Blood test results

[toonarmy]

Hi can someone advice on my latest blood test results I'm still having a lot of anxiety and urinary problems still feeling down I am currently taking 50mcg of levothyroxine I'm seeing my endocrinologist on Wed the 22/04/17 and would like to have a bit info on why I'm still feeling ill.

Many thanks

[SeasideSusie Remembering]

toonarmy You are under medicated to have a TSH of 3.3

You might want to nudge your Vit D level up to the recommended level of 100-150nmol/L.

[toonarmy in reply to SeasideSusie]

Hi my doctors are saying my test results are normal how do I get the doctors and endocrinologist to listen to me

Many thanks for your great advice

[SeasideSusie Remembering in reply to toonarmy]

This is from Treatment Options on ThyroidUK's main website thyroiduk.org.uk/tuk/about_...

Quote

According to the BMA's booklet, "Understanding Thyroid Disorders", many people do not feel well unless their levels are at the bottom of the TSH range or below and at the top of the FT4 range or a little above.

Dr Toft states in Pulse Magazine, "The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance.

But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

Unquote

Dr Toft is past president of The British Thyroid Association and leading endocrinologist. You can obtain a copy of the Pulse Online article from [e-mail] , it is Question 6, so you can print it out to show your GP and Endo.

Ask for your FT4 and FT3 to be tested as well, they are probably in the lower part of their ranges with that TSH level.

Make a list of all your symptoms and tell them exactly how every aspect of your life is being affected by them. Take someone with you who can speak on your behalf and confirm how you are affected.

Ask to be given a raise in your Levo to reduce your TSH and increase your free Ts to a level where you feel well.

[toonarmy in reply to SeasideSusie]

Many thanks, I will print this out and take it to my endocrinologist appointment