Hi, Could I please ask for interrupting of my results. I started on 50 in November, increased to 75 in December. 4weeks later results attached. I still feel not right at all for want of a better word. I am going to discuss with the Dr, I don’t feel normal as it indicates.
Guidance appreciated
Sadly ,I cannot read upside down and if I turn the ipad round the pic goes round ad well so still upside down.
I shall try again Thanks
Harthill42,
TSH 0.98 is low-normal and FT4 14.1 is low in range. There is scope to increase dose to raise FT4 which should ideally be higher in range. If your GP won't increase dose to 100mcg try and negotiate 75mcg/100mcg alternate days.
The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 0.2 - 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 dionne.fulcher@thyroiduk.org if you would like a copy of the Pulse article to show your GP.
Unfortunately many don't feel the benefit of levothyroxine until they reach a high enough dose and your doctor is only looking at your TSH which is low so believes you don't warrant an increase.The most important blood test is the Free T3 but you might have to get a private blood test for this one. We have two private labs who do home pin-prick tests.
Your FT4 is in the middle od the eange and should be nearer the upper part. So I suspect you are not on sufficient levo or need to have some T3 added. Your doctor should also check B12, Vit D, iron, ferritin and folate.
Thank you so much for this, with the awful uploaded picture & you understanding my meaning of interpretation of the results. What you say makes so much sense as I am not fully functional
Your FT4 is too low. TSH is fairly low so GP may be reluctant to increase
For full evaluation you ideally need TSH, FT4, FT3, TT4, TPO and TG antibodies, plus vitamin D, folate, ferritin and B12 tested
Do you have high thyroid antibodies? Do you know if ever been tested? This gives diagnosis of cause as Hashimoto's also called autoimmune thyroid disease
Very important to know
Low vitamins are extremely common
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
Is this how you did the test?
Link about antibodies
thyroiduk.org.uk/tuk/about_...
Link about thyroid blood tests
thyroiduk.org/tuk/testing/t...
List of hypothyroid symptoms
thyroiduk.org/tuk/about_the...
No not tested for anything, I shall look into this. Thank you so much
If your antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
About 90% of all hypothyroidism in Uk is due to Hashimoto's so it's likely
Essential to test vitamin D, folate, ferritin and B12.
Always get actual results and ranges. Post results when you have them, members can advise
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's gut connection is very poorly understood
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
Ideally ask GP for coeliac blood test first
thyroidpharmacist.com/artic...
thyroidpharmacist.com/artic...
amymyersmd.com/2017/02/3-im...
chriskresser.com/the-gluten...
scdlifestyle.com/2014/08/th...
Absolutely essential to know if you have Hashimoto's (high thyroid antibodies)
And to test vitamin D, and ferritin. Ideally BEFORE starting T3, not after.
Thank you for your reply. Yes I have Hashimotos Vitamin D was up from my last test in July, even though I didn’t know I had Hypo or Hashimotos. Supplements also with B12 with B complex as Pernicious A serum tested as positive but no action!!
Are you on strictly gluten free diet as you have Hashimoto's?
You may find it essential when on T3
New results for my Daughter 3 months on
advice on thyroid results
Thyroid Results
New blood test results after 2 months on Levo
