Bloods After Total Throidectomy

[ajw38]

Hi,

I recently had a total thyroidectomy. My endo has given my a form to have my TSH, Free T3, Free T4, Urea & electrolytes, Bone Profile And Vit D tested (first bloods since op). Has he missed anything? I’ve seen people mention Reverse T3?

Also , now I don’t have my thyroid , is TSH even relevant?

I had the op due to hyperthyroidism and a suspicious nodule (awaiting biopsy results)

Many thanks!

[SeasideSusie Remembering]

ajw38

ReverseT3 isn't necessary, and I'm not sure the NHS even does it.

Reverse T3 is usually made when FT4 is high/over range and FT3 will be low in range, and the T4 is converted into rT3 instead of FT3.

[ajw38 in reply to SeasideSusie]

Thanks so much!

[greygoose]

TSH is as necessary now as it was before your TT - however necessary that is. Your pituitary doesn't know you've had a TT. It just reacts to the level of thyroid hormone in the blood. So, if your thyroid hormone is low in the blood, the pituitary will still produce high levels of TSH, and that will tell you you're under-medicated.

[ajw38 in reply to greygoose]

Thank you very much!

[ajw38 in reply to greygoose]

Thank you very much!

[greygoose in reply to ajw38]

You're very welcome.