Blood results thyroid

[Wayne39]

Please can someone look at my results and let me no if you think there all within the range?

[Rmichelle]

Hi Wayne you need a full thyroid panel tsh which you do have but your gp should also be doing ft3 and ft4 and also antibodies for hashimotos and graves disease which are auto immune diseases linked with the thyroid. Some gp practices can order the full panel as mine did but labs will only do tsh which is pretty useless without the frees3 and frees 4.(but your tsh does look within range) but you need the others done. You can get the other tests done privatley from blue horizons.

Im sure other forum users will comment aswell.also most people will also get vit d and iron panel done too.

[Rmichelle]

Just read your bio did not realise you are on levo i hope someone with more experience comes along to comment.x😊😊

[SlowDragon Administrator]

It's possible you are not on high enough dose of Levothyroxine

Just testing TSH is completely inadequate, need FT4 and FT3 testing too

Official NHS guidelines saying TSH should be between 0.2 and 2.0 when on Levothyroxine

(Many of us need TSH nearer 0.2 than 2.0 to feel well)

See box

Thyroxine replacement in primary hypothyroidism

pathology.leedsth.nhs.uk/pa...

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.

Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor

 please email Dionne at

[e-mail]

Your vitamin D is too low as well. Should aim to improve to around 100nmol by supplementing. You may find 2000-3000iu daily enough to improve levels. Also get out in sunshine through the summer

Retest in 2-3 months via vitamindtest.org.uk £29

Once you get level up, likely to need on going maintenance dose. Trial and error what each person needs. May be 1000iu, may by higher in winter than summer

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

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.

If on Levothyroxine, don't take in the 24 hours prior to test, and if on T3 don't take in 12 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)

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.