Would these results cause symptoms?: TSH 4.1... - Thyroid UK

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Would these results cause symptoms?

Tinkytink profile image
13 Replies

TSH 4.17

Free thyroxine 13.6

Total t4. 76

Free t3. 5.5

Thyroglobulin antibody <10

Thyroid Peroxidase antibody. 10.5

I'm thinking that as doc says , there is no prob with autoimmune thyroid so it's not my fam history of hashimotos, but wondering if the other things , even though 'borderline' could be responsible for any of my sons Ill health? Would appreciate any advice from you gurus!!

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Tinkytink
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13 Replies
SeasideSusie profile image
SeasideSusieRemembering

Tinkytink If you add the reference ranges we will be able to see where the levels lie in relation to the range to help interpret the results.

Thyroid is struggling purely from seeing TSH, a diagnosis would be given when it hits 3 in a lot of countries, it generally has to reach 10 here in the UK. Can't interpret the free Ts without the range but I'm guessing total T4 is quite low.

Other things that cause symptoms are low nutrient levels. Best to get the following tested

Vit D

B12

Folate

Ferritin

Tinkytink profile image
Tinkytink in reply toSeasideSusie

Thanks seaside susie...here are ref ranges

THYROID STIMULATING HORMONE 4.17

Ref O.27- 4.2

FREE THYROXINE 13.6

Ref 12-22

TOTAL THYROXINE(T4) 76

Ref 59-154

FREE T3 5.5

Thyroglobulin Antibody. <10. Ref 0- 115

Method used for Anti-Tg: Roche Modular

SeasideSusie profile image
SeasideSusieRemembering in reply toTinkytink

Tinkytink

Your TSH is virtually at the top of the range, Total T4 is very low (you're not producing much natural thyroid hormone) FT4 is very close to bottom of range and FT3 - well you've missed off the range but your son's thyroid is managing to push some out at the moment.

It's very obvious that his thyroid is struggling at the moment.

Is this the first thyroid function test? If he's had any done before, what were the results?

Was he unwell at the time of the test?

Tinkytink profile image
Tinkytink in reply toSeasideSusie

Sorry the ft3 range was 3.1 to 6.8 and he was not as ill as he has often been, at the time we took test...he has been significantly worse on many occasions. I am at a loss to know where we go with this info though as his gp will most likely quote nice guidelines that say he has to wait until he reaches TSH 5 or even TSH 10 according to latest reasoning. I might add that his weight has ballooned as well!

I really really appreciate your advice as it's sadly lacking anywhere else..it seems everyone is more interested in placating and quelling concerns than trying to improve his quality of life!

SeasideSusie profile image
SeasideSusieRemembering in reply toTinkytink

Apart from Vit D, what about the other vitamins and minerals?

Ferritin must be at least 70 for thyroid hormone to work (our own or replacement), half way through range is best.

Tinkytink profile image
Tinkytink in reply toSeasideSusie

I don't think he takes any bits and minerals? The doc has him on a huge cocktail of drugs for fibromyalgia d pond cfs but I'm convinced all the meds are simply damaging his body more and if I could fathom his thyroid and vit d he might start having a life. Sleep is appallingly bad, has severe apnoea, has high cortisol, raised over enzymes, vit d shortage, severe muscle and bone pain, irritable bowel, severe fatigue , temperature regulation problems...oddly enough he is always far too hot not cold, severe flushing skin...the list just goes on and on

SeasideSusie profile image
SeasideSusieRemembering in reply toTinkytink

Has he had other vitamins and minerals tested

B12

Folate

Ferritin

Full blood count

Iron panel

Deficiencies of all these can cause their own problems.

Poor sleep is a form of stress, that will affect cortisol, cortisol and thyroid work together (along with sex hormones), they need to be in balance.

Was high cortisol found in an NHS test? If somehow are they doing about it?

CFS - chronic fatigue syndrome - syndrome = collection of symptoms rather than a 'disease'.

The muscle and bone pain are likely to be connected with the low Vit D.

Has he had thyroid antibodies tested?

Just throwing out anything that pops into mind at the moment.

Tinkytink profile image
Tinkytink in reply toSeasideSusie

Sorry I forgot to add that he has had a chronic and significant vit d shortage for nine years that is treated with high doses, but doesn't ever resolve completely

SeasideSusie profile image
SeasideSusieRemembering in reply toTinkytink

Tinkytink

How is his Vit D being treated?

What was his level originally?

Did he have loading doses?

If so what happened after the loading doses?

Was he given a maintenance dose - what strength?

What's his current level?

Did/does he take D3 with dietary fat to aid absorption?

Did he take Vit D's cofactors vitamindcouncil.org/about-v...

Magnesium helps D3 to work.

K2-MK7 directs the extra calcium uptake from food to bones and teeth and away from soft tissues and arteries.

Tinkytink profile image
Tinkytink in reply toSeasideSusie

Hmm...I need to pick your brains. I don't have figures on me, but I will ask her m. At first he had to have big diesel administers at hospital , and since then has such a high dose that he has to get it at a specific pharmacy as all others challenge it with his gp thinking it's too high. Dietary fat? Co factors? I need to research your link and then get back to you? I do so much appreciate that you have taken the time to think about this Susie!!

SeasideSusie profile image
SeasideSusieRemembering in reply toTinkytink

Tinkytink

Doctors know little to nothing about vitamins and minerals because they're not taught it, so we don't get all the information we need from them purely because they're completely ignorant about it.

D3 is fat soluble so needs to be taken with some dietary fat, the fattiest meal of the day usually.

If there are absorption problems, then tablets/capsules/softgels won't be properly absorbed, so a method that bypasses the stomach is needed - injections or spray or sublingual.

As D3 aids absorption of calcium from food, if the calcium goes to arteries and soft tissues it can be deposited and cause problems like calcification of arteries or kidney stones, so it needs directing to bones and teeth instead where it's needed, and K2-MK7 does that.

Tinkytink profile image
Tinkytink in reply toSeasideSusie

I did not known any of that. I'm going to go see my son and sit down to study what you have said and see if we can find some direction form it. Any idea has w we get help for his thyroid if gp won't treat?

SeasideSusie profile image
SeasideSusieRemembering in reply toTinkytink

I have just lost a reply to you, we are having power cuts so I can't carry on tonight, I keep losing my internet. I will check back tomorrow.

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