I'm so grateful for stumbling across this board and for people giving up their time to advise.
I'll try to keep it brief but a bit of background is important...
Diagnosed with Graves Disease 2003 which led to me deciding on radioactive iodine treatment in 2006. No medication until I noticed I was putting on weight, hair falling out, poor memory. Blood test done Jan 2018:
TSH 19.99 mu/L ( 0.35 - 4.94)
T4 9.2 pmol/L ( 9.0 - 19.0)
As TSH was high, I was prescribed 100mg daily levothyroxine
Symptoms of weight gain, problems with sleeping at night and constipation. I didn't have these problems before.
Blood test again March 2018:
TSH 0.95 mu/L ( 0.35 -4.94)
T4 13.3 pmol/L ( 9.0 - 19.0)
I have put on a total of 4 kg since Jan and even with dieting when I usually lose a lot of weight, it's not shifting.
Thanks to you lovely people on here, I asked my GP for all the recommended tests and was granted them all except T3. Love my GP already!
TSH, T4, TT4,TPO, TG, Vit D, Folate, Ferritin and B12.
Do you think I need the T3 to complete the picture? I told my GP I would have it done privately. If so, can anyone recommend a place where I can just have T3?
Also can anyone suggest, why I may have put on weight and if it's related to the thyroxine?
Once all results are through GP will refer to Endo. I'm going to choose one of the recommended NHS ones.
Best to wait for results from GP. They don't always get all the tests they ask for (lab can over rule)
Also a good idea to test your TPO and TG antibodies (they can still be high after RAI)
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.
Or just choose TSH, FT4 and FT3 plus antibodies
You must test FT3 at same time as TSH and FT4, just testing FT3 on its own is inadequate
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, delay and take straight after. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, GP will be unaware)
Thank you for the advice. So if doing T3 privately I will have to have the TSH/T4 again??
Yes, you need TSH, FT4 And FT3 tested at same time
If GP put “possible Hyperthyroid “ then FT3 might get tested by lab