Thyroid Blood Test Results. Please Help !

[Spenchella]

I am currently taking 50mg of Levothyroxine, which I do not believe is working...

T4: 17.2 pmol/L 12.00-22.00

T3: 4.6 pmol/L 3.10-6.80

TSH: 1.99 mlU/L 0.27-4.20

Thyroid Peroxidase: 14 lu/ml 0.00-34.00

Vit D: 41.nmo/L 50.00-140.00

(Deficient. Not taking vitamins as yet)

B12: 607 ng/L 197.00-771.00

Folate: 7.9 ug/L 3.9-20.00

Ferratin: 130 ug/L 13.00-150.00

Can anybody cast more light on my results...& offer any advise as to any other medication that could help me, including natural methods...

Many thanks in advance.

[SeasideSusie Remembering]

Spenchella

If you include the reference ranges with your results, members will be able to interpret them. Ranges are not universal and vary from lab to lab, so we don't know where your levels lie within the range. You can edit your post by clicking on the down arrow V underneath, choose EDIT, make changes, then click the green EDIT REPLY button.

It's possible that you may have low nutrient levels which can mean that your thyroid hormone can't work properly, all levels need to be optimal. You really need to have the following tested:

Vit D

B12

Folate

Ferritin

and if ferritin is low then

Full blood count

Iron panel

Also useful to have thyroid antibodies tested - Thyroid Peroxidase (TPO) and Thyroglobulin (TG)

[Spenchella in reply to SeasideSusie]

Thank you so much...I have edited my post.

[SlowDragon Administrator]

All thyroid tests should be done as early as possible in morning and fasting and don't take Levo in the 24 hours prior to test, delay and take straight after. This gives highest TSH and most consistent results

Is this how yours was done?

Can you add the ranges to results (figures in brackets)

Do you also have high thyroid antibodies? You need to know. Did GP or Endo ever test these? If not ask that they are tested.

Essential to test vitamin D, folate, ferritin and B12. Always get actual results and ranges. Post results when you have them, members can advise

For full evaluation you need TSH, FT4, FT3, TT4, TPO and TG antibodies, plus vitamin D, folate, ferritin and B12 tested

If you can't get full thyroid and vitamin testing from GP

thyroiduk.org.uk/tuk/testin...

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.

[Spenchella in reply to SlowDragon]

Thank you so much. I have edited my post.

[SlowDragon Administrator in reply to Spenchella]

Vitamin D is too low (very common when hypo)

See SeasideSusie vitamin advice replies

Ferritin and B12 look ok

Probably need dose increase in Levo. Might be hard to persuade GP

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance.

But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

You can obtain a copy of the article by emailing [e-mail] print it and highlight question 6 to show your doctor.

[Spenchella]

Thank you so much, you've been a great help !