Results Please Advise

[Fox78]

Hello

Thanks to the people who have replied much appreciated

Just for reference I'm based in the UK Leicestershire female aged 39 I posted last night to say I'd been on 50 levothyroxine for six weeks after six months or so of symptoms and getting my bloods back today unfortunately my antibody test hasn't come back yet but I've posted the others on here

Tsh 7.71(0.27-4.2)

Ft4 14.7(9.0-26.0)

B12 615(191-663)

Folate 6.8(3.9-26.8)

Ferritin 147(10.0-150)

They also did a fbc and liver and kidneys, diabetes, bone and cholesterol which all came back ok

Looking at reference ranges my ferritn is in the high end and my white blood count, Neutrophil and Lymphocyte on my full blood count were above high reference limit not massively and they did say no further action but I assume that indicates some kind of inflammation perhaps?

The gp has put me on 75 and said to wait another three months hoping this will make a difference as I feel very tired worse than before when my tsh was 46!!

Any advice much appreciated

Katy x

[Nanaedake]

You need a blood test every 6 weeks. Waiting for 3 months is too long. Book a blood test in 6 weeks and adjust dose accordingly until you reach TSH 1.0 or thereabouts. Most people don't feel well until their TSH is 1.0 or a little lower. If not yet done, you need to have vitamin D tested.

Your body is adjusting so you may feel tired but if vitamin D is low then that will make you feel unwell too. Folate could do with a little boost, a good B complex could help or eat more greens.

Make sure you get thyroid blood tests fasting and earliest in the morning and don't take levothyroxine until after the test. The doc will say it doesn't matter but people on this forum have found from experience that it does matter.

[eeng]

I'm afraid you won't feel well until your TSH is down to around 1 (or less). It's a bit of a waiting game I'm afraid, but it's early days for you. After a TSH of 46 it will probably be the best part of a year before you are on a stable dose. Your vitamins look good though. It's a pity your doctor doesn't test your FT3 level - that's the active hormone that actually determines how you feel.

[Fox78 in reply to eeng]

Hi thanks for your reply

What does the t3 actually show as I've heard a lot of people talk about getting this tested too

I will ask when I next go if they can do this for me

Katy

[eeng]

Your thyroid (or in our case Levothyroxine) releases hormone into our bloodstream. This is the FT4 level. When the body needs some FT3 (the hormone needed by every cell to function properly) it grabs some of the FT4 and converts it to the active hormone, FT3. If there isn't enough FT4 around, because your thyroid isn't working properly or you are undermedicated, then you get hypothyroid symptoms. If your body can't convert FT4 to FT3 properly (due to low vitamins/minerals, genetic factors etc) then you also get symptoms. Exercise uses up FT3 so many people find they crash the day after an energetic day if they are only just adequately medicated.

[SlowDragon Administrator]

Get vitamin D tested - likely to be low

If antibodies are high then this is Hashimoto's