I am posting this for a friend from work who is really struggling and at a loss as to whom to get help from, sadly she had a non helpful response from the doctor she saw, he did however, request a thorough blood test.
She has very limited time to herself as she is a mum to lovely twin boys who are 3 and so i offered to post on her behalf, she has sent me as much info as she can plus the blood results.
I shall try and keep this brief and really hope you lovely people can advise.
She is in her 30s and has had a neck swelling/goitre for some years, recent months she has noticed the swelling getting bigger and even a colleague noticed it. She now has debilitating fatigue and at present cannot work which obviously she is very worried about. She is at present off sick. As well as fatigue she is anxious, emotional at times, confused, wiped out after activity, has had a swollen tongue since her 20s (doc not concerned) Beaus lines on nails. Problems with sleeping. Ongoing sore throat (comes and goes) Hair started falling out 5 years ago, stopped when pregnant.
My friend is very intelligent and pro active, she has as long as i have known her eaten healthily, she has therefore done research and has now cut out inflammatory foods, gluten and dairy.
She is now supplementing on B12, Ashwandga, Vit D. Selenium (now realised there is soya so going for the nut alternative) she has found the selenium to be helpful. Cutting out inflammatory foods etc. she is not as cold/shaky/freezing cold hands/feet, that has improved along with the swelling in her neck. It is less noticeable now.
My friend went to her doctor and he wasn't concerned about adrenals/thyroid, he thought it may be her parathyroid. Not concerned about the neck swelling either. The nurse who took her bloods said she should have it scanned. My friend explained how she viewed diet as important but the doctor was alarmingly dismissive, moreorless saying she should eat what she liked!
Here are some of her bloods;
25-OH Vit D
FT3 4.5 (4.3-6.8)
FT4 12.2 (7.7-15.1)
TSH 1.41 (0.34-5.6)
Prolactin 64 (57.5-561)
Ferritin 22 ug/L (11-307)
'Comment typed on the T4 was fatigue borderline T4, but I doubt this is the explanation - is the patient on any liver enzyme inducing drugs that can falsely lower FT4 - if not repeat test'
Adjusted calcium 2.22 (2.20-2.60
She is hoping to get a follow up appointment soon, but in the meantime really needs some guidance/help. We would appreciate your comments/thoughts. She feels she has Graves/Hashimotos.
I had my thyroid removed due to cancer 2004 i can advise my friend to a point, but i suggested she could get more advise from here.
Much appreciated!!! Thank you!!!!