Thyroid test results

[juvuk]

Hi all,

I have just had my Medicheck thyroid ultra results back and all looks good except Thyroglobulin antibodies which are over 4000 (should be between 0.00 and 115) and Thyroid peroxidase antibodies which are 139 (should be between 0.00 and 34) but i have no idea what that means lol

ENDOCRINOLOGY

Thyroid Function

THYROID STIMULATING HORMONE 1.01 mIU/L 0.27 - 4.20

FREE THYROXINE 16.5 pmol/L 12.00 - 22.00

TOTAL THYROXINE(T4) 94.0 nmol/L 59.00 - 154.00

FREE T3 4.72 pmol/L 3.10 - 6.80

THYROGLOBULIN ANTIBODY

*

>4000 IU/mL 0.00 - 115.00

THYROID PEROXIDASE ANTIBODIES

*

139 IU/mL 0.00 - 34.00

HAEMATOLOGY

Vitamins

ACTIVE B12 132.000 pmol/L 25.10 - 165.00

FOLATE (SERUM) 10.52 ug/L 2.91 - 50.00

BIOCHEMISTRY

Inflammation Marker

CRP - HIGH SENSITIVITY 3.94 mg/l 0.00 - 5.00

Iron Status

FERRITIN 94.7 ug/L 30.00 - 400.00

all ok then? would it explain all my muscle pains?

[SlowDragon Administrator]

I see from your previous post you are already on Levothyroxine (175mcg)

All thyroid tests should ideally 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. (Patient to patient tip, GP will be unaware)

Is this how you did test? Assuming so.....

You actually have room for small dose increase

Your FT4 at 16 is a little off the max of 22

TT4 at 94 is definitely below max of 154

FT3 is only mid range at 4.72. Many need it slightly higher in range

Obviously the most obvious thing is your high thyroid antibodies. This is Hashimoto's also called autoimmune thyroid disease

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 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...

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

thyroidpharmacist.com/artic...

Pity you didn't get vitamin D tested. Low vitamin D is extremely common with Hashimoto's

hypothyroidmom.com/92-of-ha...

You can test via

Vitamindtest.org.uk £28 postal kit

Or push GP to test.

Active B12 seems good. Folate a bit low, eating lots of leafy greens should help improve

Ferritin, eating liver once a week should help improve levels. They look just a bit low

[juvuk in reply to SlowDragon]

hi, thank you for the though reply, my vit D was tested on the NHS and was low, i am taking vit D once a week as per perscription at the moment. The gut thing could be causing all my muscle pains?

thanks again, Justin

[juvuk in reply to juvuk]

Though should have been thorough, oops

[SlowDragon Administrator in reply to juvuk]

How much vitamin D are you taking

How low was level before starting supplements?

It takes some months for pain of low vitamin D to fade for some of us

[juvuk in reply to SlowDragon]

i will have to read the box tonight, my memory isn't very good at the mo

[juvuk in reply to SlowDragon]

Hi, i don't know what the test result was, but on the box it says "7 HUX D3 20,000unit capsules, i am on one a week at the moment

[SlowDragon Administrator in reply to juvuk]

That's actually only 2800iu per day. Ask that they retest you at end of prescribed dose

Or alternatively test via vitamindtest.org.uk

£28 postal kit

We see many patients left still with too low level, NHS will only test once every year or two years

Need to aim to increase to around 100nmol. Retesting twice yearly. Likely to need an ongoing maintenance dose. Trial and error what each person needs to stay level