New blood tests results.

[lindabre]

Hi all .i posted these yesterday but only one helpful reply so am reposting .I had blood tests done 6 months ago and as advised by blue horizon I am repeating 6 months later.I supplement b12 and vitamin D but i do not take any thyroid medication. I need advice as to wether there is any improvment in my results

THYROID STIMULATING HORMONE 1.81 mIU/L 0.270 -4.200

FREE THYROXINE *11.85 pmol/L 12.000 -22.000TOTAL

THYROXINE(T4) 82.4 nmol/L 59.000 -154.000

FREE T3 4.7 pmol/L 3.100 -6.800

ThyroidAntibodies THYROGLOBULIN ANTIBODY 19.980 IU/mL 0.000 -115.000

THYROID PEROXIDASE ANTIBODIES 6.24 IU/mL 0.000 -34.000

HAEMATOLOGY

Vitamins VITAMIN B12 *>1476 pg/ml 191.000 -663.000

FOLATE (SERUM) 8.21 ug/L 4.600 -18.70025 OH

VITAMIN D 85.92 nmol/L 50.000 -200.000Interpretation of results:Deficient <25Insufficient 25 -49Normal Range 50 -200Consider reducing dose >

200BIOCHEMISTRY Inflammation Marker CRP -HIGH SENSITIVITY 1.4 mg/L 0.000 -5.000Iron Status

FERRITIN 64.23 ug/L 13.000 -150.000

The following is original results taken 6 months

BIOCHEMISTRY

CRP 2.10 <3.0 mg/l FERRITIN 76.9 20 -150 ug/l

THYROID FUNCTION

FREE T4 L 11.43 12-22 pmol/l

FREE T3 6.02 3.1-6.8 pmol/l

TSH 2.19 0.27-4.20 lu/l

REVERSE T3 16.0 10-24 ug/l

T4 TOTAL 80.7 64.5-142.0 nmol/l

IMMUNOLOGY

ANTI-THYROIDPEROXIDASE abs 10.9 <34 klu/l

ANTI-THYROGLOUBULIN ABS 20.8 <115 ku/l

VITAMINS

VITAMIN D (25OH) L 44 Deficient <25 nmol/l

VITAMIN B12 L 185 Deficient <140 nmol/l

serum folate 12.27 10.4-42.4 nmol/l

I know there is a lot of info to wade through but I would really appreciate feedback as to where to next as still feel bad even though b12 and vitamin d levels have improved

Linda ☺

[bluebug]

The most important question is how do you feel?

A few points -

- Ferritin should be halfway in range and yours is dropping. You need to supplement iron to get it back to where it was 6 months ago.

- Your vitamin D, vitamin B12 and folate are much better

- Your FT4 is below range but NHS ranges for things are sometimes below private labs in the UK for financial reasons.

[lindabre in reply to bluebug]

Thanks for replying

I feel tired and achy, put this down to fibromyalgia.energy levels are better than 6 months ago but still tired

I didn't pay attention to iron levels but if they are falling then that would explain tiredness.i will bring this up with gp . Appreciate you taking time out.

[bluebug in reply to lindabre]

Have you noticed your Free T4 (FT4) is out of range in both your tests?

It is worth getting copies of both tests and taking them to your doctor. Tell the GP that your FT4 is out of range.

And regardless of what the GP says insist the blood test results are added to your medical records.

If you Google the NICE guidelines it states you should be treated if your FT4 is out of range however unfortunately NHS lab ranges for FT4 can start at 9 meaning that the vast majority of people are considered adequate even though they feel absolutely terrible like you.

In regards to the iron levels - if your GP actually knows the importance of ferritin as both test results are over 30 the GP won't be interested.

Finally if possible have an active B12 test to confirm that you are actually utilising your vitamin B12 supplements.