Advice on Blood results

Hi, new to this site. Would appreciate some advise on blood test results.

I have been taking Vit B12, B complex and Vit D supplements, since getting these results, which have helped greatly. However, I still have feeling of lump in my throat (x 10months), dry skin and would like a bit more energy. Just wondering if I should get GP to take another look at thyroid? All other symptoms thankfully resolved with B12.

ESR 3 (1-25)

Hb 9 (7.5-10)

Ht 43 (36-47)

Erythrocyte 4.7 (4.2-5.4)

MCV 91 (80-100)

RDW 47.4 (39-52)

TSH 2.89 (0.27-4.2)

Free T4 13.5 (12-22)

Folic acid 21 (10.4 - 42.4) Taking B Complex

B12 203 (145-569) Taking 5000mcg sublingual daily (self treating)

Vit D 45.8 (75-100) given supplements by GP

Thanks in advance

4 Replies

  • Welcome to the forum, DebraNL.

    Has your GP palpated your neck and throat to see whether a lump or swelling is detected?

    TSH 2.89 is within normal range but TSH >2.0 indicates your thyroid is struggling to produce hormone which can cause slight swelling (goitre). Free T4 is also within range but is very low in range. Unfortunately NHS is unlikely to make a hypothyroid diagnosis and commence treatment until TSH is >4.2 or FT4 <12.0.

    B12 203 was very low but 5,000mcg should raise it considerably.

    VitD is optimal >75 and most people are comfortable around 100.


    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.

  • Thanks Clutter, good to know and confirmed what I thought. My GP did check my neck but nil found. I can't feel anything either on palpation other than a feeling of constriction, and that I need to swallow more.

    Are there any dietary changes/supplements that may be of benefit?

  • DebraNL,

    You might supplement 200mcg selenium daily as that is thyroid friendly. Could even be worth trying 100% gluten-free for a few weeks to see whether that makes any difference.

  • Great, I will try that. Thank you

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