Hi everyone - I would very much appreciate your opinions on my daughters latest blood tests results.
2 months ago her cortisol level was 668 mmol/L (172-497) and has in the past 3 years had high cortisol results.
My daughters has: Hypothyroidism (Hashi) and pernicious anaemia
Her latest symptoms are: Extreme fatigue to the extent of exhaustion and effecting her work/social life; extreme sudden weigh gain, hair has gone strange; aches and pains
She takes 175mg thyroxine x 4 days a week and 150 mg 3 days
B12 injections every 3 months.
These are her latest bloods:
HbA1c -(IFCC) 33 20-42 mmol/mol
CRP 7.00 <5.00 mg/L
Ferritin 32.1 20-150 ug/L
Insulin 100.6 0-88 (Fasting)
TSH 3.16 - 0.27-4.20 ml/UL
T4 Total 147.9 64-142 nmol/L
Free T4 20.66 12-22 pmol/L
Free T3 4.97 3.1 - 6.8 pmol/L
Anti-Thyroid peroxidase abs 364.3 <34
Anti Thyroglobulin Abs 671 < 115
Vit D 73 <25
Vit B12 250 <140 - 250 insufficient
looking at the above results and high dose of thyroxine I am surprised that her TSH is not suppressed more? does this mean her body is really struggling? we are waiting to hear for an appointment with the endocrinologist - should she reduce her thyroxine as her T4 total is showing she is hyper? she had a B12 injection 3 weeks ago - obviously she needs another now - why is she still low? Has had injections since she was 8 years old now 24 years old.
Your help and advice will be greatly appreciated and many thanks in advance