I have an appointment with an endo in London on Friday (bit worried about how many seem to not understand but we'll see what happens) but in the mean time was just hoping for some advice or comments on my results if possible please. I'm in the early stages of going to doctors and stuff but have done a few blood tests myself in the past. I have a few symptoms, my hair has thinned a lot, libido definitely lower than it used to be, bags under the eyes and I often sweat a lot, like I know for example the tube is hot but it seems like I'm the only one ever pouring with sweat and in summer I only need to sit outside for 2 mins before I'm dripping! Makes sunbathing with friends near impossible. My digestive system doesnt seem to work great either, my stools are either constipated or loose and my tongue is often white. Anyways, theres obviously something wrong and the blood tests seems to prove it. My TSH is always high. Was 4.11 on my last test. My folate serum also come back low on my last test 2.87 ug/L and my iron is always high!
TSH >2.0 indicates your thyroid gland is beginning to struggle to produce thyroid hormone. FT4 17.17 is good but probably only because your thyroid is being flogged to produce T4. NHS doesn't usually diagnose primary hypothyroidism until TSH is over range or FT4 below range.
Thyroid peroxidase antibodies are positive for autoimmune thyroid disease (Hashimoto's). There is no cure for Hashimoto's which causes 90% of hypothyroidism. Treatment is for the low thyroid levels it causes. Many people have found that 100% gluten-free diet is helpful in reducing Hashi flares, symptoms and eventually antibodies.
Dr A Toft, consultant physician and endocrinologist at the Royal Infirmary of Edinburgh, wrote in Pulse Magazine, "...If these [antibodies] are positive – indicative of underlying autoimmune thyroid disease – the patient should be considered to have the mildest form of hypothyroidism.
In the absence of symptoms some would simply recommend annual thyroid function tests until serum TSH is over 10mU/l or symptoms such as tiredness and weight gain develop. But a more pragmatic approach is to recognise that the thyroid failure is likely to become worse and try to nip things in the bud rather than risk loss to follow-up."
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