Please help

[Kasia8]

I am worried what do results mean

TSH 89.5 mIU/L (0.27 - 4.20)

FREE T4 7.2 pmol/L (12 - 22)

FREE T3 3.0 pmol/L (3.1 - 6.8)

Thank you in advance

[EbonyEvans]

Hello Kasia8,

Could you explain a bit more about what you’re asking us?

It means you have thyoid issues. Your TSH should be 1.0 or lower. FY4&3 should be at the higher end of the chart.

What was the reason behind the blood test (did you ask or Gp suggested you had thyroidism symptoms?)

What do you want to know exactly?

[Kasia8 in reply to EbonyEvans]

I asked GP if I could have blood test for thyroid and he has written no action required against results

[Emyloulou in reply to Kasia8]

Did your Gp get his degree in a Christmas cracker????

You need to ring and make an appointment asap, preferably with a real doctor.

I’m sure someone who knows far more than me will be alone soon to explain things to you x

[ColinK]

Yes, ask to see another doctor in the practice, you clearly have thyroid issues.

[ITYFIALMCTT]

Well, as a cold read, you won't be surprised to learn that your results are screaming hypothyroidism. It would be helpful to have a test result for thyroid antibodies because if they're raised, in conjunction with the other test results, that is typically diagnostic of Hashimoto's Syndrome - the commonest root of hypothyroidism.

TSH 89.5 mIU/L (0.27 - 4.20) Very high above the reference range - your pituitary is kicking your thyroid gland with this level of thyroid stimulating hormone.

FREE T4 7.2 pmol/L (12 - 22) Below the reference range

FREE T3 3.0 pmol/L (3.1 - 6.8) Just below the reference range. Despite the high TSH, you're only managing to put out a below the reference range level of FT3 and TF4 s you're strongly showing evidence of an underachieve thyroid.

You strongly need to see another GP - the most competent one available as there seems to be a misunderstanding.

Are you already on hypothyroid therapy? If not, you'll probably be prescribed a starter dosage of levothyroxine (usually around 50mcg unless you have other issues that demand caution). You'll be monitored every 6-8 weeks with blood tests, and your dosage tweaked until there's a resolution of your symptoms. And then you'll continue taking the T4 and be monitored.

[Kasia8 in reply to ITYFIALMCTT]

Not on any hypothyroid therapy at all

[ITYFIALMCTT in reply to Kasia8]

Your GP will probably prescribe a starter dose of 50mcg of levothyroxine as I mentioned above.

The levo. should be taken first thing in the morning on an empty stomach and with a full glass of water (nothing with caffeine). Wait for an hour before eating as food interferes with the uptake of thyroid hormones.

[ITYFIALMCTT]

When you see this other GP, if you haven't already had tests for your vitamin and mineral levels, please request iron, ferritin, folate, vitamins B12 and D along with a FBC. If you already have the results of these, please post them, along with their reference ranges, as it will help members to comment.

[Kasia8]

Will post these now