Hi everyone I was hoping someone could help me interpret some results.
Background: About 5 years ago I had a blood test for a pain in my stomach and the doctor mumbled something that 'my thyroid was on its way down...' nothing more was said and the pain resolved itself.
Then 3 years ago in the space of 9 months I gave birth to my 3rd daughter, moved house and lost my dear mum to leukaemia. I lost a good deal of weight and anxiety started creeping up. At the time I accounted for it as stress and breastfeeding weight loss. Then i had a stable period where I felt ok and my weight returned to its usual state.
Over the past 15 months I've had a strange mixture of symptoms which have caused me to visit the doctors.
The first was anxiety which I was prescribed sertraline 25mg (still taking and anxiety is managed) and I insisted on a thyroid test as my sister and my auntie are hypothyroid (taking 300mg and 150mg daily levo respectively).
Symptoms were weight gain (well over a stone despite exercise), excessive sweating (I never feel cold ever which historically is not like me), insomnia, bouts of nausea, tiredness, muscle pain. Tummy pain (swinging between constipation to too loose!)
So in June my first bloods were done.. result was 88.8 U/ml (<35 U/ml) thyroid antibodies Ab conc , no other results given and the doc prescribed me 25mg levothyroxine. After reading this forum I realised that I have hashimotos.
Repeat bloods July .(not fasted and had just taken levo as I didn't realise you weren't supposed to - I also now take my levo in the morning with just water not tea and milk like I did! Then leave a 30-45 min gap before drinking a decaf tea - is this ok?).
Result was TSH 5.48 mU/L (0.27-4.20) free T4 13.8 (11.0-25 pmol/L) result was to increase to 50mg levo.
More bloods end-Aug TSH 4.05 mU/L (0.27-4.20) Free T4 13.7 (11.0-25 pmol/L). Result to stay on 50mg Levothyroxine.
Job done according to my hubby but I spoke of this forum and I said I'm nowhere near the starting blocks with this one!
As my symptoms continued and I read more on this forum I took a private blood test for the thyroid ratio etc. I fasted with just water, blood taken 8.30am with my levo taken 26 hours earlier.
Results were as follows:
TSH 3.97 (0.27-4.20 mIU/L)
Free thyroxine 14.2 (12-22 pool/L)
Total thyroxine (T4) 107.0 (59-154 nmol/L).
Free T3 4.03 (3.10-6.80 pmol/L)
Reverse T3 18 (10-24 ng/dL)
Reverse T3 ratio 14.58 (15.01-75)
Thyroglobulin antibody 319.00 (0.0-115 IU/ml.
Thyroid peroxidase antibodies 89.9 (0.00-34 IU/ml).
Active B12 148.2 (25.10-165 pmol/L)
Folate (serum) 5.28 (2.91-59.00 ug/L)
25 OH Vitamin D 52.7 (50-200 nmol/L).
CRP - high sensitivity 4.9 (0-5.0 mg/L)
Ferritin 12.7 (13-150.00 ug/L).
So took these back to my GP to see if I can get referred (my husband is on bupa + family with his work) who did listen although he only glanced at the private results and talked only about the TSH results. So he has upped me to 75mg levo with repeat blood tests in 4 weeks. If still 'high' he will refer me onto an endocrinologist. My next blood tests will include the thyroid tests TFTS, and a bone profile, HbA1c, IgA TTG, oestradiol and a few others than I can't make out.
Could someone please help me by explaining the ratio thing as well as the sorts of multi vits I should be taking (I currently don't take any supplements but obviously from the above results I need to start) not sure what Vit levels to take. I think perhaps a gluten free diet might need looking at too so would appreciate any thoughts on this. I've just turned 40 and feel like I'm falling apart!!!
Many thanks for reading this thyroid war and peace and for all those who contribute to this site, I've got books from the library on this subject but this forum is by far the more informative and easiest (and friendliest) to follow x
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