Thyroid results : Do I need medication thank you... - Thyroid UK

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Thyroid results

Caraja3 profile image
10 Replies

Do I need medication thank you

TPO ANTIBODIES *688.3 (<34)

TG ANTIBODIES *574.5 (<115)

TSH *10.2 (0.2 - 4.2)

FREE T4 *9.1 (12 - 22)

FREE T3 *3.0 (3.1 - 6.8)

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Caraja3 profile image
Caraja3
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Spareribs profile image
Spareribs

Hello & welcome Caraja,

Your tests certainly indicate that your Thyroid is struggling and antibodies indicate 'Hashmoto's' - the most common form of autoimmune thyroiditis.

UK "Guidelines" state a GP should treat according to a TSH of 10+ but some may wait until another test confirms this. However your FT4 is well below range & FT3 below too so yes, you should be treated IMHO (but I'm no doctor).

We suggest members also have vitamin/mineral testing too as low levels adversely affect thyroid hormone working, and we are prone to have low levels, especially of..

Vit D, iron/ferritin, folate/B12

PS Autoimmune disorders may be helped by reducing gluten/wheat.

Caraja3 profile image
Caraja3 in reply toSpareribs

Thanks I have these already tested

Spareribs profile image
Spareribs in reply toCaraja3

That's good - if you post your full results members can chip in to help

juliablythlewis profile image
juliablythlewis in reply toSpareribs

Totally agree with the above....but with autoimmune disorders you need to totally stop gluten not just reduce. Gluten promotes The production of zonulin which breaks down the bonds between gut wall cells; creating gut permeability.

And you need to look after your biome which means gut health as autoimmunity starts at the gut wall.

Caraja3 profile image
Caraja3

VITAMIN B12 178 (180 - 900) GP said only slightly below range

FERRITIN 21 (30 - 400) GP said no action required

FOLATE 2.38 (2.50 - 19.50) GP said only slightly below range

VITAMIN D 24.4

SlowDragon profile image
SlowDragonAdministrator in reply toCaraja3

These are all below range (because you need Thyroid treatment)

GP is negligent and against guidelines not to treat.

Make an urgent appointment with different GP at the practice

Here's vitamin supplement advice from SeasideSusie

healthunlocked.com/thyroidu...

You need loading dose of vitamin D

Further testing for Anaemia before starting iron supplements

Testing for Pernicious Anaemia before starting B12 injections and soon after folic acid

You have Hashimoto's

With Hashimoto's, until it's under control, our gut can be badly affected. Low stomach acid can lead to poor absorption of vitamins.

Low vitamin levels stop thyroid hormones working.

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's is very poorly understood

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

thyroidpharmacist.com/artic...

thyroidpharmacist.com/artic...

amymyersmd.com/2017/02/3-im...

chriskresser.com/the-gluten...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

GP should start you on Levothyroxine, 50mcgs. Retesting after 6-8 weeks and increase dose in 25mcg steps until TSH is around one and FT4 towards top of range

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

Link about antibodies

thyroiduk.org.uk/tuk/about_...

humanbean profile image
humanbean

Do I need medication thank you

Yes. You are hypothyroid (have an underactive thyroid). Your doctor should start you on levothyroxine. I'm assuming , based on what you've typed, that you aren't currently medicated. If your doctor won't prescribe you need to ask why, rather than being left in limbo.

Regarding your nutrient results, your doctor's dismissal of them all as being "only slightly below range" or "no action required" is sheer callousness and incompetence.

You've had nine blood tests done, and every single one of them is out of range. Your doctor's refusal to treat any of them warrants a complaint to the practice manager in my opinion.

For info on treating your low vitamins and minerals, you should read replies by SeasideSusie . She has written many, many posts on how to treat results like yours.

You could also post on the Pernicious Anaemia Society forum about your nutrient results. They will have useful advice to. You'll find them here :

healthunlocked.com/pasoc

Click on "Follow" to be able to post there.

Cromaty profile image
Cromaty

How do you feel?

Caraja3 profile image
Caraja3 in reply toCromaty

Symptoms are pins and needles tiredness hair loss puffy eyes hard stool heavy periods feeling cold weight gain memory loss thank you

SlowDragon profile image
SlowDragonAdministrator in reply toCaraja3

Print this out and tick all that apply. Take in to GP

thyroiduk.org.uk/tuk/about_...

Symptoms of low B12

b12deficiency.info/signs-an...

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