Thyroid UK
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Blood test results, any comments please?

Hello, in 1995 I had a subtotal thyroidectomy for Graves Disease and I have been on 250 micrograms of levothyroxine for about twenty years now. Like most people I have had a huge fight with weight over the years, losing weight and then putting it back on. i have recently been to the GP as I have been losing hair quite a bit and constantly ache and find it hard to drag myself form bed in the morning (I'll be 51 this week by the way!) I have been back to the doctors this morning following blood tests, she says that my only issue is that I am low in calcium so I'm back for blood tests again in the morning for Vitamin D test and I think she said something about the Parathyroid?? My blood test results are as follows, any comments or advice would be welcome.

TSH 0.39 mmol/L (0.35 - 5.5)

Free T4 20 pmol/L (9 - 23)

Free T3 4.2pmol/L (3.5 - 6.5)

Serum Calcium 2.11 mmol/L (2.2 - 2.6)

Serum adjusted calcium conc 2.15 mol/L (2.2 - 2.6)

Apparently Iron levels were 'normal' and I regularly give blood so i would think that was correct? I have also started to cut out gluten as much as poss, reduce sugar and alcohol and have started to take all the usual recommended vitamins/supplements on this site.

weight, aches and brain fog are my biggest issues!! Thank you!

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Welcome to the forum, AnnieWalton.

TSH is low, FT4 in the upper range but FT3 is below mid range so you could probably do with a dose increase to raise FT3 but as any dose increase would suppress your TSH your GP may be unwilling to increase dose. Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email louise.roberts@thyroiduk.org.uk if you would like a copy of the Pulse article to show your GP.

Post your new calcium, vitamin D and parathyroid hormone blood tests in a new post for comment. Low vitamin D will certainly make you ache.

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Thanks Clutter, is it an increase in my dose of levothyroxine that you think I need? Thank You

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AnnieWalton,

I think it would be worth trying a Levothyroxine dose increase if your GP will prescribe to see whether brain fog improves.

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Best to get vitamin D, folate, B12 & ferritin checked.

Low vitamin D could be linked to low calcium & if you need vitamin D supplements then calcium should increase as automatic side effect

vitamindcouncil.org/parathy...

Hair loss may be related to low iron/ferritin levels

philipkingsley.co.uk/hair-g...

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Thank you! I'll look into these! : )

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