I finally have my full results.

[Ilala]

TSH 2.15 (0.274-4.200)

Free T4 12.34 (12-22)

Total T4 77 (59-154)

FT3 4.94 (3.1 - 6.8)

B12 277 (197-771)

Folate 6.1 (3.9- 26.8)

Ferritin 30.0 (13-150)

Thyroglobulin 57.70 ( 0-115)

Thyroid peroxidase 99.2 (0-34)

[SlowDragon Administrator]

Your TPO antibodies are over range confirming you have autoimmune thyroid disease (Hashimoto's)

FT4 is on the low side.

Vitamins are all a bit low, but probably not low enough for GP to offer to treat

Ferritin should be half way in range, eating liver once a week should help improve levels

B12 , generally considered low if under 500, especially if folate is also low, which yours is

You could ask GP to test for Pernicious Anaemia but they are unlikely to think level is low enough. In which case self supplementing a good vitamin B complex with folate in, plus a daily sublingual B12 lozenge will help improve

No vitamin D test

Suggest you ask GP or test via

vitamindtest.org.uk £28 postal kit

Hashimoto's affects the gut and often 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. Many Medics deny low stomach acid even exists

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...

drknews.com/changing-your-d...

thyroidpharmacist.com/artic...

[Ilala in reply to SlowDragon]

Thank you so much for this info. It’s such a big topic. I’m so grateful to this site for the kind people offering advise.

I forgot to say my vit d is 71.1 (75-200)

Would the GP offer B12 injections I wonder.

Gosh I have so so much reading to do

And I’m gonna get pituitary tests aswell and perhaps hormone tests but looked on medichecks and I can’t see ...