Help please with thyroid results

[DD35]

TSH 55 (0.2 - 4.2) gp notes tell patient normal

FT4 10.7 (12 - 22) gp notes tell patient normal

TPO antibodies 494.5 (<34) gp notes ?Thyroid disease

TG antibodies 275 (<115)gp notes ? Thyroid disease

Thanks

[Greybeard]

I think you need to see a different doctor. A tsh over 10 should be treated as should under range t4 as should over range antidodies. See a different doctor in the practice. You arent going to improve till you are treated properly.

[SeasideSusie Remembering]

If your GP thinks a TSH of 55, which is way over range, and a below FT4 are normal, then he should try living with it.

Make an appointment with a different doctor, point out that you have hypothyroidism as confirmed by your over range TSH and below range FT4, and that your raised antibodies also confirm autoimmune thyroiditis aka Hashimoto's. Don't leave the surgery without a prescription for at least 50mcg Levothyroxine and arrangements in place for repeat testing in 6-8 weeks, after which you will need a 25mcg increase in Levo. Repeat testing/increasing should take place every 6-8 weeks until your symptoms abate and your TSH is down to around 1 or below and FT4 in the upper part of it's range.

Take your Levo on an empty stomach, one hour before or two hours after food, with a glass of water only, no tea, coffee, milk, etc, for an hour either side as absorption will be affected. Take any other medication and supplements 2 hours away from Levo, some need 4 hours.

When booking thyroid tests, always book the very first appointment of the morning, fast overnight (water allowed) and leave off Levo for 24 hours. This gives the highest possible TSH which is needed when looking for an increase in dose or to avoid a reduction. TSH is highest early morning and lowers throughout the day. It also lowers after eating. This is a patient to patient tip which we don't discuss with doctors or phlebotomists.

For the Hashi's, adopting a strict gluten free and supplementing with selenium l-selenomethionine 200mcg daily can also help reduce the antibodies, as can keeping TSH suppressed.

Gluten/thyroid connection: chriskresser.com/the-gluten...

stopthethyroidmadness.com/h...

stopthethyroidmadness.com/h...

hypothyroidmom.com/hashimot...

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

PS - I would make a complaint about this first doctor who seems woefully ignorant of understanding test results.