ALL Hyprothyroidism symptoms but Normal Results

ALL Hyprothyroidism symptoms but Normal Results

Hello

I have had my Thyroid results today, and everything has come back normal .

I had to have the tests done privately since the GP had said my TSH was normal, but I was still convinced something was not right. I had all the symptoms of Hypothyroidism, so I had the tests done privately.

Ive attached my results , Is there anything unusal? (The Doctors comments suggest the only abnormal reading is Vitamin D)

Can anyone help and see if any of these results seem out of balance??

Thanks

Biochemistry

CRP 3.20 mg/L

Ferritin 166.7 ug/L

Thyroid Function

TSH 2.89 IU/L

T4 Total 75.8 nmol/L

Free T4 13.00 pmol/L

Free T3 5.37 pmol/L

Reverse T3* 15.0 ng/dL

Reverse T3 ratio 23.31

Immunology

Anti-Thyroidperoxidase abs 9.3 kIU/L

Anti-Thyroglobulin Abs 11.6 kU/L

Vitamins

Vitamin D (25 OH) L 33

Vitamin B12 709

Serum Folate 23.84 nmol/L

12 Replies

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  • Your results are all in range, but I wouldn't call them normal. Your TSH is much too high, and shows your thyroid is struggling to make hormone. Your FT4 is much too low. Your FT3 isn't bad but that's probably because the TSH is forcing the conversion, but it won't last forever because you're not making enough T4.

    But you would never get a doctor to admit - or even understand - all of that. Just keep retesting every so often, keep an eye on it.

    The good news is : your conversion is good! And you don't appear to have Hashi's.

    Your vit d is low, you need to supplement that. And your B12 could be higher. Optimal is 1000.

  • Dear greygoose

    Thank you so much for clarifying that

    It might explain why I am absolutely exhausted ALL the time, weight gain, dry skin, muscle ache etc

    Would it be worth me thinking about mediication or NDT ??

    Your input is much apperecitated

  • That and the vit D, yes.

    Before you think about NDT or anything else, do as Bluebug says below. Thyroid replacement will not work well - especially not NDT - unless all your nutrients are optimal. So, very important to get those supplemented. :)

  • thanks. i just saw your reply after posting to bluebug

  • Firstly get your vitamin D up that will make you feel terrible on it's own. Take 10,000IU per day of vitamin D3 for 12 weeks then cut down to 5,000IU and get retested at 4 months. You can use City Assays as the test is cheaper.

    Some other people on here have been given regimes but if you are doing this yourself without a doctor observing you, the known maximum safe dose of vitamin D is 10,000IU per day

    Lots of doctors prescribe 1-2,000IU per day for people with your level of deficiency which means it would take years for you to get to 50nmol/L let alone 100nmol/L.

    In addition take vitamin K2 and magnesium citrate with the supplements otherwise you may experience very horrible pains. Either from your bones remineralising or from your calcium level being disrupted.

    After that sort your B12 out by supplementing that.

    Secondly while your TSH is not ideal unless it goes over 10 you won't be treated by the NHS. The NHS sometimes tests FT4 as well however their range is different with a much lower boundary so unless unless it is under their level you still won't be treated.

  • Thanks Bluebug

    I'll definitely go on a Vit D3, K2 and Mag Citrate regime.

    Ive heard D3 the sprays are good, so i'll do that.

    And after that B12.

    Do you think it might be worth me considering NDT?

  • Get your vitamin D and B12 levels up. Then come back and start a new thread stating how you feel now.

  • Thank you bluebug and greygoose

  • I was just thinking, i had some other blood tests done. which showed high levels of paraprotein (or M-protein) and low levels of testosterone.

    Just made me worry if my Low Vit D and b12 levels might be related to that

    I have an appointment with Endocrinology and Haematology coming up in Ocober for M protein and Testosterone.

    Is it possible that these things might be related to Vit D?

  • Not as far as l know. But you could try posting a new question asking just that, to catch the eye of someone who might know about that sort of thing. :)

  • T3 is the active thyroid hormone which controls the metabolism and therefore the symptoms. Your Free T3 is in the top part of the normal range so you should not have hypothyroid symptoms.

    It is also unusual to have a TSH of 2.89 with such a good Free T3 value. The TSH level would indicate that the body is pushing for an even higher T3 level.

    Your thyroid hormone levels along with what appear to be hypothyroid symptoms could point to a genetic condition commonly known as Thyroid Hormone Resistance. It causes hypothyroid symptoms and requires very high T3 levels in the body to overcome the resistance.

  • Sandy12

    Thank you for your observations. I have never even heard of this and will do some research. Can you suggest any tests I can get done or any advice. I am totally new to this forum (this is my first post) . But so many of the symptoms for Hypothyroid is exactly how I feel and this could give me another avenue to think about.

    I will still continue with bluebug and greygoose's suggestions to get my D3 levels up with also Vit K2 and Mag Citrate .

    Once again thank you and would welcome any further assistance

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