask for a full iron panel too.

Adrenals could be involved and you could ask for those to be tested. I don't know of the Genova 24 hour saliva test would be best.

As this thread is now a week old, and new messages don't bring older threads back to the top of the page, it has dropped so far down that it won't be seen. I would suggest you make a new post to bring it to the top of the page so more members will see it. Put as much information in the new post as possible, test results, ranges, thyroid history, current meds, your B12, any other tests you've had done with results and ranges. Maybe your thread title could be something like 'High FT3, low FT4, what does this mean?' Hopefully someone will have more suggestions for you.

[christine71]

yes I am