Really hope someone can help. I am in a mess trying to unpick all of this.
I posted on here 2 weeks ago - because my results came back from my GP which indicated the following.
T4 - 10.6 (9.01 - 19.05)
Serum TSH - 7.32 (0.35-4.94)
Serum Vit B12 652 (187 - 883)
Ferritin - 42 (20 - 204)
Anti Thyroid Peroxidase - No Action required
Anti Thyroid Microsomal Ab - 342.3 (no range)
Anti TPO Result - Positive
I didn't have a Vit D with the GP test.
I also sent off to Blue Horizon and did the thyroid test. I am really confused after Blue Horizon's doctor's comments (see below) . I haven't started my low dose levo. Should I? Could raised TSH be caused by something else?
I have symptoms such as very bad hair loss, dry skin, weight gain / loss, hyper swing (or anxiety?), tired (sometimes, crash by afternoon but okay in the morning).
Why is one test indicating my Ferritin is low and another that it's okay? I haven't started supplementing as I wanted to get my baseline of results. Unfortunately, the tests weren't quite like for like.
Blue Horizon Results were:
CRP 0.20 (<5.0 mg/L)
Ferritin 100.0 (20 - 150 ug/L)
TSH H 4.70 (0.27 - 4.20 IU/L)
T4 Total 102.7 (64.5 - 142.0 nmol/L)
Free T4 14.22 (12 - 22 pmol/L)
Free T3 4.80 (3.1 - 6.8 pmol/L)
Anti-Thyroidperoxidase abs H 178.4 <34 kIU/L
Anti-Thyroglobulin Abs 20.2 <115 kU/L
Vitamin D 43
Deficient <25 nmol/L
Insufficient 25 - 50
Consider reducing dose >175
Vitamin B12 358
Deficient <140 pmol/L
Insufficient 140 - 250
Consider reducing dose >725)
Serum Folate I 10.4 - 42.4 nmol/L Insufficient
I couldn't give enough of a sample for serum folate.
Blue Horizon Doctor's comments
The Thyroid Stimulating Hormone (TSH) is elevated. If you are already taking a form of thyroxine, it is possible that that your dose is too low or that you have forgotten to take it on occasion. It may be that an increase in dose is in order - if adjusted it would be sensible to repeat thyroid function (TFT) testing in around 2 months’ time. If you are not taking thyroxine, and this is the first time TSH has been noted to be high, it is possible that 'non-thyroidal illness' or other medication effects are the cause of the elevation. It may be that hypothyroidism (underactive thyroid gland) is about to develop. In these scenarios, it would be advisable to repeat thyroid function tests in 3 months’ time. I would suggest undertaking this repeat test sooner if symptoms develop.The finding of a positive thyroid antibody result in addition increases the possibility of your having autoimmune thyroid disease, such as Hashimoto's thyroiditis or Grave's disease.
There is a mild Vitamin D insufficiency
Thanks for taking the time to read this (long) post!