Advice please

[walkes1]

My GP decided to send me for a "thyroid test", as my levo was increased from 50 to 100 in November. Results back today, but only TSH tested for, result 0.16 mu/L - range (0.34 - 5.6 mu/L), my GP says it's fine!!!

If I go back, can you suggest what tests I should ask him for please, I am getting more than a little frustrated.

I had a partial thyroidectomy 3 years ago and have now been told I have another goiter

Thank you in advance

[SlowDragon Administrator]

Your lucky GP didn’t reduce dose

Do you still have symptoms? If so you need to investigate further

For full testing you need TSH, FT4 and FT3 plus both TPO and TG Thyroid antibodies

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

Low vitamins are extremely common and need correcting for Levo to work properly

Most likely you will need to test privately via Medichecks or Blue Horizon

All thyroid tests should be done as early as possible in morning and fasting and don’t take any Levo in 24 hours prior to test. Delay and take straight after

This gives highest TSH and lowest FT4

[serenfach]

As your TSH was out of their range, they should have tested your T4 and T3 to see what was going on, and it is pretty poor of your GP and the lab that this did not happen. As SlowDragon says, you need the full range to actually understand what is going on.

[walkes1]

Thank you both. I have contacted the surgery and requested the tests, strangely enough I’m still waiting for their answer