Results - can anyone help?

[Hattie87]

Hi guys, so I got my result could anyone help me translate them please?

Thyroid peroxidase Ab (JW) value <35 - range <109.00

HbA1c value 35 - range 22.00 - 42.00mmol/mol

Serum 25-HO vit D3 value 64 - range 50.00 - 174.00nmol/L

serum folate value >20.0

Vit b12 value 1004 - range 180.00 - 999.00ng/L

Ferritin value 95 - - range 13.00 - 150.00ug/L

I can't see TSH or T4/T3 on the results page, even though I was tested for it. Is there something else I should be looking for?

Many thanks!

[Hattie87]

Not sure how to edit a post but just found the thyroid levels which are:

TSH value 0.12 - range 0.27 - 4.20mu/L

Free T4 value 26.7 - range 10.80 - 25.50pmol/L

Free T3 4.9 - range 3.10 - 6.80mol/L

Thank you!

[greygoose in reply to Hattie87]

You really, really aren't converting very well! Your FT4 is over-range, but your FT3 is only just mid-range. What are you taking?

[Hattie87 in reply to greygoose]

Hi, thank you for your reply! I just went to the doctors and he's taken me down from 100 to 75mcg, is that's right?

[greygoose in reply to Hattie87]

It's half right. You needed less levo, but you do need some T3. Having lowered your levo, your FT3 is also going to go down, so the odds are you are going to feel worse. He doesn't know much about it, does he. Can you get hold of some T3?

[Hattie87 in reply to greygoose]

Ahh I see, that makes sense? I have no idea where to get T3 or how much I should be taking to balance my levels. Do you know where I could find out? My doctor said that the UK doesn't really deal with T3 so I don't think they'll be much help. Thank you!

[greygoose in reply to Hattie87]

What a stupid thing to say! As if it's a choice!!! Doesn't he know that you need T3 to live? Goodness they do make me cross! lol

You should post a new question, asking people to PM you links to their trusted sources. It's not allowed to discuss it on the forum.

As to how much, you follow the rules for taking hormones : start low and increase slowly. So, 6.25 mcg to begin with - a quarter tablet - and increase by 6.25 every two weeks until you reach one whole pill, then hold for six weeks and retest.

[Hattie87 in reply to greygoose]

Thank you for this! I know, it's crazy! Hopefully I can get it sorted either way, even if I have to buy it myself.

[greygoose in reply to Hattie87]

You're welcome.

[Hattie87]

Anyone?

[SlowDragon Administrator]

Your vitamin D needs improving to around 100nmol. Do you supplement already? If so you need to increase dose

Vitamin D mouth spray is good as avoids poor gut function

Have you ever had TG antibodies tested, as well as TPO antibodies. It's possible to have high TG antibodies, yet in range TPO. NHS often refuses to test

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]

Also request list of recommended thyroid specialists, some add T3 friendly

Professor Toft recent article saying, T3 may be necessary for many otherwise we need high FT4 and suppressed TSH in order to have high enough FT3

rcpe.ac.uk/sites/default/fi...

A private prescription for T3 is possible, if NHS refuses to fund.