Hypothyroid, low t3, high TSH, borderline T4. GPs in UK won't help.

[med101]

my 9am cortisol was also double what is should've been.

Can anyone advise what to do?

Any competent doctors in the UK or in France that would be willing to treat me?

[Clutter]

Med101,

Have you asked your GP why s/he won't treat you with TSH over range, low in range Free T4 and Free T3 below range?

In the UK, NHS won't always treat the first abnormal thyroid results as TSH can be elevated by infection or illness. Some doctors request a repeat thyroid test 2-3 months later when a virus or illness would be expected to have resolved.

[med101 in reply to Clutter]

i had a test done in 2017 and the same results came out : low t3, borderline t4 and high TSH. My GP in london said he wouldn't bother doing anything until TSH was over at least 8.

Feeling kind of helpless now.

[Clutter in reply to med101]

Med101,

Change your London GP. Most will prescribe when TSH is over range but a few sadists do want to wait until TSH is as high as 10 before making a diagnosis. As not many NHS GPs test FT3 I'm not sure how much notice will be taken of deficient FT3.

If you're asked to have a NHS thyroid test make sure you have it early in the morning when TSH is highest and fast (water only) as TSH drops after eating and drinking.

[jimh111]

Your TSH is rather low for your fT3, fT4 combination. Just to rule out some possibilities are you on a strict diet or suffering from depression. These sort of conditions can cause TSH to be lower than normal and less bioactive.

In any event your GP should treat you. Also the very low Vit D you listed in your other post should be treated. Really they should get to the bottom of why your TSH isn't higher and fT3 low as well as treating your low thyroid hormone levels.

[med101 in reply to jimh111]

Nope not on a strict diet, I'm a uni student but i try to eat as healthy as possible. I am on the thin side though.

I got treatment for the vit D last year but it came back too low again in this test too.

[jimh111 in reply to med101]

It would help to have some details on all your symptoms to see if they are thyroid related.

[trelemorele]

I doubt any doctor will prescribe you medication with those results.

Having said that, I don't mean to say you shouldn't be treated/medicated. I'm not your doctor and don't know your full health history.

It's just people with much higher and outside the range TSH are refused treatment.

Go and do test for antibodies to rule out/in Hashi.

If you find out you have Hashi this may/could be your ticket to official Levo prescription. It may, it may not - but then at least you'll know, at some point, you will get hypo and will need to monitor your levels regularly.

Other than that, if you feel confident or feel you really need it, you could self medicate.

[SlowDragon Administrator]

Have you improved vitamins as advised on last post a month ago

Your vitamin D was dire

Low vitamins are often linked to thyroid and/or leaky gut and gluten intolerance

Important to get vitamins optimal. Then retest everything

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...

Vitamindtest.org.uk - £28 postal kit

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

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...