First NHS results

[Jamesey82]

Ok I’ll try this again lol

Here’s the results I received today.

I’d like peoples opinion on them if you wouldn’t mind.

Thanks again for everyone’s support up to now.

There was a photo here before but the numbers were hard to see so I’ve resorted to typing it out.

LFT -normal-no action

Serum total bilirubin level .... 13 umol/1

Serum alkaline phosphate .... 49 IU/1

Serum ALT Level .... 32 IU/1

Protein (serum) .... 70 g/L

Serum albumin .... 36 g/L

Serum globulin .... 34 g/L

Bone profile - normal - no action

Serum calcium .... 2.13 mmol/1

Adgusted CA .... 2.13 mmol/1

Urea and electrolytes - normal - no action

Serum sodium .... 141 mmol/1

Serum potassium .... 3.8 mmol/1

Serum urea level .... 4.9 mmol/1

Serum creatinine .... 88 mmol/1

GFR calculated abbreviated > 90 ml/min

Glucose / HBA1C - normal - no action

Diabetic - No

Serum fasting glucose level .... 4.3 mmol/1

Thyroid function - normal - no action

T4 dose - not on T4 therapy

Serum TSH level .... 1.23 mU/L

[bantam12]

Can't read the numbers.

[Jamesey82 in reply to bantam12]

Oh Having trouble sharing the three pages they printed off

[ShinyB]

It is a bit hard to read. I had to resort to typing mine out when I first posted mine! I've just about managed to read it on the main computer at 170% lol. The only thyroid one I can see is TSH of 1.23. There are lots of issues with TSH not telling you the whole story.

If you can persuade them to also check fT4, fT4, thryoid antibodies, plus vit D, vit B12, folate and ferritin, that will give you a much better idea of what's going on.

If they won't (and it's a distinct possibility, I'm afraid), you could look at having a private test done via somewhere like medichecks.com.

[Jamesey82 in reply to ShinyB]

Thanks Sorry about the size There was so much info there

[ShinyB in reply to Jamesey82]

I've just read your profile and read that your doc would only test T4 if TSH came back out of range, or words to that effect. I had that problem all my adult life - I was presenting as hypothyroid but they only ever tested my TSH, which always came back in normal range. It was only last September that I paid for a full thyroid profile privately, and found out that my free T3 was under range.

You could try asking for a second opinion, or a referall to an endocrinologist. There is such a thing as secondary hypothyroidism where the pituitary is not producing enough TSH to stimulate the thyroid to produce enough T4 and T3. There is also tertiary hypothyroidism which is similar but it's the hypothalamus that's effected.

Personally, I got nowhere with either my GP or the endocrinologist and am now sticking to researching as much as I can and getting advice from other thyroid patients.

It certainly does sound as if might be hypothyroid from your symptoms. If you can afford it, it would be worth paying privately for a full thyroid profile including fT4, fT3, thyroid antibodies, folate, ferritin, vit B12 and Vit D, all of which need to be optimal for good T4 to T3 conversion.

[Jamesey82 in reply to ShinyB]

Thank you very much. I’ll be getting private tests next.

[SlowDragon Administrator]

You need to add ranges to these

However most are irrelevant to thyroid apart from calcium

Your calcium is low (saw it on the photo with ranges)

Low calcium is very often due to low vitamin D

So do make sure to include vitamin D in private testing

Low vitamin D can be responsible for depression, insomnia etc

drgominak.com/sleep/vitamin...

universityhealthnews.com/da...

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 antibodies tested.