Hello. I've been experiencing problems of fatigue, depression, poor sleeping due to waking at night with cold sweats for a long time - possibly as much as 10 years.
Visited GP 5 or 6 years ago with Tired All the Time symptoms (which he reassuringly referred to as TAT). GP carried out a standard Thyroid blood test (presumably TSH) which came back as normal. Never really got a satisfactory conclusion to this and I just suffered and carried on to the best of my abilities.
At the start of May 2017 I completed a MediChecks WellMan UltraVit test as a general health check. The majority of tests were normal within range, except for Free Thyroxine which was low at 11.5 pmol/L (range 12 - 22 pmol/L) and TSH 3.88 mIU/L (range 0.27 - 4.2 mIU/L). Also my Vitamin B12 was high which I anticipated as I've been supplementing with B12 for at least a year. The report accomonying the test results recommended completing a more comprehensive Thyroid test in the following 3 month's.
At the start of this month I completed a MediChecks Thyroid Check (the suggested more comprehensive Thyroid test) to further investigate Thyroid function. Results: -
TSH = 3.2 mIU/L (range 0.27 -> 4.20 mIU/L)
Free Thyroxine = 12.41 pmol/L (range 12.00 -> 22 pmol/L)
Total Thyroxine (T4) = 74.9 nmol/L (range 59.00 -> 154.00 nmol/L)
Free T3 = 4.78 pmol/L (range 3.10 -> 6.10 pmol/L)
THYROGLOBULIN ANTIBODY = 611.40 IU/mL (range 0.0 -> 115.0 IU/mL)
THYROID PEROXIDASE ANTIBODIES = 351.5 IU/mL (range 0.0 - 34.0 IU/mL)
It appears from test so far that I have Hashimoto's, with Free T4 = 12.41 which is at the lower end of normal and TSH = 3.2 in approximately the top quarter of the normal range.
What can I expect when I discuss these results with my GP: -
* Will he treat with Levo?
* Will he refer me to an Endo?
* Will he wait and see and request bloods every twelve weeks until T4 comes back below range?
* If the GP wishes to wait and see, which could leave me soldiering on for years. Should I self medicate?
Look forward to your advice and guidance.