Blood test results ... are any of these results an indication to why I feel so drained & confused all the time ? X

[Maxin33]

Hi all would love some advice on latest results..

They’re only from GP so not full thyroid

Serum TSH Level 4.0 Miu/L (0.2 - 4.0)

Serum Free T4 15.8 pmol/L (10.0 - 20.0)

Serum B12 Level 287 ng/L (211.0 - 911.0)

Serum Folate Level 5.2 ug/L (5.4 - 24.0)

[Heloise]

To answer your question I would say yes. You haven't revealed much so it's hard to expand on that. It would be good to know if you have Hashimoto's or if you are taking any hormone. Your FT4 is not terribly low but without knowing what you are on.....

Your digestive process makes B vitamins using your gut bacteria. You are very low in B vitamins so you should supplement asap. There are cofactors you need and your pituitary is calling for more thyroid since your TSH is higher than it should be. Under 2.0 is better.

This may help. stopthethyroidmadness.com/l...

[Maxin33 in reply to Heloise]

Thank you so much for your reply... yes I am on the prostap injection and also take progesterone & oestrogen . I have just started B injections privately this week as my doctor said just eat some greens you’ll be okay lol... thank you for the link aswell... I have seen a lot of people have gone to see Dr Peatfield, but I can’t seem to find a contact number for him, would you suggest I see him? Xx

[SlowDragon Administrator in reply to Maxin33]

For full Thyroid evaluation you need TSH, FT4, TT4, FT3 plus TPO and TG thyroid antibodies. Plus vitamin D, folate, ferritin and B12.

Essential to test thyroid antibodies, FT3 and FT4, plus vitamins

Your TSH is high, obviously B12 and folate both too low

Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies

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 ideally be done as early as possible in morning and fasting. This gives highest TSH and most consistent results. (Patient to patient tip, GP will be unaware)

If 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. Low vitamins are especially common with Hashimoto's. Food intolerances too, especially gluten. So it's important to get tested.

Dr Peatfield is unwell and not available

Suggest you email Dionne at Thyroid Uk for list of recommended thyroid specialists

[e-mail]

[Maxin33 in reply to SlowDragon]

Thank you so much for taking your time to give me all that info, I will get these tests ordered & contact Dionne thanks again xx

[Heloise in reply to Maxin33]

Maxin, well, he wasn't completely wrong but to get nutrients from your food (if it still has some and that is debatable) consider using Betaine HCL which will break down those amino acids and minerals and if your gall bladder is sluggish consider digestive enzymes but take at different meals than the HCL. If you can afford organic it is well worth it. I think you can taste the difference.

[Maxin33 in reply to Heloise]

Fab thank you will try that 100% x

[Sleepybunny]

Hi,

More info on B12 deficiency on Pernicious Anaemia Forum on HU. I'm not medically trained but know from personal experience that it is possible to show signs of severe B12 deficiency with an in range B12 result.

PAS (Pernicious Anaemia Society)

Based in Wales, UK.

pernicious-anaemia-society....

PAS tel no [phone] answerphone

B12 Deficiency Info website

b12deficiency.info/

B12 books I found useful

"What You Need to Know About Pernicious Anaemia and B12 Deficiency" by Martyn Hooper

Martyn Hooper is the chair of PAS (Pernicious Anaemia Society). Book is up to date with UK b12 guidelines.

"Could it Be B12?: An Epidemic of Misdiagnoses" by Sally Pacholok and JJ. Stuart (USA authors)

Very comprehensive with lots of case studies.

BSH Cobalamin and Folate Guidelines

b-s-h.org.uk/guidelines/gui...

BMJ B12 article

bmj.com/content/349/bmj.g5226

Have you had ferritin or other iron tests and full blood count (FBC) test? Vitamin D?

[Maxin33 in reply to Sleepybunny]

Thank you so much for all that info, I started to get private B12 injections which take the edge off a little, no haven’t had ferritin or Vit D but had full blood count x

[LAHs]

Good advice above, I would like to add that if I had a TSH of 4.0 miU/L I would be flat on my back in a coma. So my answer is yes, that figure alone is a reason you are feeling drained and confused, I begin to feel weird at 1.0 miU/L.

[Maxin33 in reply to LAHs]

Thank you x

[Caze]

In addition, have a full iron panel and post results. Stop supplementing iron and vit C, 5 days before testing, otherwise results can be off.