Borderline high and hypersensitive

[dubers4]

Hi, I'm new to the forum and would be very grateful for some opinions and advice. I've recently had some bloods done because of health issues this year, which include quite dramatic weight loss and increased sensitivity to antibiotics and foods etc., a lot of which were tolerated previously. Thyroid result was: TSH 2.69 (0.27-4.2) and Free thyroxin 21 (12-22). Immunoglobulin G, A and M checked with M reading low. Can anyone suggest what the thyroid readings may indicate and if the hormones are likely to be affecting my immune system response to various things? No treatment as yet, Doc is planning to repeat test in next few weeks I have the thyroid antibodies results also and I believe these are normal? Many thanks

[SlowDragon Administrator]

For full Thyroid evaluation you need TSH, FT4, TT4, FT3

plus important to test TPO and TG thyroid antibodies for Hashimoto's (hypothyroid- but often causes temporary hyper phases to start with)

Graves' disease (hyperthyroid) is tested for with TSI or TRab antibodies m usually only an endocrinologist orders these tests, though GP may be able to. Can also have raised TPO and TG antibodies with Graves

Also very important to test vitamin D, folate, ferritin and B12

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. This gives highest TSH and most consistent results. (Patient to patient tip, GP will be unaware)

If TPO and/or TG antibodies are high this is most likely 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 are very common too with both Hashimoto's and Graves, especially gluten. So it's important to get thyroid antibodies tested at least once .

Suggest you also get coeliac blood test. Coeliac or gluten intolerance are both more likely with thyroid disease

[dubers4 in reply to SlowDragon]

Hi SlowDragon, thank you very much for your response, all of this is new to me so there is a lot of info there to discuss with my GP this week. The thyroid antibodies result was: Thyroglobulin antibodies <10.0 (0-115) Thyroid paroxidase <9.0 (0-33). I had a Coeliac test a few months ago which was negative. I will be pushing GP for a referral to see an endo 're the other points you raised. Thanks

[SlowDragon Administrator in reply to dubers4]

Majority of us are not coeliac, but still very often find strictly gluten free diet very beneficial.

Always best to do coeliac test first, just to have it ruled out. Worth trying strictly gluten free diet for 3-6 months, if it helps stick on it.

Your TPO and TG antibodies are negative.

GP could/should test for TSI or TRab antibodies for a Graves. Though you may have to wait for endo to do

Meanwhile GP can definitely test vitamin D, folate, ferritin and B12, but if they are unhelpful you can test privately

[dubers4 in reply to SlowDragon]

Thank you again, will definitely look into gluten free diet and also speak to GP this week re Graves and deficiency tests. I'll keep you posted.

[dubers4 in reply to SlowDragon]

Hi SlowDragon, sorry one thing I forgot to ask and apologies if it sounds like a strange question but I am extremely anxious about my sensitivity to things at the moment. I need either root treatment or a tooth extraction soon and I would like to know if there are any issues with getting dental work done whilst having hyperthyroidism or border hyperthyroidism, bearing in mind I am not receiving any thyroid treatment at the moment apart from a beta blocker? Many thanks

[SlowDragon Administrator in reply to dubers4]

You can discuss with dentist. They can avoid giving you any adrenaline

[dubers4 in reply to SlowDragon]

Thank you, I'll mention to dentist ahead of appointment this week I'm really anxious about it, hopefully the 40mg of propranolol will help.