TSH of 3.95mlU/L and T4 15.2

[Slosh]

Hi - so I am asking for a friend:

She has just had bloods done because she is so tired.

So is a bit anaemic but her TSh was out of range

TSH 3.95mlU/L (0.3 - 3.94)

T4 15.2 pool/L (12,3 - 20.2)

The doctor said nothing about it.

Only suggested folic acid for Low Haemaglobin

Thanks

[SlowDragon Administrator]

If she has low folate she also needs B12, ferritin and vitamin D testing

GP should be prescribing for low folate as well rather than just telling her to self supplement

A good quality vitamin B complex with folate in may help

For full Thyroid evaluation she needs TSH, FT4, TT4, FT3 plus TPO and TG thyroid antibodi 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, lowest FT4 and most consistent results. (Patient to patient tip, GP will be unaware)

[Slosh in reply to SlowDragon]

Thank you so much for your detailed response

[Heloise]

Slosh, her results are not good. Has she been diagnosed? If not, she should follow SlowDragon's advice and insist on more treatment.

[Slosh in reply to Heloise]

Thank you - no doctor didn't even mention it to her.

[SlowDragon Administrator in reply to Slosh]

Low folate, suggests a low stomach or poor absorption problem. Other vitamins I listed are then often low too

Her TSH is high, meaning thyroid is struggling. Low stomach acid is ccommon hypothyroid problem

[Slosh in reply to SlowDragon]

Thank you - yes - her B12 was on the low side but in range. She also had high creatine, and a protein ? Suggesting poor absorption. Plus high cholesterol and blood sugar. She was a bit dehydrated on the day.

[SlowDragon Administrator in reply to Slosh]

High cholesterol is very often result of being hypothyroid

nhs.uk/conditions/statins/c...

B12 needs to be at least above 500.

How low was her result?

Taking a good quality daily vitamin B complex with folate in not folic acid would improve B12 too. Eg Igennus Super B complex or Jarrow B-right

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

She can test vitamin D via NHS postal kit £29

vitamindtest.org.uk

Getting vitamins optimal is first step. Then getting full private testing on Thyroid 2-3 months time. Including FT3 and both TPO and TG antibodies

High blood sugar, look at reducing bread, pasta, rice etc and replacing with more protein and good fats. Lots of books and info available on internet on reducing blood sugar by changing diet slightly

[Slosh in reply to SlowDragon]

Thank you. She is concentrating on improving her diet - exactly what you suggest.

Thank you so very much for the other info.

Her B12 was 280

[SlowDragon Administrator in reply to Slosh]

B12 is then far too low

Diet and vitamins is first step

[Slosh in reply to SlowDragon]

Great thanks.