Further Blood Test

[jamondo]

Am I wrong in thinking I dont have Hashimoto's. Had some more blood test

Serum Ferritin 691 (22 -275ug/L)

Serum ALT level 136 (<70u/l)

Blood Count Good except

Red Blood Count RBC 4.43 (4.50-6.00)

Mean Corpusc haemoglobin (MCH) 32.1 (27-32)

Lots of other tests were fine, I am waiting on my Thyroid Antibodies again.

Previous Blood tests:-

19th Sept Non Fasting Test

TSH 3.4mIU/L (0.4 - 5.0)

FT4 12 pmol/L (9-19)

4th October Non Fasting Test _ GP Raised meds to 175m from 150m Levothyroxine

TSH 5.7mIU/L (0.4 - 5.0)

FT4 12 pmol/L (9-19)

31st Oct Fasting Test (No eating or Tyroid meds from 9pm previous evening)

TSH 1.5mIU/L (0.4 - 5.0)

FT4 15 pmol/L (9-19)

Se Tyroid Peroxidase Ab conc TPO Antibody Negative (52 iu/mL)

(Negative <60)

Serum Ferritin 656 ug/L (22.00 - 275ug/L)

Folate 4 ug/L (4.8 - 19ug/L)

Vit B12 539 ng/L (189 - 883 ng/L)

VIT D Level 25-OH its says Test not clinically indicated.

Saw GP who has upped Levotyroxine to 200mg and put me on Folic Acid and doing another blood test next week.

[greygoose]

Let's just say that those tests are negative. But, as antibodies fluctuate, you can never be entirely sure. Plus some Hashi's people never develop high antibodies.

Also, there are two tests that should be done - although the NHS only ever does on - the other one is the Tg antibodies. If they are high, that also means you have Hashi's.

[jamondo in reply to greygoose]

I asked for both the Antibodies test to be done the TPO a repeat and the other one is it TG one. They are not back yet or they havent been released to me yet as they said some havent been read.

Thanks for reply

[SeasideSusie Remembering]

jamondo

Only antibody tests can tell you if you have Hashi's, or maybe an ultrasound, so you can't tell from your latest tests as antibodies isn't included.

Previously:

Se Tyroid Peroxidase Ab conc TPO Antibody Negative (52 iu/mL)

(Negative <60)

You are below the limit so that result is negative. However, it is very high in the range. One negative doesn't discount Hashi's, you'd need a few negatives over time to do that. Also, NHS only tests TPO, there are also Thyroglobulin (TG) antibodies which the NHS almost never tests (except maybe when an endo requests it. You can be negative for TPO but positive for TG antibodies.

B12 could be higher, recommended is very top of range, even 900-1000 although, of course, you doctor would just say that yours is 'in range' , they dont do 'optimal'.

Serum Ferritin 691 (22 -275ug/L)

Serum ALT level 136 (<70u/l)

What has your GP said about these, they are very high over range.

And has he commented on these:

Red Blood Count RBC 4.43 (4.50-6.00)

Mean Corpusc haemoglobin (MCH) 32.1 (27-32)

[jamondo in reply to SeasideSusie]

Thanks. Not spoken to GP yet but know of a gastro scan request presumably on my Liver. I was put on Folic Acid but I then developed Vertigo and GP took me of them????? lol

[SeasideSusie Remembering in reply to jamondo]

I don't know if vertigo is connected to starting folic acid. Maybe ask on the Pernicious Anaemia Society forum healthunlocked.com/pasoc

Maybe you just can't tolerate folic acid and methylfolate will be better. Folate shold be at least half way through it's range so you need something. Folate and B12 work together.

[ITYFIALMCTT]

It will be interesting to see what your liver scan shows up. Is your GP assessing you for haemochromatosis even if it's to rule it out?

britishlivertrust.org.uk/li...

From time to time, I have very odd liver results for a non-drinker etc. etc. and as I have other auto-immune conditions it's not implausible that auto-immune hepatitis might crop up at some point.

[jamondo in reply to ITYFIALMCTT]

Hmmm Haemochromatosis - I dont have weight loss or any problems downstairs lol and I do drink more than I should but I have been honest with GP and he wasnt overly concerned, more interested in my blood pressure and antidepressant drugs I have been taking that could affect the liver.

[ITYFIALMCTT in reply to jamondo]

All sorts of things can affect liver results including other medications/treatments etc. I hope that your liver scan is clear and that there is a straightforward solution to resolving this for you.

[SlowDragon Ambassador]

Your ferritin is very over range

Presumably you are NOT supplementing iron

Would hope your GP is investigating

Ferritin can be high due to inflammation, eg Hashimoto’s

Need to check transferrin saturation as next step