Latest test results. : Hi - I wonder if those in... - Thyroid UK

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Latest test results.

Slosh profile image
17 Replies

Hi - I wonder if those in the know could comment on my test results. I have been feeling anxious and weepy - last time Zi felt like this my thyroid had gone a bit hyper - had to come down on meds.

Dr says all fine - normal.

NB - they are not listed in order.

Thank you.

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Slosh profile image
Slosh
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17 Replies
SeasideSusie profile image
SeasideSusieRemembering

Slosh

I see you've changed the picture from showing TSH to now showing FT4.

We really need to see the results for all the tests together to be able to comment, can you type them out, include FT3 if you have them too, plus the reference ranges.

Were all your tests done under the same conditions, following the advice given here ie earliest appointment of the day for blood draw, overnight fast and leaving off Levo for 24 hours?

Slosh profile image
Slosh in reply toSeasideSusie

TSH

22/05/15Serum TSH level3.06 mu/LRange 0.35 - 5

08/08/16Serum TSH level0.68 mu/L Range 0.35 - 5

7/12/16. 7.45 mu/L Abnormal resultRange 0.35 - 5

10/03/17Serum TSH level0.04 mu/L Abnormal resultRange 0.35 - 5

28/07/17Serum TSH level0.22 mu/L Abnormal resultRange 0.35 - 5

06/09/17Serum TSH level0.27 mu/L Abnormal resultRange 0.35 - 5

20/04/18Serum TSH level0.66 mu/L Range 0.35 - 5

Slosh profile image
Slosh in reply toSlosh

They didn't do FT3

Slosh profile image
Slosh in reply toSlosh

If you tap on the photo of the FT4 all the results come up.

Sorry I wanted to attach both photos but couldn't

SeasideSusie profile image
SeasideSusieRemembering in reply toSlosh

Nothing happens if the photo is tapped. We needed to see TSH and FT4 together to make any sense of them.

What about the timing of the tests, were conditions the same - all done at the same time or not? Did you eat or not before all of them? Did you take Levo or not before all of them? Results can only be compared accurately if conditions were the same each time. Also, hard to say anything about past results without knowing what dose of thyroid meds you were on but they'll be irrelevant to how you feel currently.

But going purely on your results from 20/4/18 then your TSH is low but FT4 less than half way through it's range so on those results you're not overmedicated. The aim of a treated hypo patient generally is for TSH to be 1 or below or wherever it needs to be for FT4 and FT3 to be in the upper part of their respective reference ranges when on Levo, if that is where you feel well. It would be helpful to have FT3 tested because with such a low FT4 you may not be converting very well and low FT3 will cause symptoms.

Slosh profile image
Slosh in reply toSeasideSusie

Thank you.

I am currently on 100. It was lowered last year Sept from 150mcg.

Only the last two times did I not take Levo before a test.

I will be sure to keep all conditions the same from now on - thanks.

I may have to do a private FT3 test.

Slosh profile image
Slosh in reply toSlosh

I've edited the FT4 above in original post.

Slosh profile image
Slosh in reply toSeasideSusie

So is 16 for FT4 a bit low?

SeasideSusie profile image
SeasideSusieRemembering in reply toSlosh

Yes, I said it's less than half way through the range but realise now that the range is slightly different from the one I'm used to seeing, it's actually just slightly over half way through. The range is 9+22 = 31 divided by 2 = 15.5 = half way through range. Yours is 16.4 so slightly over over half way and as I mentioned:

The aim of a treated hypo patient generally is for TSH to be 1 or below or wherever it needs to be for FT4 and FT3 to be in the upper part of their respective reference ranges when on Levo, if that is where you feel well.

So with your range you may be looking at around 19ish if that is where you feel best.

Don't do FT3 test on it's own. It needs to be done with TSH and FT4. You have to see where FT4 lies as well as FT3 to know how well you are converting T4 to T3. I think your FT3 is going to be low if your FT4 stays low, but don't forget that you have Hashi's and that causes fluctuations of results and symptoms as and when the antibodies attack.

Medichecks to Thyroid Monitoring test which does TSH, FT4 and FT3 if that's all you want, but if you want vitamins and minerals as well then do the Thyroid Check UltraVit.

Slosh profile image
Slosh in reply toSeasideSusie

Thank you so much.

SeasideSusie profile image
SeasideSusieRemembering in reply toSlosh

You're welcome :)

SlowDragon profile image
SlowDragonAdministrator

If you are going to do private tests suggest you test vitamin D, folate, ferritin and B12 if not been done for a while

Reducing dose of Levo, can often reduce vitamins too

Are you on strictly gluten free diet?

Slosh profile image
Slosh in reply toSlowDragon

Hi SlowDragon - Thank you for your response. Yes I was thinking of doing private. I just recently had ferritin, Vit D and B12 - but I supplement so my B12 is high - I would like to do an active B12 test.

I didn't know that reducing ones Levo would also reduce vitamins.

SlowDragon profile image
SlowDragonAdministrator in reply toSlosh

If you are under medicated then stomach acid is often low. This makes it more difficult to absorb nutrients

We need high acidity to dissolve food and absorb nutrients. Hypothyroid often affects Guts, especially if we have autoimmune thyroid disease also called Hashimoto's diagnosed by high thyroid antibodies

Have you had thyroid? Do you have Hashimoto's?

Slosh profile image
Slosh in reply toSlowDragon

Oh right. Yes have Hashimotos.

SlowDragon profile image
SlowDragonAdministrator in reply toSlosh

About 90% of all primary hypothyroidism in Uk is due to Hashimoto's

Essential to test vitamin D, folate, ferritin and B12. Always get actual results and ranges. Post results when you have them, members can advise

Hashimoto's affects the gut and often leads to low stomach acid and then low vitamin levels are more likely

Low vitamin levels can 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. Dairy is second most common.

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)

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

amymyersmd.com/2017/02/3-im...

chriskresser.com/the-gluten...

thyroidpharmacist.com/artic...

scdlifestyle.com/2014/08/th...

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

thyroidpharmacist.com/artic...

Slosh profile image
Slosh in reply toSlowDragon

Thank you. I have Dr. Issabella Wentz's latest book - haven't read it yet.

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