Just like to say an anonymous thank you to a nurse.
Had bloods taken on Friday for sugar and cholesterol. Took a chance and asked if it was possible to add TSH, T3 and T4 to the mix. She said normally we need request from GP, but she managed to find a way to wing it and added them anyway.
Don’t want to mention where or when in case it causes issues but many many thanks.
Let's hope the lab complies, that is the main hurdle for GP's and Nurse Practitioners. It's a circle, the lab needs to be paid and if a certain test is out of the financial scope that seems to be that.
Some years ago I got lucky with GP ordered bloods for FT3 because the hospital they were sent to (Southampton General Teaching Hospital) were doing a study on thyroid conditions, apparently.
If your TSH is in range, then the lab. will probably not do the FT4 and it will be interesting should you obtain the FT3 because even endocrinologists are having their requests for them refused in some CCGs. I shall watch for an update. 
Yep. She did say the labs could refuse but would request it in a way that hopefully they wouldn’t.
Have to add, every time I’ve requested T3 T4 and TSH they’ve obliged.
I may be one of the lucky ones.
They did the TSH, T3 and T4.
😀
This just emphasises how much the NHS is not only a postcode lottery but also reliant upon flukes at times.
I have to ask, did they do the FT4 despite the TSH being in range or was TSH out of range - and similarly test for the FT3 altho' the FT4 was in range (or not)?
TSH was out of range. I don’t have the figure in front of me but I think it was 0.2
Thoughts were it was low but nothing to worry about at the moment.
Ah, iirc, you might have been a little fast in titrating a thyroid hormone - and I should think that might have influenced/suppressed the TSH and possibly pushed down the FT4 - so it's making some sense.
Good luck👍
Thank you all!!!
THANK YOU!! 
THANK YOU
Thank you!
Thank you 
