My friend has asked me to post her results could someone please help her with them ? Thank you :)

[Pascha1]

My friend has just had bloods done and her Gp thinks they are OK another ignorant GP out their

TSH 1.26 range 0.27- 4.2

Free Thyroxine 14.9 range 12.0 - 22.0

The wouldn't do T3

She is on 100 Levothyroxine and has positive anti bodies

[Clutter]

Pascha1,

The results are okay if your friend feels well. TSH is low-normal and FT4 is low in range. If your friend doesn't feel well she could ask her GP to increase dose to raise FT4 but there may be some reluctance because it will suppress TSH.

The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 0.27 - 1.0 with FT4 in the upper range. FT4 needs to be in the upper range in order that sufficient T3 is converted. Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email [e-mail] if your friend would like a copy of the Pulse article to show her GP. The Thyroid UK office reopens on 3rd January.

Thyroid peroxidase antibodies are positive for autoimmune thyroid disease (Hashimoto's). There is no cure for Hashimoto's which causes 90% of hypothyroidism. Levothyroxine treatment is for the low thyroid levels it causes. Many people have found that 100% gluten-free diet is helpful in reducing Hashi flares, symptoms and eventually antibodies.

chriskresser.com/the-gluten...

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

[Pascha1 in reply to Clutter]

Thank you Clutter, my is tired a lot cant lose weight, she has suffered with hair loss so I think maybe needs upping her dose I will pass info on to her , Thanks

[shaws Administrator]

Most of us feel better when TSH is 1 or below. Your friend's FT4 is is not within the upper range so I'd think that her FT3 will be lowish too.

She could have a private Free T3 blood test and I'll give a link, just in case she'd want to consider this. I will also give a link and she will see why FT4 and FT3 are important.

Quite a number of researchers have shown that a T4/T3 regime suits quite a number of hypothyroid people.

T4 is an inactive hormone and has to convert to T3. T3 is the only Active thyroid hormone and it is T3 which is required in all of our receptor cells.

She can also tick off her symptoms below.

We have to read, learn and ask questions. We are all different and what suits one may not suit another so it can be trial and error.

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

Read in link below why FT4 and FT3 are necessary.

thyroiduk.org.uk/tuk/testin...

Blue Horizon and Medichecks do home pin-prick tests so we have to be well-hydrated a couple of days before blood draw which should be at the earliest possible and a gap of 24 hours between last dose of levo and test and take it afterwards.

thyroiduk.org.uk/tuk/testin...

I, myself, never felt well on levothyroxine even though blood results were o.k. In fact, I was far worse than before I was diagnosed with a TSH of 100.

[Pascha1]

Thank you I will forward all info on

[SlowDragon Administrator]

As she has Hashimoto's she very likely has low vitamin D, folate, ferritin and B12

Important to test these and FT3

If vitamins are low conversion will be poor

What supplements is she taking, if any?

Is she on strictly gluten free diet?

For full evaluation you ideally need TSH, FT4, FT3, TT4, TPO and TG antibodies, plus vitamin D, folate, ferritin and B12 tested

See if you can get full thyroid and vitamin testing from GP. Unlikely to get FT3

Private tests are available

thyroiduk.org.uk/tuk/testin...

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.

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, lowest FT4 and most consistent results

Did she do test this way?

Link about antibodies

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

Link about thyroid blood tests

thyroiduk.org/tuk/testing/t...

Print this list of symptoms off, tick all that apply and take to GP

thyroiduk.org/tuk/about_the...

See Box 1. Towards end of article

Some possible causes of persistent symptoms in euthyroid patients on L-T4

You will see low vitamin D, folate, ferritin and B12 listed

onlinelibrary.wiley.com/doi...

[Pascha1]

Thank you I will pass these all on , great advice from all Thanking you xx