Sorry for posting again but I have a few questions. I've had two tests three weeks apart.
14/12/16 taken 1pm fasted 18hours
TSH 5.03 (0.27-4.2)
FT4 14.52 (12-22)
FT3 5.43 (3.1-6.8)
04/01/2017 taken 8am fasted 16hours
TSH: 4.77 (0.27-4.2)
T4 Total: 77.2 (64.5-142)
FT4 12.57 (12-22)
FT3 4.96 (3.1-6.8)
Anti-thyroidperoxidase abs 80.6 (<34)
Anti-thyroglobulin Abs 565.1 (<115) H
Vit D (25 OH) 20 (Deficient <25) L
Vit B12 238 (Deficient <140) (insufficient 140-250)
Serum Folate 8.31 (8.83-60.8) L
Ferritin 188.9 (20-150)
CRP 11.30 (<5) H
I just have a few questions as I'm going to see a new GP I have just registered with due to a bad experience with my old one and want to be prepared for my appt.
Firstly, when is the best time to do the blood tests? I was advised best fasted and first thing but my afternoon TSH results were higher even tho FT4 and FT3 were higher too? Is it different with Hashi's?
At the first test I was starting to feel as though I had a bit more energy though I had just started a new job with less travel and less hours so I put it down to this and started to think it was all in my head. At the second test I was still feeling ok-ish - at least better than before when I had months of sleeping 12 hours then waking and needing a 2-3 hour afternoon nap followed by another 12 hour sleep. After the second test I have started to feel really crap again. I did return to work since too though only 2 days this week (bank holiday and I work part time as it exhausts me) But today I'm back to 12 hour sleeps with 2x 2-3 hour naps today) I'm nakard now and could have easily gone to bed 3 hours ago but I've been reading up on everything and have wrote this out twice because my internet decided to update and close itself grrr. Anyway is it normal to have waves like this? Is it better to wait to do my blood tests when I'm feeling my worst if I want treatment?
I've been reading about flare ups in people with hashi's. Is that was this is? How do I know when it's going to happen and how long do they last?
Do you think considering my thyroid levels aren't that bad that my symptoms are more likely to be from the deficiencies and should I be addressing them first? It's so hard to know when they all seem to cause similar symptoms to each other!
Should I be pushing to start levo now or try gluten free first? Or is gluten free for as well as levo not instead of? We want to TTC in the next year or so and I've read untreated hashi's is riskier in pregnancy. And considering my periods are now really light and irregular I think will be harder to get pregnant anyway. Should I tell my GP we're planning to persuade her to treat?
Is there any way to know how far along you are from hashi's reflecting in your thyroid levels? I've been feeling crap for atleast 2-3 years already now I don't want to just sit back and wait whilst I get worse. But i'm worried she won't treat me with my thyroid hormones seemingly hanging on in there! My dad didn't start with symptoms or get treated till his mid-late 40's - I'm 24.
Finally, where should I be feeling for my thyroid exactly? Would an enlargement be really obvious? I feel like I've got a lump in the bottom of my neck. I don't think it's my adams' apple I think it's below that but it all seems to be merged to one big lump. But since I didn't feel it before I felt poorly I wouldn't know if that was normal. I get sore throats a lot, since having glandular fever and recurrent tonsillitis throughout my teens it gets sore every time I feel run down. My GP once told me it was just a weak spot for me. I wake with a sore throat every time the window is slightly open over night or if AC is on somewhere or when I get really tired. It always feels like there's excess mucous (sorry) at the back that I can't get rid of. Only when I brush my teeth I clear a lot every time but it still feels like there's more there that I can't clear or swallow. Also when i'm lay in bed in certain positions it can feel like my throats closing up and if in a position where the pillow is touching/slightly pressing my neck I occasionally make an involuntary noise when breathing out that sounds as loud as though I'm speaking and wakes me up. I've never snored or sleep talked or anything like that. I also frequently get like a sharp itch that makes me cough a lot (kind of like something has touched my throat but I don't know if i'd be able to feel that or I'm just paranoid now.) Would it be really obvious if my thyroid was enlarged? I had put it down to the weight gain and thought it was because of my new second chin!
I think that's all my questions for now, sorry.
Thanks for any advice x