Test results, Please help. Sorry there are lots to look at.

[redchud]

Hi,

Hope you can help with the second lot of blood results.

These are previous results FOR JUNE/JULY

Serum free t4 level 13.0 pmol/l(11.0-250)

Serum folate 1.7 ug/l (>4.5) low

Thyroid function test

Tsh increased on repeat tpo antibodies added to stratify risk of progression to overt hypothyroidism

Serum tsh level 5.87 mu/l (co.27-4.20) high

Serum free t4 level 13.0 pmol/l (11.0-25.0)

partial thyroidectomy in 1998 after my 3rd son was born as I had a massive goitre appear only started Levo 2 1/2 months ago I have listed all my illnesses on my profile to many to write down again.

NEW BLOOD RESULTS FOR September

SORRY there are so many I am lost in numbers if anyone can help Thank you

Full Blood Count

Total white cell count 5.1 10*9/L (4.0 - 11.0)

Haemoglobin estimation 124 g/l (115 - 165)

Platelet count 340 10*9/L (150 - 400)

Red blood cell count 3.64 10*12/L (3.80 - 5.50) Low

Haematocrit 0.37 L/L ( 0.37 - 0.47)

Mean corpuscular volume (mcv) 101 FL (80 - 100) High

Mean Corpusc haemoglobin (MCH) 101 fl (80 - 100) High

Red blood cell distribut width 13.2 % (11.0 - 14.8)

Neutrophil count 1.7 10*9/L (1.7 - 7.5)

Lymphocyte count 3.0 10*9/L (1.0 - 4.5)

Monocyte count 0.4 10*9/L (0.2 - 0.8)

Eosinophil count 0.1 10*9/L (0.0 - 0.4)

Basophil count 0.0 10*9/L (0.0 - 0.1)

Nucleated red blood cell count 0.0 10*9/L

Liver Function Test

Serum bilirubin level 8 umo1/L (< 21)

Serum total protein 69 g/L (60 – 80)

Serum albumin 40 g/L (35 - 50)

Serum globulin 29 g/L (19 – 47)

Serum alkaline phosphatise 72 u/L (30 – 130)

Will be filed as: 72 u/L

Serum ALT level 22 u/L (<33)

Will be filed as: 22 u/L

Bone profile

Serum calcium 2 . 26 mmo1/L

Calcium adjusted level 2 .37 mmo1/L (2.20 -2 .60)

Serum total protein 69 g/L (60 – 80)

Serum albmin 40 g/L (35 -50)

Serum globulin 29 g/L (19 – 47)

Serum inorganic phosphate 1 . 10mmo1/L (0.80 -1.50)

Serum alkaline phosphatase 72 u/L (30 – 130)

Will be filed as: 72 u/L

Serum free T4 level 18.4 pmo1/L (11.0 -25.0)

Thyroid function test

Serum TSH level 1 . 12 Mu/L (0.27 – 4.20)

Serum free T4 level 18’4 pmo1/L (11.0 -25.0)

Serum vitamin B12 615 ng/L (180 – 900)

Serum folate 2.9 ug/L (> 4.5) Low

The End

Thank you for taking the time to read and help.

Redchud

[Clutter]

Redchud,

TSH 1.12 and FT4 18.4 indicate adequate replacement but there is scope to increase dose to raise FT4 and reduce TSH if you are still symptomatic.

Folate is deficient. My GP prescribed 5mg folic acid to correct my mild folate deficiency. Alternatively, you can buy lower dose folic acid or methylfolate without prescription.

B12 615 is fine as are your liver function and bone profiles.

Low red blood cell count may be due to folate deficiency. The following link explains the high and low evaluations in a full blood count labtestsonline.org/understa...

___________________________________________________________________________

I am not a medical professional and this information is not intended to be a substitute for medical advice from your own doctor. Please check with your personal physician before applying any of these suggestions.

[SlowDragon Administrator]

Get your vitamin D level checked

If GP won't then can get done here for £28 - postal service

vitamindtest.org.uk

hypothyroidmom.com/92-of-ha...

vitamindcouncil.org/tag/aut...

[SlowDragon Administrator]

Also not sure what this means

Tsh increased on repeat tpo antibodies added to stratify risk of progression to overt hypothyroidism

There does not appear to be any antibodies test results. There are two sorts TPO Ab and TG Ab. (Thyroid peroxidase and thyroglobulin) Both need checking, if either, or both are high this means autoimmune thyroid - called Hashimoto's the most common cause in UK of being hypo.

(NHS rarely checks TPO and almost never checks TG. NHS believes it is impossible to have negative TPO and raised TG. It's rare, but not impossible, there are a few members on here that have this.)

Always make sure you get the actual figures from tests (including ranges - figures in brackets). You are entitled to copies of your own results. Some surgeries make nominal charge for printing out.

Alternatively you can now ask for online access to your own medical records. Though not all surgeries can do this yet, or may not have blood test results available yet online.

When you get results suggest you make a new post on here and members can offer advice on any vitamin supplements needed

If you can not get GP to do these tests, then like many of us, you can get them done privately

thyroiduk.org.uk/tuk/testin...

Blue Horizon - Thyroid plus eleven tests all these.

This is an easy to do fingerprick test you do at home, post back and they email results to you couple of days later.

Usual advice on ALL thyroid tests, (home one or on NHS) is to do early in morning, ideally before 9am. No food or drink beforehand (other than water) If you are taking Levo, then don't take it in 24 hours before (take straight after). This way your tests are always consistent, and it will show highest TSH, and as this is mainly all the medics decide dose on, best idea is to keep result as high as possible

If you have Hashimoto's then you may find adopting 100% gluten free diet can help reduce symptoms, and lower antibodies too. Selenium supplements can help too.

GP's don't consider the autoimmune aspects important. (But they are)

I see from previous post that you take Levo at bedtime. Lots of recent research suggests this may be better 😀

I found taking at bedtime gave significant improvement.

verywell.com/should-i-take-...

archinte.jamanetwork.com/ar...

Long research article - final conclusion paragraph below

"In conclusion, bedtime intake of levothyroxine in our study significantly improved thyroid hormone levels. This may be explained by better gastrointestinal bioavailability at night or by less uptake interference by food or medications. As shown in this study, bedtime administration is more convenient for many patients. Clinicians should inform their patients about the possibility of taking levothyroxine at bedtime. A prolonged period of bedtime levothyroxine therapy may be required for a change in QOL to occur."

[redchud]

Thank you for taking the time to read and reply I think I understand my results

I am so tired all the time, falling asleep every couple of minutes my body is on shut down mode.

[karinabaker in reply to redchud]

I've been unable to work since July 2015. I can't even count the number of tests I've had done now. My symptoms are as follows:

Low mood

Total Fatigue

Restless legs

Sleeplessness, either getting to, or staying asleep. This can then swing to me sleeping for 2 days, only waking for bathroom, drinks etc

Anxiety

Unbelievable sweating and not being able to control my bodies thermostat

Dry scalp and itchy skin (no rashes)

Total brain fog. forget what I'm saying mid sentence. Forget the words for things all the time

Stress (all symptoms combined make me extremely stressed)

Always been slim (last 2 years ive gained 2 stone and just cant shift it)

Nausea, lack of appetite (so not condisive to weight gain)

Dry and sore eyes

Light and noise sensitivity

Constantly sweating, and I mean SWEATING. Its all over my body. My hair is rarely dry, my back and legs just literally drip with sweat. This is all day, every day.

Headaches that last for weeks

Shortness of breathe

Rapid heart rate (this prevents me from doing the simplest of tasks)

Just spoken to Doctors receptionist who tells me Dr needs to see me

My white blood cells are high

My FT4 is 11.5

TSH normal and there is an issue with my B12, but I wasn't told what. I am so sick of all this. Its been nearly 16 months now and ive hardly left my house, other than medical appointments or stays in hospital.

I cant get an appointment with my Doctor until Monday. Can anyone shed any light on this?

Kaz

[Clutter in reply to karinabaker]

Welcome to the forum, Karinabaker.

Please repost your question in your own post by clicking on Write a Post in the top right hand of page.

Please include your TSH result as normal is a very broad range, and post the FT4 ref range (figures in brackets after result) and any results and ranges you have for ferritin, vitamin D, B12 and folate.

[karinabaker in reply to Clutter]

I don't have any ranges or things like that. All I know is what the receptionist told me on the phone, which is what I've already mentioned. I can't get in to see a doctor until Monday so now have another 4 days to wait to see the actual result. All I know is that B12 needs looking at, TSH - normal

FT4 levels are 11.5

White blood cell count is too high. The only figure I have is the FT4 level. Guess I'll have to wait till Monday then. I've been ill since 12th July 2015 & im extremely depressed and fed up with it all.