Thyroid blood results

[Lydia8132]

Hello all,

just received my latest blood test results, and are as follows.

My doctor just said carry on as usual!

I have done some research, and have seen that my results say that now I am HYPERthyroid, not Hypo, as previously diagnosed.

Can anyone shed any light on these for me please, I just don't know what to believe.

PS If I am now HYPER, shouldn't I be losing weight? Wishful thinking maybe!

TY x

TSH (HORMONA TIROESTIMULANTE) *0,02 µUI/mL [0,25 - 4,5 ]

TRIIODOTIRONINA (T3) LIBRE 4,03 pg/mL [ 1,8 - 4,2 ]

TIROXINA (T4) LIBRE 0,89 ng/dL [ 0,71 - 1,85

[SlowDragon Administrator]

Did you leave 24 hours between last dose of thyroxine and blood test and was test done as early as possible in morning and fasting?

What about vitamin D, folate, ferritin and B12 have these been tested too?

More importantly how do you feel?

TSH is largely irrelevant on Thyroid replacement hormone. FT3 is slightly high. But FT4 is quite low.

[cjrsquared]

Are you on levothyroxine? If so although your TSH is low your ft3 and ft4 are in range. The important question is how do you feel? Do you have any symptoms of over medication? Do you know if you have hashimoto’s disease? It is common in hashimoto’s disease for TSH to vary as the thyroid can release a increased amount of thyroxine into the body during a flare up, temporarily pushing you into an overactive state before crashing back into hypothyroidism. In order to comment we need more information.

[Clutter]

Lydia8132,

You are a hypothyroid patient taking thyroid hormone. You can't be hyperthyroid but you can be overmedicated. However, suppressed TSH alone does not mean you are overmedicated. You are not overmedicated because your FT4 and FT3 are both within range.

So, although you are not biochemically overmedicated if you *feel* overmedicated you can reduce dose slightly. TSH will rise after FT4 and FT3 fall.

ps not all hyperthyroid patients lose weight, quite a few gain weight and overmedication counterintuitively can cause weight gain.

[Lydia8132 in reply to Clutter]

Thank you, it can be so confusing sometimes.

We are very lucky to have people like you that can give us peace of mind!

Unfortunately, a lot of us do turn to the internet as well for information, as it is so limited from a lot of our GP's.

I don't feel over medicated, but often feel rather lacklustre, for want of a better word. Never seem to have a lot of enthusiasm for anything, the usual "like the idea of something, but can't be bothered when it comes around".

I don't suffer like so many do, but would love to be a bit more lively! Hey ho! maybe one day. x

[Clutter in reply to Lydia8132]

Lydia8132,

Thank you

Have you had ferritin, vitamin D, B12 and folate checked?

[Lydia8132 in reply to Clutter]

Yes, I take ferritin, and my others were fine (apparently)

[Clutter in reply to Lydia8132]

Lydia8132,

'Fine' simply means results are within range. You want optimal. Ask for the results and ranges and write them in a new post for advice.

[Lydia8132 in reply to Clutter]

Many thanks - again.

[Angel_of_the_North]

Those results look good (not hyper or hypo) as both your free T3 and free T4 are in range - are you taking T3?. If you are not feeling well, you need to get B12, folate, ferritin and vitamin D tested.

[Lydia8132 in reply to Angel_of_the_North]

Not unwell, just sick of being overweight.

x

[SlowDragon Administrator in reply to Lydia8132]

If you have Hashimoto's (high antibodies) then likely to need strictly gluten free diet

Have you ever had thyroid antibodies tested, if not then get tested

Essential to always get actual results and ranges on all blood tests. Never accept "Fine" as result

B12 range is typically 190-680. GP would say result was fine at 200 or 670. Both folate and B12 often need to be at top of range

Vitamin D around 100nmol

Ferritin about half way in range

[Lydia8132 in reply to SlowDragon]

Many thanks for your input x