Thyroid review appointment system

[NatChap]

Hi, my thyroid review is due but they have changed the appointment system so the earliest appointment is 11am 🙄 If I ate breakfast at 7.30am would that impact the test results? I won't take my meds until after but as I have to go into work early i will struggle to manage without breakfast.

Thanks

Nat x

[shaws Administrator]

Yes, it would have an impact as stated in the excerpt below:

Conclusion:

1. Results:

TSH was suppressed in all subjects after food irrespective of the fasting levels. and....................................

TSH levels showed a statistically significant decline postprandially in comparison to fasting values. This may have clinical implications in the diagnosis and management of hypothyroidism, especially SCH.

ncbi.nlm.nih.gov/pmc/articl...

I think I'd change my appointment to another suitable time but maybe that's the starting time at your surgery.

[NatChap in reply to shaws]

This is the problem, they used to do them from 9am but now the earliest appointments start at 11am.

[shaws Administrator in reply to NatChap]

This is a past post which might be helpful.

healthunlocked.com/thyroidu...

[bantam12]

Nat I've done bloods after eating and it hasn't made any difference to the results.

[NatChap in reply to bantam12]

Thanks, that's good to know z

[jezebel69 in reply to bantam12]

Erm not sure how you know it HAS'NT made a difference!

[bantam12 in reply to jezebel69]

Because looking back at past results where I have fasted for other reasons there is no significant difference in thyroid results, fasting or not. We are all different so maybe it affects some and not others.

[spongecat]

That's ridiculous only offering times after 11am. Are times before then reserved for those that have to be fasted I wonder?

At my surgery the early appointments go very quickly so I get my draw done at the local hospital that has a phlebotomy clinic. They open from 7.30am and it's walk-in, just take your blood form with you. Maybe you have a local hospital / clinic that does this too? Might be worth enquiring.

[Valarian in reply to spongecat]

My gp practice normally only offers blood tests before 10am - they have a phlebotomist who comes in some days to help get through them all. I discovered this when I needed to change my appointment for some reason - as I’m hyper, the increase in TSH is of less concern (I’d eaten breakfast and lunch, and it still didn’t push my TSH off the floor !)

[NatChap]

I might cancel and tell them I can only make it before 9am due to work, see if they'll make room for me?

[Treepie in reply to NatChap]

My local hospital starts blood draw tests at 7.30, if you have one nearby that gas early start get a slip from your GP to go there.