blood test again: Hi recently had another blood... - Thyroid UK

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blood test again

wendypartridge profile image
12 Replies

Hi recently had another blood test

Tsh.1.25

t4 16

t3 3.33

Of course, doctor says 'normal but i feel so weak my muscles ache and go numb , I know it may be nothing to do with my levels but i feel my t3 is to low I talk 125 levo daily. My doctor talks about functional illness ( anxiety ( I am lost my vit b12 is 465 which they claim is 'normal , they won't do an antibodies test because i had RAI a year ago and apparently 'they will burn out ' also my doctor told me I wont have Graves anymore because I had RAI .. can someone help me ,, I feel dreadful and lost

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wendypartridge
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12 Replies
Nanaedake profile image
Nanaedake

I believe that Graves antibodies or TSI do not vanish as a result of RAI or thyroidectomy. Whereas, with Hashimotos once there is no remaining thyroid the antibodies will not remain and will become undetectable.

Have you had other vitamins tested, vit D, folate, ferritin. Vitamin B12 is best top of range and above 500 to ensure sufficiency. You could take a good B complex with the methylated forms of B's to raise levels. Also take 1000mg of vit C daily. You could Google vitamin E to see if it might help you to have a short term boost.

wendypartridge profile image
wendypartridge in reply to Nanaedake

thank you

Silver_Fairy profile image
Silver_Fairy

Can you add ranges please?

Your FT4 looks low aswell as FT3, B12 low.

Graves cannot be cured, whatever treatment you have.

What symptoms are you getting at the moment?

wendypartridge profile image
wendypartridge

tsh 1.25 ( 0.5-9)

t4 16 ( 9-19)

t3 3.3 ( 2.50 .7)

I have muscle weakness, no energy, low mood. weak arms unsteady balance cant think straight numbness. achey painful arms anxiety fibromyalgia ,very dry skin , very dry hair ..and others

Clutter profile image
Clutter in reply to wendypartridge

Wendypartridge,

There is scope to increase your dose to raise T4 and T3. Have you asked your GP?

wendypartridge profile image
wendypartridge in reply to Clutter

he told me my t4 is fine, he said my t3 is low but he cant give me any because of the price ,I am very confused by this

Clutter profile image
Clutter in reply to wendypartridge

Wendypartridge,

So nice to see another doctor more concerned with his drug budget rather than his patient's wellbeing :x

There is scope for T4 to be higher in range and that will raise T3 too. Some patients need T4 over range to make enough T3. Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email dionne.fulcher@thyroiduk.org if you would like a copy of the Pulse article to show your GP.

Alternatively, buy your own T3 and add a little to your current dose. A quarter of a 25mcg tablet (6.25mcg) T3 would be a good starting dose. If you want sources write a post asking members to message you where you can buy T3 without prescription.

wendypartridge profile image
wendypartridge in reply to Clutter

thank you Clutter

SlowDragon profile image
SlowDragonAdministrator

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.

Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor

please email Dionne: at

tukadmin@thyroiduk.org

Professor Toft recent article saying, T3 may be necessary for many. Not especially his comments on current inadequate treatment following RAI or thyroidectomy.

rcpe.ac.uk/sites/default/fi...

wendypartridge profile image
wendypartridge in reply to SlowDragon

Thank you

Silver_Fairy profile image
Silver_Fairy

Some of those symptoms maybe deficiencies in B12 Iron Vit D, any tests done?

wendypartridge profile image
wendypartridge

yes, vit b12 ..456

Iron normal, i was low on vit d but was taking supplements for 8 months not been tested for 5 months

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