9 year old daughter’s blood results- all good?

[Kipsy]

My 9 year old daughter has no diagnosis and is not on any medication. I wanted to get a baseline set of results in case, like me, she develops Hashis later in life. Do they all seem fine to everyone, please? If so, my plan is to repeat annually with Medichecks. Thank you in advance for reading.

13/2/2018

TSH 3.03 (0.27-4.2)

Total T4 91 (59-154)

Free T4 16.7 (12-22)

Free T3 6.1 (4.1-7.9)

Thyroglobulin antibodies <10 (0-115)

Thyroid peroxidase antibodies <9 (0-34)

Thanks, Kipsy

[Clutter]

Kipsy,

Hard to tell because children's TSH can be higher than adults. TSH 3.03 in an adult would indicate failing thyroid. FT4 and FT3 are very good though. Thyroid antibodies are negative for autoimmune thyroiditis.

[Kipsy in reply to Clutter]

Thanks Clutter - it had slipped my mind about children's TSHs sometimes being slightly higher so that's reassuring. I shall monitor it over the next few years and hopefully she won't ever need the results to argue her case with a GP. I wish I'd known earlier so hoping to prevent her any potential suffering. Thank you for replying x

[Clutter in reply to Kipsy]

Kipsy,

I'm not sure you need annual testing. Puberty can trigger hypothyroidism so perhaps retest after she starts menstruating.

[Kipsy in reply to Clutter]

Thanks Clutter - that's also good advice and will save a bob or two!

[SlowDragon Ambassador]

Next time perhaps include vitamins in test?

You could do vitamin D spot test from vitamindtest.org.uk

[Kipsy in reply to SlowDragon]

Thanks SlowDragon - good idea. I'm more concerned at moment that she displays signs of low B12. She's been on a children's multivitamin for a couple of months that includes the tiny amount of 2.5 mcg of B12. Do you think she should stay off it for a few months before testing? I was hoping the GP might run tests for B12, ferritin & vit D especially as pernicious anaemia runs through my family.

[SlowDragon Ambassador in reply to Kipsy]

Trouble is it apparently takes about 4 months to get back to base levels

Perhaps ask on PAS healthunlocked

Don't forget folate testing too

[Kipsy in reply to SlowDragon]

Thank you SlowDragon . Happy to stop her vitamins unti then- they don’t seem to do much. Folate noted! X

[Marz in reply to Kipsy]

Best to do supplements separately as Multi-vits often contain fillers that are not healthy. Interesting you say they do not do much - maybe because there is not enough of the key ingredients - like B12 - Folate - VitD - and if you increase dose then you could overdose on something that needs to be kept lower.

I would test and supplement individually.

When I was concerned about one of my Grandsons I spoke with Martyn Hooper - Chairman of the Pernicious Anaemia Society. He told me it can take up to six months and longer in order to obtain a good B12 reading. Also we must remember that only around 20% of any B12 Serum test result is available for the onward journey into the cells where it is needed. This is because it contains both bound and unbound ....