A friend (aged 44) has been unwell for quite a while and I would be grateful if you could look at her blood test results and see what you think. I have directed her to the thyroid 'symptom list' and she says she feels like she has quite a lot of them, in particular weight gain, VERY heavy periods, extreme fatigue, bad memory problems, leg cramping at night, hairloss and has been diagnosed with severe depression & anxiety.
She is under enormous strain caring for her elderly mother who has dementia. She is taking iron tablets for low ferritin, which has been taking for 2 month, and is on Tranexamic Acid to try to reduce the heavy periods and has had a negative test for fibroids so they can't find a reason for her heavy periods. She has been on antidepressants but stopped taking them about 7months ago as she felt they weren't helping.
She had blood tests in February 2018, around 10-11am
TSH 1.1 (0.34 - 5.6)
FT4 9.6 (7.5 - 21.1)
FT3 4.6 3.8 - 6.8)
TPO 29 (0 - 9)
Folate 10.1 (3.1 - 19.9)
Ferritin 40 (11 - 336)
B12 661 (187 - 883)
Vitamin D 28
At this stage she was given 20,000ui Vit D per week for 2 months and iron tablets.
Blood test in May 2018, again around 10-11am
TSH 1.32 (0.34 - 5.6)
FT4 8.5 (7.5 - 21.1)
FT3 not tested
TPO not tested
Folate not tested
Ferritin not tested
B12 not tested
Vitamin D 150
She has been told they can't see anything wrong and so in desperation she has asked to see an endo' for a second opinion.
Does it look like thyroid might be the issue, her TSH is low in range but so is her FT4? Is that normal?
As always...Thank you
Written by
janey1234
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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)
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels 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
Thank you SlowDragon . All great advice and tips that I shall pass on. I have offered what I have learnt so far over the past 2yrs here from TUK to her but seeing the answers herself from experts here is what she needs to read. Again...thank you x
I agree absolutely about going back but do understand, as I think we were all there once, that until we learn otherwise, doc knows best. At least by asking here the steps to take, tips to follow and what results mean, my friend can now move forward.
Unfortunately we don't live close by but I am arming her with as much CLEAR info as I can, mentioning that TUK, recommended by NHS Choices, are helping her. 🙂
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Posting results
Blood work a year in and Endo wants me to reduce either T3 or T4
Asking for a friend ... 
All results in normal range.
